2010 Medicare Part D Plan Formulary Information |
Aetna Medicare Rx Premier (PDP) (S5810-190-0)
Sanctioned Plan
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The Aetna Medicare Rx Premier (PDP) (S5810-190-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 20 which includes: MS
|
Drugs Starting with Letter N
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
NABUMETONE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NABUMETONE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NABUMETONE 750MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NABUMETONE 750MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NADOLOL 160MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NADOLOL 160MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NADOLOL 40MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NADOLOL 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NADOLOL 80MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NADOLOL 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NADOLOL-BENDROFLUMETHIAZIDE 40-5MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NADOLOL-BENDROFLUMETHIAZIDE 40-5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NADOLOL-BENDROFLUMETHIAZIDE 80-5MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NADOLOL-BENDROFLUMETHIAZIDE 80-5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NAFAZAIR 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in MS cover NAFAZAIR 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NAFCILLIN FOR INJECTION 1 GM/ML ![Compare how all Medicare Part D PDP plans in MS cover NAFCILLIN FOR INJECTION 1 GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL ![Compare how all Medicare Part D PDP plans in MS cover NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | None |
NAFTIN HCL GEL 1% 60GM TUBE ![Compare how all Medicare Part D PDP plans in MS cover NAFTIN HCL GEL 1% 60GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NAFTIN 1% CREAM ![Compare how all Medicare Part D PDP plans in MS cover NAFTIN 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | None |
NALBUPHINE 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NALBUPHINE 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NALBUPHINE 20MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NALBUPHINE 20MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NALFON 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NALFON 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NALOXONE 1MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in MS cover NALOXONE 1MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG ![Compare how all Medicare Part D PDP plans in MS cover NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in MS cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NAMENDA 10MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NAMENDA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAMENDA 10MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in MS cover NAMENDA 10MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NAMENDA 5-10MG TITRATION PK ![Compare how all Medicare Part D PDP plans in MS cover NAMENDA 5-10MG TITRATION PK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NAMENDA 5MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NAMENDA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NAPROXEN 125MG/5ML SUSPEN ![Compare how all Medicare Part D PDP plans in MS cover NAPROXEN 125MG/5ML SUSPEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NAPROXEN 375MG TABLET EC ![Compare how all Medicare Part D PDP plans in MS cover NAPROXEN 375MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NAPROXEN 500MG TABLET EC ![Compare how all Medicare Part D PDP plans in MS cover NAPROXEN 500MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NAPROXEN SODIUM 275MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MS cover NAPROXEN SODIUM 275MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NAPROXEN SODIUM 550MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in MS cover NAPROXEN SODIUM 550MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NAPROXEN TABLET 375MG (500 CT) ![Compare how all Medicare Part D PDP plans in MS cover NAPROXEN TABLET 375MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NARDIL 15MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NARDIL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in MS cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAVANE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NAVANE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in MS cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | P |
NECON 0.5/35-28 TABLET ![Compare how all Medicare Part D PDP plans in MS cover NECON 0.5/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NECON 1-0.05MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NECON 1-0.05MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NECON 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in MS cover NECON 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NECON 10/11-28 TABLET ![Compare how all Medicare Part D PDP plans in MS cover NECON 10/11-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NECON 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in MS cover NECON 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in MS cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | S |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | S |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | S |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in MS cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | S |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in MS cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | S |
