2010 Medicare Part D Plan Formulary Information |
Blue MedicareRx Premier (PDP) (S5596-023-0)
Benefit Details
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The Blue MedicareRx Premier (PDP) (S5596-023-0) Formulary Drugs Starting with the Letter Z in CMS PDP Region 16 which includes: WI
|
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 WI cover ZALEPLON 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:60 /30Days |
ZALEPLON 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZALEPLON 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:30 /30Days |
ZANAFLEX 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANAFLEX 4MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 4MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANAFLEX 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANAFLEX 6MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 6MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANOSAR 1GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZANOSAR 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZANTAC 150MG GRANULES ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 150MG GRANULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANTAC 150MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANTAC 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | 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 WI cover ZANTAC 25 EFFERDOSE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANTAC 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZANTAC 300MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZANTAC 50MG/50ML PLAST-BAG ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 50MG/50ML PLAST-BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZARONTIN 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZARONTIN 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZARONTIN 250MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover ZARONTIN 250MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZAROXOLYN 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZAROXOLYN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZAROXOLYN 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZAROXOLYN 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZAROXOLYN 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZAROXOLYN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZAVESCA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZAVESCA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | None |
ZAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in WI cover ZAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:90 /30Days |
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 WI cover ZAZOLE 0.8% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:40 /30Days |
ZAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in WI cover ZAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | None |
ZEBETA 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZEBETA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZEBETA 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZEBETA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZELAPAR 1.25MG ODT TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZELAPAR 1.25MG ODT TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZEMAIRA 1000MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZEMAIRA 1000MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZENAPAX 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZENAPAX 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | P |
ZERIT 15MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 15MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZERIT 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZERIT 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZERIT 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZERIT 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZERLOR TABLET 712.8MG/60MG ![Compare how all Medicare Part D PDP plans in WI cover ZERLOR TABLET 712.8MG/60MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:150 /30Days |
ZETIA 10MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZETIA 10MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | P Q:30 /30Days |
ZIAC 10-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIAC 10-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZIAC 2.5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIAC 2.5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZIAC 5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIAC 5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZIAGEN 20MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover ZIAGEN 20MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZIAGEN 300MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIAGEN 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZIDOVUDINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZIDOVUDINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | None |
ZIDOVUDINE 10MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover ZIDOVUDINE 10MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | None |
ZIDOVUDINE 300MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIDOVUDINE 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZINACEF 7.5GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF 7.5GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZINACEF ADD VTG FOR INJECTION 750MG 10 VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF ADD VTG FOR INJECTION 750MG 10 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZINACEF INJECTION ADD VANTAGE 1.5GM 10 VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF INJECTION ADD VANTAGE 1.5GM 10 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZINACEF/DEXTROSE 750MG/50ML ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF/DEXTROSE 750MG/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZINACEF/WATER 1.5GM/50ML ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF/WATER 1.5GM/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZINECARD 500MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINECARD 500MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | None |
ZITHROMAX 250MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:6 /1Days |
ZITHROMAX 250MG Z-PAK TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 250MG Z-PAK TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:6 /1Days |
ZITHROMAX 500MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:3 /1Days |
ZITHROMAX 600MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:8 /1Days |
ZITHROMAX IV 500MG VIAL 10 VIAL BOX ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX IV 500MG VIAL 10 VIAL BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZITHROMAX ORAL SUSP 100MG/5ML ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX ORAL SUSP 100MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:15 /1Days |
ZITHROMAX ORAL SUSP 200MG/5ML ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX ORAL SUSP 200MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:46 /1Days |
ZITHROMAX TRI-PAK 500MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX TRI-PAK 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:3 /1Days |
ZMAX 2 G/60ML SUSP SR ![Compare how all Medicare Part D PDP plans in WI cover ZMAX 2 G/60ML SUSP SR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZOCOR 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:30 /30Days |
ZOCOR 20MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 20MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:30 /30Days |
ZOCOR 40MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:30 /30Days |
ZOCOR 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:30 /30Days |
ZOCOR 80MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:30 /30Days |
ZOFRAN 2MG/ML MDV VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 2MG/ML MDV VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZOFRAN 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | P Q:48 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOFRAN 4MG/5ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 4MG/5ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | P Q:450 /30Days |
ZOFRAN 8MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | P Q:90 /30Days |
ZOFRAN ODT 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN ODT 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | P Q:48 /30Days |
ZOFRAN ODT 8MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN ODT 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | P Q:90 /30Days |
ZOLINZA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOLINZA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | P |
ZOLOFT 100MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 100MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:90 /30Days |
ZOLOFT 20MG/ML ORAL CONC ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 20MG/ML ORAL CONC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:300 /30Days |
ZOLOFT 25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:60 /30Days |
ZOLOFT 50MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:60 /30Days |
ZOLPIDEM TARTRATE 10MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE 10MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:30 /30Days |
ZOLPIDEM TARTRATE 5MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE 5MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOMETA 4MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOMETA 4MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | None |
ZOMIG 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:9 /30Days |
ZOMIG 5MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG 5MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:6 /30Days |
ZOMIG 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:9 /30Days |
ZOMIG ZMT 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG ZMT 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:9 /30Days |
ZOMIG ZMT 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG ZMT 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:9 /30Days |
ZONALON 5% CREAM ![Compare how all Medicare Part D PDP plans in WI cover ZONALON 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZONEGRAN 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZONEGRAN 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZONEGRAN 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZONEGRAN 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZONISAMIDE 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZONISAMIDE 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | None |
ZONISAMIDE 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZONISAMIDE 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZONISAMIDE 50MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZONISAMIDE 50MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | None |
ZORBTIVE 8.8MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZORBTIVE 8.8MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | P |
ZOSTAVAX VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOSTAVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZOSYN 2/0.25GM PRE-MIX BAG ![Compare how all Medicare Part D PDP plans in WI cover ZOSYN 2/0.25GM PRE-MIX BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZOSYN 3/0.375GRAM 24 BAGS PKG ![Compare how all Medicare Part D PDP plans in WI cover ZOSYN 3/0.375GRAM 24 BAGS PKG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZOSYN 3/0.375GRAM VIAL 1 VIAL SU ![Compare how all Medicare Part D PDP plans in WI cover ZOSYN 3/0.375GRAM VIAL 1 VIAL SU.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZOVIA 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIA 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:28 /28Days |
ZOVIA 1/50-28 TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIA 1/50-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:28 /28Days |
ZOVIRAX 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZOVIRAX 200MG/5ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 200MG/5ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZOVIRAX 400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOVIRAX 5% CREAM ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZOVIRAX 5% OINTMENT ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 5% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | None |
ZOVIRAX 800MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZYBAN 150MG TABLET SA ![Compare how all Medicare Part D PDP plans in WI cover ZYBAN 150MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:60 /30Days |
ZYDONE 10/400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYDONE 10/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:300 /30Days |
ZYDONE 5/400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYDONE 5/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:300 /30Days |
ZYDONE 7.5/400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYDONE 7.5/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:300 /30Days |
ZYFLO CR 600MG TABLET MULTIPHASIC RELEASE 12HR ![Compare how all Medicare Part D PDP plans in WI cover ZYFLO CR 600MG TABLET MULTIPHASIC RELEASE 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | Q:120 /30Days |
ZYLET 0.3%-0.5% SUSPENSION DROPS(FINAL DOSAGE FORM)(ML) ![Compare how all Medicare Part D PDP plans in WI cover ZYLET 0.3%-0.5% SUSPENSION DROPS(FINAL DOSAGE FORM)(ML).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZYLOPRIM 100MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYLOPRIM 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZYLOPRIM 300MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYLOPRIM 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYMAR 0.3% EYE DROPS ![Compare how all Medicare Part D PDP plans in WI cover ZYMAR 0.3% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand Certain Generic Drugs |
$85.00 | $212.50 | None |
ZYPREXA 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:60 /30Days |
ZYPREXA 10MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable Drugs |
33% | 33% | None |
ZYPREXA 15MG TABLET (1000 BOT) ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 15MG TABLET (1000 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:60 /30Days |
ZYPREXA 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:30 /30Days |
ZYPREXA 20MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:90 /30Days |
ZYPREXA 5MG TABLET (30 BOT) ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 5MG TABLET (30 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:30 /30Days |
ZYPREXA 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:30 /30Days |
ZYPREXA ZYDIS 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:60 /30Days |
ZYPREXA ZYDIS 15MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:60 /30Days |
ZYPREXA ZYDIS 20MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYPREXA ZYDIS 5MG TABLET (30 BLPK) ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 5MG TABLET (30 BLPK).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
$43.00 | $107.50 | Q:30 /30Days |
ZYVOX 100MG/5ML SUSPENSION ![Compare how all Medicare Part D PDP plans in WI cover ZYVOX 100MG/5ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | P Q:1800 /1Days |
ZYVOX 600MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYVOX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | P Q:20 /1Days |
ZYVOX 600MG/300ML IV SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover ZYVOX 600MG/300ML IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty Drugs |
33% | N/A | None |