2010 Medicare Part D Plan Formulary Information |
BlueRx Complete (PDP) (S5593-003-0)
Benefit Details
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The BlueRx Complete (PDP) (S5593-003-0) Formulary Drugs Starting with the Letter Z in CMS PDP Region 6 which includes: PA WV
|
Drugs Starting with Letter Z
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
ZALEPLON 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZALEPLON 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZALEPLON 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZALEPLON 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZANAFLEX 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZANAFLEX 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANAFLEX 4MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZANAFLEX 4MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANAFLEX 4MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZANAFLEX 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANAFLEX 6MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZANAFLEX 6MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANOSAR 1GM VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZANOSAR 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANTAC 150MG GRANULES ![Compare how all Medicare Part D PDP plans in PA cover ZANTAC 150MG GRANULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANTAC 150MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZANTAC 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANTAC 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in PA cover ZANTAC 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZANTAC 25 EFFERDOSE TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZANTAC 25 EFFERDOSE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANTAC 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZANTAC 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANTAC 300MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZANTAC 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZANTAC 50MG/50ML PLAST-BAG ![Compare how all Medicare Part D PDP plans in PA cover ZANTAC 50MG/50ML PLAST-BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZARONTIN 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZARONTIN 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZARONTIN 250MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in PA cover ZARONTIN 250MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZAROXOLYN 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZAROXOLYN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZAROXOLYN 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZAROXOLYN 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZAROXOLYN 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZAROXOLYN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZAVESCA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZAVESCA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in PA cover ZAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZAZOLE 0.8% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in PA cover ZAZOLE 0.8% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in PA cover ZAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZEBETA 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZEBETA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEBETA 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZEBETA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEGERID 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZEGERID 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEGERID 20MG PACKET ![Compare how all Medicare Part D PDP plans in PA cover ZEGERID 20MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEGERID 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZEGERID 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEGERID 40MG PACKET ![Compare how all Medicare Part D PDP plans in PA cover ZEGERID 40MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZELAPAR 1.25MG ODT TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZELAPAR 1.25MG ODT TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEMAIRA 1000MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZEMAIRA 1000MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZEMPLAR 1 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZEMPLAR 1 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZEMPLAR 2 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZEMPLAR 2 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEMPLAR 2 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZEMPLAR 2 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEMPLAR 4 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZEMPLAR 4 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZEMPLAR 5MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZEMPLAR 5MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZENAPAX 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZENAPAX 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | P |
ZERIT 15MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZERIT 15MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZERIT 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in PA cover ZERIT 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZERIT 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZERIT 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZERIT 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZERIT 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZERIT 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZERIT 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZERLOR TABLET 712.8MG/60MG ![Compare how all Medicare Part D PDP plans in PA cover ZERLOR TABLET 712.8MG/60MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZESTORETIC 10/12.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTORETIC 10/12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTORETIC 20/12.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTORETIC 20/12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTORETIC 20/25MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTORETIC 20/25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTRIL 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTRIL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTRIL 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTRIL 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTRIL 30MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTRIL 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTRIL 40MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTRIL 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTRIL 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZESTRIL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZESTRIL TABLETS 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in PA cover ZESTRIL TABLETS 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZETIA 10MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZETIA 10MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZIAC 10-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZIAC 10-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZIAC 2.5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZIAC 2.5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZIAC 5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZIAC 5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZIAGEN 20MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in PA cover ZIAGEN 20MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZIAGEN 300MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZIAGEN 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZIANA 1.2-0.025% GEL TOPICAL ![Compare how all Medicare Part D PDP plans in PA cover ZIANA 1.2-0.025% GEL TOPICAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZIDOVUDINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZIDOVUDINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZIDOVUDINE 10MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in PA cover ZIDOVUDINE 10MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZIDOVUDINE 300MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZIDOVUDINE 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZINACEF 7.5GM VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZINACEF 7.5GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZINACEF ADD VTG FOR INJECTION 750MG 10 VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZINACEF ADD VTG FOR INJECTION 750MG 10 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZINACEF INJECTION ADD VANTAGE 1.5GM 10 VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZINACEF INJECTION ADD VANTAGE 1.5GM 10 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZINACEF/DEXTROSE 750MG/50ML ![Compare how all Medicare Part D PDP plans in PA cover ZINACEF/DEXTROSE 750MG/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZINACEF/WATER 1.5GM/50ML ![Compare how all Medicare Part D PDP plans in PA cover ZINACEF/WATER 1.5GM/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZINECARD 500MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZINECARD 500MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX 250MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX 250MG Z-PAK TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX 250MG Z-PAK TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX 500MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX 600MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX IV 500MG