2010 Medicare Part D Plan Formulary Information |
MedicareRx Rewards Standard (PDP) (S5960-139-0)
Benefit Details
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The MedicareRx Rewards Standard (PDP) (S5960-139-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 33 which includes: HI
|
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 |
NADOLOL 160MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NADOLOL 160MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NADOLOL 40MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NADOLOL 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NADOLOL 80MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NADOLOL 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NADOLOL-BENDROFLUMETHIAZIDE 40-5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NADOLOL-BENDROFLUMETHIAZIDE 40-5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NADOLOL-BENDROFLUMETHIAZIDE 80-5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NADOLOL-BENDROFLUMETHIAZIDE 80-5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NAFAZAIR 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in HI cover NAFAZAIR 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NAFCILLIN 1GM/50ML INJ ![Compare how all Medicare Part D PDP plans in HI cover NAFCILLIN 1GM/50ML INJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NAFCILLIN FOR INJECTION 1 GM/ML ![Compare how all Medicare Part D PDP plans in HI cover NAFCILLIN FOR INJECTION 1 GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL ![Compare how all Medicare Part D PDP plans in HI cover NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | None |
NALBUPHINE 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NALBUPHINE 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NALBUPHINE 20MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NALBUPHINE 20MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NALLPEN 2GM/50ML 2.4% DEX ![Compare how all Medicare Part D PDP plans in HI cover NALLPEN 2GM/50ML 2.4% DEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NALOXONE 1MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in HI cover NALOXONE 1MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG ![Compare how all Medicare Part D PDP plans in HI cover NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in HI cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NAMENDA 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NAMENDA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:60 /30Days |
NAMENDA 10MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover NAMENDA 10MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:300 /30Days |
NAMENDA 5-10MG TITRATION PK ![Compare how all Medicare Part D PDP plans in HI cover NAMENDA 5-10MG TITRATION PK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:60 /30Days |
NAMENDA 5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NAMENDA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN 125MG/5ML SUSPEN ![Compare how all Medicare Part D PDP plans in HI cover NAPROXEN 125MG/5ML SUSPEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NAPROXEN SODIUM 275MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover NAPROXEN SODIUM 275MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NAPROXEN SODIUM 550MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in HI cover NAPROXEN SODIUM 550MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NAPROXEN TABLET 375MG (500 CT) ![Compare how all Medicare Part D PDP plans in HI cover NAPROXEN TABLET 375MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NARDIL 15MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NARDIL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NASONEX 50MCG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in HI cover NASONEX 50MCG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:34 /30Days |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in HI cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in HI cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | P |
NECON 0.5/35-28 TABLET ![Compare how all Medicare Part D PDP plans in HI cover NECON 0.5/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NECON 1-0.05MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NECON 1-0.05MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NECON 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in HI cover NECON 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NECON 10/11-28 TABLET ![Compare how all Medicare Part D PDP plans in HI cover NECON 10/11-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NECON 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in HI cover NECON 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in HI cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:60 /30Days |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:60 /30Days |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:60 /30Days |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in HI cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:60 /30Days |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in HI cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:60 /30Days |
NEO/POLY/DEX OIN 0.1% OP ![Compare how all Medicare Part D PDP plans in HI cover NEO/POLY/DEX OIN 0.1% OP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
NEOMYCIN AND POLYMYXIN B SULFATES SOLUTION FOR IRRIGATION 40MG/20000UNT ![Compare how all Medicare Part D PDP plans in HI cover NEOMYCIN AND POLYMYXIN B SULFATES SOLUTION FOR IRRIGATION 40MG/20000UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in HI cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NEORAL 100MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover NEORAL 100MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | P |
NEORAL 25MG GELATIN CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NEORAL 25MG GELATIN CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | P |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in HI cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | P |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in HI cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P Q:1 /28Days |
NEUMEGA 5MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover NEUMEGA 5MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR ![Compare how all Medicare Part D PDP plans in HI cover NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in HI cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NEURONTIN 250MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in HI cover NEURONTIN 250MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:2160 /30Days |
NEUTREXIN 25MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover NEUTREXIN 25MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | None |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in HI cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in HI cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NEXIUM 10MG PACKET ![Compare how all Medicare Part D PDP plans in HI cover NEXIUM 10MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:30 /30Days |
NEXIUM 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NEXIUM 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:30 /30Days |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in HI cover NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:30 /30Days |
NEXIUM 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NEXIUM 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:30 /30Days |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in HI cover NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEXIUM IV 20MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover NEXIUM IV 20MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NEXIUM IV 40MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover NEXIUM IV 40MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NIACOR 500MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NIACOR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NIASPAN 1000MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in HI cover NIASPAN 1000MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NIASPAN ER 500MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in HI cover NIASPAN ER 500MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NIASPAN ER 750MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in HI cover NIASPAN ER 750MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NICARDIPINE HCL INJECTION 25MG/10ML 10 X 10ML CRTN ![Compare how all Medicare Part D PDP plans in HI cover NICARDIPINE HCL INJECTION 25MG/10ML 10 X 10ML CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in HI cover NICARDIPINE HYDROCHLORIDE CAPSULES 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT ![Compare how all Medicare Part D PDP plans in HI cover NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in HI cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NIFEDIAC CC 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIAC CC 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIAC CC 60MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIAC CC 60MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NIFEDIAC CC 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIAC CC 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
NIFEDIPINE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIPINE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NIFEDIPINE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIPINE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NIFEDIPINE ER 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIPINE ER 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NIFEDIPINE ER 60MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIPINE ER 60MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NIFEDIPINE ER 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover NIFEDIPINE ER 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NILANDRON 150MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NILANDRON 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NIMODIPINE 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NIMODIPINE 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIPENT FOR INJECTION 10MG VIALS ![Compare how all Medicare Part D PDP plans in HI cover NIPENT FOR INJECTION 10MG VIALS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | None |
NISOLDIPINE 20MG TB24 ![Compare how all Medicare Part D PDP plans in HI cover NISOLDIPINE 20MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NISOLDIPINE 30MG TB24 ![Compare how all Medicare Part D PDP plans in HI cover NISOLDIPINE 30MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NISOLDIPINE 40MG TB24 ![Compare how all Medicare Part D PDP plans in HI cover NISOLDIPINE 40MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NITROFURANTOIN 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover NITROFURANTOIN 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:84 /21Days |
NITROFURANTOIN MCR 50MG CAP ![Compare how all Medicare Part D PDP plans in HI cover NITROFURANTOIN MCR 50MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:168 /21Days |
NITROGLYCERIN .2MG/HR PATCH ![Compare how all Medicare Part D PDP plans in HI cover NITROGLYCERIN .2MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NITROGLYCERIN .4MG/HR PATCH ![Compare how all Medicare Part D PDP plans in HI cover NITROGLYCERIN .4MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NITROGLYCERIN .6MG/HR PATCH ![Compare how all Medicare Part D PDP plans in HI cover NITROGLYCERIN .6MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NITROGLYCERIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NITROGLYCERIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in HI cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NITROSTAT 0.4MG TABLET SL ![Compare how all Medicare Part D PDP plans in HI cover NITROSTAT 0.4MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in HI cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NIZATIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NIZATIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NIZATIDINE 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NIZATIDINE 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NORDITROPIN 15MG/1.5ML CRTG ![Compare how all Medicare Part D PDP plans in HI cover NORDITROPIN 15MG/1.5ML CRTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NORDITROPIN 5MG/1.5ML CRTG ![Compare how all Medicare Part D PDP plans in HI cover NORDITROPIN 5MG/1.5ML CRTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NORDITROPIN NORDIFLEX 10MG/1.5 ![Compare how all Medicare Part D PDP plans in HI cover NORDITROPIN NORDIFLEX 10MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NORDITROPIN NORDIFLEX 15MG/1.5 ![Compare how all Medicare Part D PDP plans in HI cover NORDITROPIN NORDIFLEX 15MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NORDITROPIN NORDIFLEX 5MG/1.5 ![Compare how all Medicare Part D PDP plans in HI cover NORDITROPIN NORDIFLEX 5MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NORFLEX 30MG/ML AMPUL ![Compare how all Medicare Part D PDP plans in HI cover NORFLEX 30MG/ML AMPUL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NORMOSOL -R INJ /D5W ![Compare how all Medicare Part D PDP plans in HI cover NORMOSOL -R INJ /D5W.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in HI cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | None |
NORTREL .035-1MG TABLET 21DAY BLPK ![Compare how all Medicare Part D PDP plans in HI cover NORTREL .035-1MG TABLET 21DAY BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NORTREL 0.035-0.5MG TABLET 28DAY BLPK ![Compare how all Medicare Part D PDP plans in HI 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 Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in HI cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NORTREL 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in HI cover NORTREL 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:28 /28Days |
NORTRIPTYLINE 10MG/5ML SOL ![Compare how all Medicare Part D PDP plans in HI cover NORTRIPTYLINE 10MG/5ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NORTRIPTYLINE HCL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NORTRIPTYLINE HCL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in HI cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:120 /30Days |
NORTRIPTYLINE HCL 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NORTRIPTYLINE HCL 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NORTRIPTYLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover NORTRIPTYLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NORVIR 100MG SOFTGEL CAP ![Compare how all Medicare Part D PDP plans in HI cover NORVIR 100MG SOFTGEL CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | None |
NOVAMINE AMINO ACIDS INJECTION 15% ![Compare how all Medicare Part D PDP plans in HI cover NOVAMINE AMINO ACIDS INJECTION 15%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | P |
NOVANTRONE 2MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NOVANTRONE 2MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Specialty Injectable Drugs |
25% | 25% | P |
NOVOLIN 70/30 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NOVOLIN 70/30 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLIN 70/INJ 30 INNLT ![Compare how all Medicare Part D PDP plans in HI cover NOVOLIN 70/INJ 30 INNLT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLIN N 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NOVOLIN N 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLIN N INJ INNOLET ![Compare how all Medicare Part D PDP plans in HI cover NOVOLIN N INJ INNOLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NOVOLIN R 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NOVOLIN R 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLIN R 100UNIT/ML INNOLET ![Compare how all Medicare Part D PDP plans in HI cover NOVOLIN R 100UNIT/ML INNOLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLOG FLEXPEN SYRINGE ![Compare how all Medicare Part D PDP plans in HI cover NOVOLOG FLEXPEN SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in HI cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in HI cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand Certain Generic Drugs |
25% | 25% | None |
NUTROPIN 10MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover NUTROPIN 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NUTROPIN AQ INJ 10MG/2ML ![Compare how all Medicare Part D PDP plans in HI cover NUTROPIN AQ INJ 10MG/2ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NUTROPIN SOMATROPIN RDNAORIGIN FOR INJECTION 5MG 1 VIAL ![Compare how all Medicare Part D PDP plans in HI cover NUTROPIN SOMATROPIN RDNAORIGIN FOR INJECTION 5MG 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty Drugs |
25% | N/A | P |
NYAMYC 100000 U/G POWDER ![Compare how all Medicare Part D PDP plans in HI cover NYAMYC 100000 U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NYSTATIN 100000U/G POWDER ![Compare how all Medicare Part D PDP plans in HI cover NYSTATIN 100000U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN 100000U/GM CREAM ![Compare how all Medicare Part D PDP plans in HI cover NYSTATIN 100000U/GM CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NYSTATIN OINTMENT 100000UNT/GM 15 GM TUBE ![Compare how all Medicare Part D PDP plans in HI cover NYSTATIN OINTMENT 100000UNT/GM 15 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NYSTATIN ORAL SUSPENSION 100000U 473ML BOT ![Compare how all Medicare Part D PDP plans in HI cover NYSTATIN ORAL SUSPENSION 100000U 473ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in HI cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in HI cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |
NYSTOP 100000U/GM POWDER ![Compare how all Medicare Part D PDP plans in HI cover NYSTOP 100000U/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | None |