NEO-FRADIN 125MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in MS cover NEO-FRADIN 125MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NEO/POLY/DEX OIN 0.1% OP ![Compare how all Medicare Part D PDP plans in MS cover NEO/POLY/DEX OIN 0.1% OP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in MS cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEOMYCIN AND POLYMYXIN B SULFATES SOLUTION FOR IRRIGATION 40MG/20000UNT ![Compare how all Medicare Part D PDP plans in MS cover NEOMYCIN AND POLYMYXIN B SULFATES SOLUTION FOR IRRIGATION 40MG/20000UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in MS cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in MS cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in MS cover NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in MS cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in MS cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in MS cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in MS cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NEUMEGA 5MG VIAL ![Compare how all Medicare Part D PDP plans in MS cover NEUMEGA 5MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | None |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR ![Compare how all Medicare Part D PDP plans in MS cover NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in MS cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NEURONTIN 250MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in MS cover NEURONTIN 250MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NEUTREXIN 25MG VIAL ![Compare how all Medicare Part D PDP plans in MS cover NEUTREXIN 25MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | None |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in MS cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | S |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in MS cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NEXIUM 10MG PACKET ![Compare how all Medicare Part D PDP plans in MS cover NEXIUM 10MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | Q:1 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEXIUM 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NEXIUM 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | Q:1 /1Days |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in MS cover NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | Q:1 /1Days |
NEXIUM 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NEXIUM 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | Q:1 /1Days |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in MS cover NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | Q:1 /1Days |
NIACOR 500MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NIACOR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NIASPAN 1000MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in MS cover NIASPAN 1000MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NIASPAN ER 500MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in MS cover NIASPAN ER 500MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NIASPAN ER 750MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in MS cover NIASPAN ER 750MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NICARDIPINE HCL INJECTION 25MG/10ML 10 X 10ML CRTN ![Compare how all Medicare Part D PDP plans in MS cover NICARDIPINE HCL INJECTION 25MG/10ML 10 X 10ML CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in MS cover NICARDIPINE HYDROCHLORIDE CAPSULES 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT ![Compare how all Medicare Part D PDP plans in MS cover NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in MS cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in MS cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NIFEDIAC CC 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIAC CC 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | Q:1 /1Days |
NIFEDIAC CC 60MG TABLET SA ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIAC CC 60MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | Q:2 /1Days |
NIFEDIAC CC 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIAC CC 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in MS cover NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | Q:1 /1Days |
NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in MS cover NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | Q:2 /1Days |
NIFEDIPINE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIPINE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NIFEDIPINE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIPINE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NIFEDIPINE ER 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIPINE ER 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | Q:1 /1Days |
NIFEDIPINE ER 60MG TABLET SA ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIPINE ER 60MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | Q:2 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in MS cover NIFEDIPINE ER 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NILANDRON 150MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NILANDRON 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NIMODIPINE 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NIMODIPINE 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | None |
NISOLDIPINE 20MG TB24 ![Compare how all Medicare Part D PDP plans in MS cover NISOLDIPINE 20MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | Q:1 /1Days |
NISOLDIPINE 30MG TB24 ![Compare how all Medicare Part D PDP plans in MS cover NISOLDIPINE 30MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | Q:2 /1Days |
NISOLDIPINE 40MG TB24 ![Compare how all Medicare Part D PDP plans in MS cover NISOLDIPINE 40MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NITRO-DUR 0.3MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MS cover NITRO-DUR 0.3MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NITRO-DUR 0.8MG/HR PATCH INST. ![Compare how all Medicare Part D PDP plans in MS cover NITRO-DUR 0.8MG/HR PATCH INST..](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NITROFURANTOIN 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in MS cover NITROFURANTOIN 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NITROFURANTOIN MCR 50MG CAP ![Compare how all Medicare Part D PDP plans in MS cover NITROFURANTOIN MCR 50MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NITROGLYCERIN .2MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MS cover NITROGLYCERIN .2MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN .4MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MS cover NITROGLYCERIN .4MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NITROGLYCERIN .6MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MS cover NITROGLYCERIN .6MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NITROGLYCERIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NITROGLYCERIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in MS cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NITROLINGUAL SPR PUMPSPRA ![Compare how all Medicare Part D PDP plans in MS cover NITROLINGUAL SPR PUMPSPRA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in MS cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NITROSTAT 0.4MG TABLET SL ![Compare how all Medicare Part D PDP plans in MS cover NITROSTAT 0.4MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in MS cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NIZATIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NIZATIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NIZATIDINE 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NIZATIDINE 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORDITROPIN 15MG/1.5ML CRTG ![Compare how all Medicare Part D PDP plans in MS cover NORDITROPIN 15MG/1.5ML CRTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NORDITROPIN 5MG/1.5ML CRTG ![Compare how all Medicare Part D PDP plans in MS cover NORDITROPIN 5MG/1.5ML CRTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NORDITROPIN NORDIFLEX 10MG/1.5 ![Compare how all Medicare Part D PDP plans in MS cover NORDITROPIN NORDIFLEX 10MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NORDITROPIN NORDIFLEX 15MG/1.5 ![Compare how all Medicare Part D PDP plans in MS cover NORDITROPIN NORDIFLEX 15MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NORDITROPIN NORDIFLEX 5MG/1.5 ![Compare how all Medicare Part D PDP plans in MS cover NORDITROPIN NORDIFLEX 5MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MS cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | None |
NORITATE 1% CREAM ![Compare how all Medicare Part D PDP plans in MS cover NORITATE 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NORMOSOL -R INJ /D5W ![Compare how all Medicare Part D PDP plans in MS cover NORMOSOL -R INJ /D5W.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in MS cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in MS cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NORPACE CR 100MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in MS cover NORPACE CR 100MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTREL .035-1MG TABLET 21DAY BLPK ![Compare how all Medicare Part D PDP plans in MS cover NORTREL .035-1MG TABLET 21DAY BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTREL 0.035-0.5MG TABLET 28DAY BLPK ![Compare how all Medicare Part D PDP plans in MS cover NORTREL 0.035-0.5MG TABLET 28DAY BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in MS cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTREL 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in MS cover NORTREL 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTRIPTYLINE 10MG/5ML SOL ![Compare how all Medicare Part D PDP plans in MS cover NORTRIPTYLINE 10MG/5ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTRIPTYLINE HCL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NORTRIPTYLINE HCL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in MS cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTRIPTYLINE HCL 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NORTRIPTYLINE HCL 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORTRIPTYLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in MS cover NORTRIPTYLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NORVIR 100MG SOFTGEL CAP ![Compare how all Medicare Part D PDP plans in MS cover NORVIR 100MG SOFTGEL CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Non-Preferred Brand |
$81.00 | $228.00 | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MS cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NOVOLIN 70/30 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NOVOLIN 70/30 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLIN 70/INJ 30 INNLT ![Compare how all Medicare Part D PDP plans in MS cover NOVOLIN 70/INJ 30 INNLT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLIN N 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NOVOLIN N 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLIN N INJ INNOLET ![Compare how all Medicare Part D PDP plans in MS cover NOVOLIN N INJ INNOLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLIN R 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NOVOLIN R 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLIN R 100UNIT/ML INNOLET ![Compare how all Medicare Part D PDP plans in MS cover NOVOLIN R 100UNIT/ML INNOLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MS cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLOG FLEXPEN SYRINGE ![Compare how all Medicare Part D PDP plans in MS cover NOVOLOG FLEXPEN SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in MS cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in MS cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Preferred Brand |
$34.00 | $87.00 | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in MS cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 - Specialty |
33% | 33% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYAMYC 100000 U/G POWDER ![Compare how all Medicare Part D PDP plans in MS cover NYAMYC 100000 U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTATIN 100000U/G POWDER ![Compare how all Medicare Part D PDP plans in MS cover NYSTATIN 100000U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTATIN 100000U/GM CREAM ![Compare how all Medicare Part D PDP plans in MS cover NYSTATIN 100000U/GM CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTATIN OINTMENT 100000UNT/GM 15 GM TUBE ![Compare how all Medicare Part D PDP plans in MS cover NYSTATIN OINTMENT 100000UNT/GM 15 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTATIN ORAL SUSPENSION 100000U 473ML BOT ![Compare how all Medicare Part D PDP plans in MS cover NYSTATIN ORAL SUSPENSION 100000U 473ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in MS cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in MS cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in MS cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |
NYSTOP 100000U/GM POWDER ![Compare how all Medicare Part D PDP plans in MS cover NYSTOP 100000U/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$6.00 | $18.00 | None |