VIAL 10 VIAL BOX ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX IV 500MG VIAL 10 VIAL BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX ORAL SUSP 100MG/5ML ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX ORAL SUSP 100MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX ORAL SUSP 200MG/5ML ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX ORAL SUSP 200MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZITHROMAX TRI-PAK 500MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZITHROMAX TRI-PAK 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZMAX 2 G/60ML SUSP SR ![Compare how all Medicare Part D PDP plans in PA cover ZMAX 2 G/60ML SUSP SR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOCOR 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOCOR 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOCOR 20MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZOCOR 20MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOCOR 40MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOCOR 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOCOR 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOCOR 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOCOR 80MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOCOR 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOFRAN 2MG/ML MDV VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZOFRAN 2MG/ML MDV VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOFRAN 4MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOFRAN 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOFRAN 4MG/5ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in PA cover ZOFRAN 4MG/5ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOFRAN 8MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOFRAN 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOFRAN ODT 4MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOFRAN ODT 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOFRAN ODT 8MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOFRAN ODT 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOLINZA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZOLINZA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZOLOFT 100MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZOLOFT 100MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOLOFT 20MG/ML ORAL CONC ![Compare how all Medicare Part D PDP plans in PA cover ZOLOFT 20MG/ML ORAL CONC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOLOFT 25MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOLOFT 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOLOFT 50MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOLOFT 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOLPIDEM TARTRATE 10MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZOLPIDEM TARTRATE 10MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZOLPIDEM TARTRATE 5MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZOLPIDEM TARTRATE 5MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZOMETA 4MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZOMETA 4MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOMIG 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOMIG 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | Q:8 /25Days |
ZOMIG 5MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in PA cover ZOMIG 5MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | Q:8 /25Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOMIG 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOMIG 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | Q:8 /25Days |
ZOMIG ZMT 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOMIG ZMT 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | Q:8 /25Days |
ZOMIG ZMT 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOMIG ZMT 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | Q:8 /25Days |
ZONALON 5% CREAM ![Compare how all Medicare Part D PDP plans in PA cover ZONALON 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZONEGRAN 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZONEGRAN 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZONEGRAN 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZONEGRAN 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZONISAMIDE 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZONISAMIDE 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZONISAMIDE 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZONISAMIDE 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZONISAMIDE 50MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover ZONISAMIDE 50MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZORBTIVE 8.8MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZORBTIVE 8.8MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZOSTAVAX VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZOSTAVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOSYN 2/0.25GM PRE-MIX BAG ![Compare how all Medicare Part D PDP plans in PA cover ZOSYN 2/0.25GM PRE-MIX BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZOSYN 3/0.375GRAM 24 BAGS PKG ![Compare how all Medicare Part D PDP plans in PA cover ZOSYN 3/0.375GRAM 24 BAGS PKG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZOSYN 3/0.375GRAM VIAL 1 VIAL SU ![Compare how all Medicare Part D PDP plans in PA cover ZOSYN 3/0.375GRAM VIAL 1 VIAL SU.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZOVIA 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOVIA 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZOVIA 1/50-28 TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOVIA 1/50-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$7.00 | $17.50 | None |
ZOVIRAX 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover ZOVIRAX 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOVIRAX 200MG/5ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in PA cover ZOVIRAX 200MG/5ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOVIRAX 400MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOVIRAX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZOVIRAX 5% CREAM ![Compare how all Medicare Part D PDP plans in PA cover ZOVIRAX 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZOVIRAX 5% OINTMENT ![Compare how all Medicare Part D PDP plans in PA cover ZOVIRAX 5% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZOVIRAX 800MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZOVIRAX 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYBAN 150MG TABLET SA ![Compare how all Medicare Part D PDP plans in PA cover ZYBAN 150MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYDONE 10/400MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYDONE 10/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYDONE 5/400MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYDONE 5/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYDONE 7.5/400MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYDONE 7.5/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYFLO CR 600MG TABLET MULTIPHASIC RELEASE 12HR ![Compare how all Medicare Part D PDP plans in PA cover ZYFLO CR 600MG TABLET MULTIPHASIC RELEASE 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | P |
ZYLET 0.3%-0.5% SUSPENSION DROPS(FINAL DOSAGE FORM)(ML) ![Compare how all Medicare Part D PDP plans in PA cover ZYLET 0.3%-0.5% SUSPENSION DROPS(FINAL DOSAGE FORM)(ML).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYLOPRIM 100MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYLOPRIM 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYLOPRIM 300MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYLOPRIM 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYMAR 0.3% EYE DROPS ![Compare how all Medicare Part D PDP plans in PA cover ZYMAR 0.3% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZYPREXA 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZYPREXA 10MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYPREXA 15MG TABLET (1000 BOT) ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA 15MG TABLET (1000 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZYPREXA 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZYPREXA 20MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZYPREXA 5MG TABLET (30 BOT) ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA 5MG TABLET (30 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZYPREXA 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$35.00 | $87.50 | None |
ZYPREXA ZYDIS 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA ZYDIS 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYPREXA ZYDIS 15MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA ZYDIS 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYPREXA ZYDIS 20MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA ZYDIS 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYPREXA ZYDIS 5MG TABLET (30 BLPK) ![Compare how all Medicare Part D PDP plans in PA cover ZYPREXA ZYDIS 5MG TABLET (30 BLPK).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$70.00 | $175.00 | None |
ZYVOX 100MG/5ML SUSPENSION ![Compare how all Medicare Part D PDP plans in PA cover ZYVOX 100MG/5ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZYVOX 600MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover ZYVOX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYVOX 600MG/300ML IV SOLUTION ![Compare how all Medicare Part D PDP plans in PA cover ZYVOX 600MG/300ML IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |