2010 Medicare Part D Plan Formulary Information |
Asuris Medicare Script (PDP) (S5609-001-0)
Benefit Details
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The Asuris Medicare Script (PDP) (S5609-001-0) Formulary Drugs Starting with the Letter R in CMS PDP Region 30 which includes: OR WA
|
Drugs Starting with Letter R
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
RABIES VACCINE RABAVERT INJECTION 2.5UNT/ML 1 DOSE VIAL ![Compare how all Medicare Part D PDP plans in WA cover RABIES VACCINE RABAVERT INJECTION 2.5UNT/ML 1 DOSE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RAMIPRIL 1.25MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RAMIPRIL 1.25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RAMIPRIL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RAMIPRIL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RAMIPRIL 2.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RAMIPRIL 2.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RAMIPRIL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RAMIPRIL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RANEXA 1000MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in WA cover RANEXA 1000MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RANEXA 500MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RANEXA 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RANICLOR 250MG TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in WA cover RANICLOR 250MG TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RANICLOR 375MG TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in WA cover RANICLOR 375MG TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RANITIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RANITIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RANITIDINE HCL 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WA cover RANITIDINE HCL 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RANITIDINE HCL 300MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in WA cover RANITIDINE HCL 300MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RANITIDINE TABLET 300MG (100 CT) ![Compare how all Medicare Part D PDP plans in WA cover RANITIDINE TABLET 300MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RANITIDINE TABLET USP 150MG (500 CT) ![Compare how all Medicare Part D PDP plans in WA cover RANITIDINE TABLET USP 150MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RAPAMUNE 1MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RAPAMUNE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | P |
RAPAMUNE 1MG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in WA cover RAPAMUNE 1MG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | P |
RAPAMUNE 2MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RAPAMUNE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | P |
RAZADYNE 12MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RAZADYNE 12MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RAZADYNE 4MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RAZADYNE 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RAZADYNE 8MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RAZADYNE 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RAZADYNE ER 16MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RAZADYNE ER 16MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RAZADYNE ER 24MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RAZADYNE ER 24MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RAZADYNE ER 8MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RAZADYNE ER 8MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RAZADYNE SOL 4MG/ML ![Compare how all Medicare Part D PDP plans in WA cover RAZADYNE SOL 4MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
REBETOL 200MG CAPSULE 84 EA ![Compare how all Medicare Part D PDP plans in WA cover REBETOL 200MG CAPSULE 84 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REBETOL 40MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WA cover REBETOL 40MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REBIF 22MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in WA cover REBIF 22MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
REBIF 44MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in WA cover REBIF 44MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL ![Compare how all Medicare Part D PDP plans in WA cover REBIF TITRTN SOL PACK 8.8MCG/22 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
RECLIPSEN 0.15-0.03 TABLET ![Compare how all Medicare Part D PDP plans in WA cover RECLIPSEN 0.15-0.03 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REGLAN 10MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REGLAN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REGLAN 5MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REGLAN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REGLAN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover REGLAN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
REGONOL AMP 10MG 5ML ![Compare how all Medicare Part D PDP plans in WA cover REGONOL AMP 10MG 5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
REGRANEX 0.01% GEL ![Compare how all Medicare Part D PDP plans in WA cover REGRANEX 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in WA cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RELION 70/30 INJ 100/ML ![Compare how all Medicare Part D PDP plans in WA cover RELION 70/30 INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
RELION N INJ 100/ML ![Compare how all Medicare Part D PDP plans in WA cover RELION N INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
RELION R INJ 100/ML ![Compare how all Medicare Part D PDP plans in WA cover RELION R INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
RELISTOR SOLUTION ![Compare how all Medicare Part D PDP plans in WA cover RELISTOR SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | P Q:8 /30Days |
REMICADE 100MG VIAL ![Compare how all Medicare Part D PDP plans in WA cover REMICADE 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REMODULIN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover REMODULIN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
REMODULIN 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover REMODULIN 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
REMODULIN 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover REMODULIN 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
REMODULIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover REMODULIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
RENAMIN 6.5% IV SOLUTION ![Compare how all Medicare Part D PDP plans in WA cover RENAMIN 6.5% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | P |
RENVELA 800MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RENVELA 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REPREXAIN 5-200 MG TABLET 100 EA ![Compare how all Medicare Part D PDP plans in WA cover REPREXAIN 5-200 MG TABLET 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REPREXAIN TABLET ![Compare how all Medicare Part D PDP plans in WA cover REPREXAIN TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REPREXAIN TABLET ![Compare how all Medicare Part D PDP plans in WA cover REPREXAIN TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REQUIP 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REQUIP 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REQUIP 1MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REQUIP 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP 2MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REQUIP 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP 3MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REQUIP 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP 4MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REQUIP 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP 5MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REQUIP 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP XL ROPINIROLE HCL 2MG ![Compare how all Medicare Part D PDP plans in WA cover REQUIP XL ROPINIROLE HCL 2MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP XL ROPINIROLE HCL 4MG ![Compare how all Medicare Part D PDP plans in WA cover REQUIP XL ROPINIROLE HCL 4MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP XL ROPINIROLE HCL 8MG ![Compare how all Medicare Part D PDP plans in WA cover REQUIP XL ROPINIROLE HCL 8MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REQUIP XL TABLET 12 MG ![Compare how all Medicare Part D PDP plans in WA cover REQUIP XL TABLET 12 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RESCRIPTOR 100MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RESCRIPTOR 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
RESCRIPTOR 200MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RESCRIPTOR 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RESERPINE 0.1MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RESERPINE 0.1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RESERPINE 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RESERPINE 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RESTASIS CYCLOSPORINE OPTHALMIC EMULSION .05% 30 X 0.4 ML VIALSU ![Compare how all Medicare Part D PDP plans in WA cover RESTASIS CYCLOSPORINE OPTHALMIC EMULSION .05% 30 X 0.4 ML VIALSU.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RETIN-A 0.01% GEL ![Compare how all Medicare Part D PDP plans in WA cover RETIN-A 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | P |
RETIN-A 0.025% CREAM ![Compare how all Medicare Part D PDP plans in WA cover RETIN-A 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | P |
RETIN-A 0.025% GEL ![Compare how all Medicare Part D PDP plans in WA cover RETIN-A 0.025% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | P |
RETIN-A 0.05% CREAM ![Compare how all Medicare Part D PDP plans in WA cover RETIN-A 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | P |
RETIN-A 0.1% CREAM ![Compare how all Medicare Part D PDP plans in WA cover RETIN-A 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | P |
RETIN-A MICRO 0.04% GEL ![Compare how all Medicare Part D PDP plans in WA cover RETIN-A MICRO 0.04% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | P |
RETIN-A MICRO 0.1% GEL ![Compare how all Medicare Part D PDP plans in WA cover RETIN-A MICRO 0.1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | P |
RETROVIR 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RETROVIR 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RETROVIR 10MGML SYRUP ![Compare how all Medicare Part D PDP plans in WA cover RETROVIR 10MGML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RETROVIR 300MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RETROVIR 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RETROVIR IV INFUSION VIAL ![Compare how all Medicare Part D PDP plans in WA cover RETROVIR IV INFUSION VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
REVATIO 20MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REVATIO 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | P Q:90 /30Days |
REVIA 50MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover REVIA 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
REVLIMID 10MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WA cover REVLIMID 10MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | P Q:30 /30Days |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in WA cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | P Q:30 /30Days |
REVLIMID 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WA cover REVLIMID 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | P Q:30 /30Days |
REVLIMID 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover REVLIMID 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | P Q:30 /30Days |
REYATAZ 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover REYATAZ 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
REYATAZ 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover REYATAZ 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REYATAZ 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover REYATAZ 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
REYATAZ 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover REYATAZ 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
RHEUMATREX 2.5MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WA cover RHEUMATREX 2.5MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY ![Compare how all Medicare Part D PDP plans in WA cover RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | P |
RIBAPAK 400-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WA cover RIBAPAK 400-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBAPAK 600-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WA cover RIBAPAK 600-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBAPAK 600-600MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WA cover RIBAPAK 600-600MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBASPHERE 200MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RIBASPHERE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBASPHERE 400MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RIBASPHERE 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBASPHERE 600MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RIBASPHERE 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBASPHERE CAPSULES 200MG 42 BOT ![Compare how all Medicare Part D PDP plans in WA cover RIBASPHERE CAPSULES 200MG 42 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIBAVIRIN 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RIBAVIRIN 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBAVIRIN 200MG TABLET 168 BOT ![Compare how all Medicare Part D PDP plans in WA cover RIBAVIRIN 200MG TABLET 168 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBAVIRIN TABLETS 400MG 56 TABS BOT ![Compare how all Medicare Part D PDP plans in WA cover RIBAVIRIN TABLETS 400MG 56 TABS BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIBAVIRIN TABLETS 600MG 56 TABS BOT ![Compare how all Medicare Part D PDP plans in WA cover RIBAVIRIN TABLETS 600MG 56 TABS BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIDAURA 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RIDAURA 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
RIFADIN 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RIFADIN 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RIFADIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RIFADIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RIFADIN IV 600MG VIAL ![Compare how all Medicare Part D PDP plans in WA cover RIFADIN IV 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RIFAMATE CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RIFAMATE CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RIFAMPIN 150MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in WA cover RIFAMPIN 150MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIFAMPIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RIFAMPIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIFAMPIN 600MG VIAL ![Compare how all Medicare Part D PDP plans in WA cover RIFAMPIN 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RIFATER TABLET ![Compare how all Medicare Part D PDP plans in WA cover RIFATER TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RILUTEK 50MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RILUTEK 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$30.00 | $90.00 | None |
RIMANTADINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RIMANTADINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RINGERS INJECTION 1000ML BAG ![Compare how all Medicare Part D PDP plans in WA cover RINGERS INJECTION 1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RINGERS IRRIGATION 860-30 12X1000ML BAG ![Compare how all Medicare Part D PDP plans in WA cover RINGERS IRRIGATION 860-30 12X1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RIOMET 500MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in WA cover RIOMET 500MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 1MG M-TAB ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 1MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 1MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERDAL 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 2MG M-TAB ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 2MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 2MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 3MG M-TAB ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 3MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 3MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 4MG M-TAB ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 4MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL 4MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERDAL M TABLET 0.5MG ![Compare how all Medicare Part D PDP plans in WA cover RISPERDAL M TABLET 0.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLET 1 MG ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLET 2 MG ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLET 3 MG ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLET 4 MG ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLETS 3MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLETS 3MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLETS 4MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLETS 4MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIDONE TABLETS ORALLY DISINTEGRATING 0.5MG 30 BLPK ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLETS ORALLY DISINTEGRATING 0.5MG 30 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE TABLETS ORALLY DISINTEGRATING 2MG 30 BLPK ![Compare how all Medicare Part D PDP plans in WA cover RISPERIDONE TABLETS ORALLY DISINTEGRATING 2MG 30 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RISPERIODONE TABLET ![Compare how all Medicare Part D PDP plans in WA cover RISPERIODONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
RITALIN 10MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RITALIN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITALIN 20MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RITALIN 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITALIN 5MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RITALIN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITALIN LA 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RITALIN LA 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITALIN LA 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RITALIN LA 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITALIN LA 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RITALIN LA 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITALIN LA 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RITALIN LA 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITALIN-SR 20MG TABLET SA ![Compare how all Medicare Part D PDP plans in WA cover RITALIN-SR 20MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RITUXAN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover RITUXAN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
27% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROBAXIN 100MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover ROBAXIN 100MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
ROBAXIN 500MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROBAXIN 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROBAXIN-750 TABLET 750MG ![Compare how all Medicare Part D PDP plans in WA cover ROBAXIN-750 TABLET 750MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROBINUL 0.2MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WA cover ROBINUL 0.2MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
ROBINUL 1MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROBINUL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROBINUL FORTE 2MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROBINUL FORTE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROCALTROL 1MCG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in WA cover ROCALTROL 1MCG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROCALTROL CAPS 0.25MCG 100 EA ![Compare how all Medicare Part D PDP plans in WA cover ROCALTROL CAPS 0.25MCG 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROCALTROL CAPS 0.5MCG 100 EA ![Compare how all Medicare Part D PDP plans in WA cover ROCALTROL CAPS 0.5MCG 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROCEPHIN 1GM VIAL ![Compare how all Medicare Part D PDP plans in WA cover ROCEPHIN 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
ROCEPHIN 2GM/DEXTROSE 2.4% ![Compare how all Medicare Part D PDP plans in WA cover ROCEPHIN 2GM/DEXTROSE 2.4%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROCEPHIN/DEX INJ 1GM ![Compare how all Medicare Part D PDP plans in WA cover ROCEPHIN/DEX INJ 1GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
ROMYCIN 5MG/G OINTMENT ![Compare how all Medicare Part D PDP plans in WA cover ROMYCIN 5MG/G OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROPINIROLE HCL TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROPINIROLE HCL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROPINIROLE HCL TABLET 1 MG ![Compare how all Medicare Part D PDP plans in WA cover ROPINIROLE HCL TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROPINIROLE HCL TABLET 2 MG ![Compare how all Medicare Part D PDP plans in WA cover ROPINIROLE HCL TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROPINIROLE HCL TABLET 3 MG ![Compare how all Medicare Part D PDP plans in WA cover ROPINIROLE HCL TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROPINIROLE HCL TABLET 4 MG ![Compare how all Medicare Part D PDP plans in WA cover ROPINIROLE HCL TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROPINIROLE HCL TABLET 5 MG ![Compare how all Medicare Part D PDP plans in WA cover ROPINIROLE HCL TABLET 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROPINIROLE HYDROCLORIDE TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROPINIROLE HYDROCLORIDE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROTATEQ VACCINE ![Compare how all Medicare Part D PDP plans in WA cover ROTATEQ VACCINE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Miscellaneous Injectables |
27% | N/A | None |
ROWASA RECTAL SUSPENSION ENEMA 4GM/60ML 7 X 60ML BOTUD ![Compare how all Medicare Part D PDP plans in WA cover ROWASA RECTAL SUSPENSION ENEMA 4GM/60ML 7 X 60ML BOTUD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROXICET 5-325/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in WA cover ROXICET 5-325/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROXICET 5/325 TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROXICET 5/325 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROXICET 5/500 CAPLET ![Compare how all Medicare Part D PDP plans in WA cover ROXICET 5/500 CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$4.00 | $12.00 | None |
ROXICODONE 15MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROXICODONE 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
ROXICODONE 30MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover ROXICODONE 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYTHMOL 150MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RYTHMOL 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYTHMOL 225MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RYTHMOL 225MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYTHMOL 300MG TABLET ![Compare how all Medicare Part D PDP plans in WA cover RYTHMOL 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYTHMOL SR 225MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RYTHMOL SR 225MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYTHMOL SR 425MG CAPSULE ![Compare how all Medicare Part D PDP plans in WA cover RYTHMOL SR 425MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYTHMOL SR PROPAFENONE HYDROCHLORIDE CAPSULES ER 325MG 60 BOT ![Compare how all Medicare Part D PDP plans in WA cover RYTHMOL SR PROPAFENONE HYDROCHLORIDE CAPSULES ER 325MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RYZOLT EXTENDED RELEASE TABLETS 100MG 30 BOT ![Compare how all Medicare Part D PDP plans in WA cover RYZOLT EXTENDED RELEASE TABLETS 100MG 30 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYZOLT EXTENDED RELEASE TABLETS 200MG 30 BOT ![Compare how all Medicare Part D PDP plans in WA cover RYZOLT EXTENDED RELEASE TABLETS 200MG 30 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |
RYZOLT EXTENDED RELEASE TABLETS 300MG 30 BOT ![Compare how all Medicare Part D PDP plans in WA cover RYZOLT EXTENDED RELEASE TABLETS 300MG 30 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$61.00 | $183.00 | None |