2011 Medicare Part D Plan Formulary Information |
CIGNA Medicare Rx Plan Two (PDP) (S5617-180-0)
Benefit Details
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The CIGNA Medicare Rx Plan Two (PDP) (S5617-180-0) Formulary Drugs Starting with the Letter R in CMS PDP Region 10 which includes: GA
|
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 GA cover RABIES VACCINE RABAVERT INJECTION 2.5UNT/ML 1 DOSE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RALOXIFENE 60 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in GA cover RALOXIFENE 60 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | Q:30 /30Days |
RAMIPRIL 1.25MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RAMIPRIL 1.25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RAMIPRIL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RAMIPRIL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RAMIPRIL 2.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RAMIPRIL 2.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RAMIPRIL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RAMIPRIL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RANEXA 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RANEXA 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RANEXA 500 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RANEXA 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RANITIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RANITIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RANITIDINE HCL 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in GA cover RANITIDINE HCL 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RANITIDINE HCL 300MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in GA cover RANITIDINE HCL 300MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RANITIDINE TABLET 300MG (100 CT) ![Compare how all Medicare Part D PDP plans in GA cover RANITIDINE TABLET 300MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RANITIDINE TABLET USP 150MG (500 CT) ![Compare how all Medicare Part D PDP plans in GA cover RANITIDINE TABLET USP 150MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RAPAFLO CAPSULES 4MG 30 BOT ![Compare how all Medicare Part D PDP plans in GA cover RAPAFLO CAPSULES 4MG 30 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | S Q:30 /30Days |
RAPAFLO CAPSULES 8MG 90 BOT ![Compare how all Medicare Part D PDP plans in GA cover RAPAFLO CAPSULES 8MG 90 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | S Q:30 /30Days |
RAPAMUNE 1MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RAPAMUNE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
RAPAMUNE 1MG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in GA cover RAPAMUNE 1MG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
RAPAMUNE 2MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RAPAMUNE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
RAPAMUNE TABLETS ![Compare how all Medicare Part D PDP plans in GA cover RAPAMUNE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | P |
REBETOL 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover REBETOL 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REBETOL 40MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover REBETOL 40MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
REBIF 22MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover REBIF 22MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REBIF 44MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover REBIF 44MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL ![Compare how all Medicare Part D PDP plans in GA cover REBIF TITRTN SOL PACK 8.8MCG/22 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
RECLIPSEN 0.15-0.03 TABLET ![Compare how all Medicare Part D PDP plans in GA cover RECLIPSEN 0.15-0.03 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | P |
REGONOL AMP 10MG 5ML ![Compare how all Medicare Part D PDP plans in GA cover REGONOL AMP 10MG 5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
REGRANEX 0.01% GEL ![Compare how all Medicare Part D PDP plans in GA cover REGRANEX 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:30 /30Days |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in GA cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | Q:120 /365Days |
RELISTOR SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover RELISTOR SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | P |
REMICADE 100MG VIAL ![Compare how all Medicare Part D PDP plans in GA cover REMICADE 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | 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 GA cover REMODULIN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REMODULIN 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover REMODULIN 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REMODULIN 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover REMODULIN 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REMODULIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover REMODULIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
RENAGEL 400MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RENAGEL 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RENAGEL 800MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RENAGEL 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RENAMIN 6.5% IV SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover RENAMIN 6.5% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | P |
RENVELA 800MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RENVELA 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
REPREXAIN 5-200 MG TABLET 100 EA ![Compare how all Medicare Part D PDP plans in GA cover REPREXAIN 5-200 MG TABLET 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
REPREXAIN TABLET ![Compare how all Medicare Part D PDP plans in GA cover REPREXAIN TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
REPREXAIN TABLET ![Compare how all Medicare Part D PDP plans in GA cover REPREXAIN TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REQUIP XL ROPINIROLE HCL 2MG ![Compare how all Medicare Part D PDP plans in GA cover REQUIP XL ROPINIROLE HCL 2MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
REQUIP XL ROPINIROLE HCL 4MG ![Compare how all Medicare Part D PDP plans in GA cover REQUIP XL ROPINIROLE HCL 4MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
REQUIP XL ROPINIROLE HCL 8MG ![Compare how all Medicare Part D PDP plans in GA cover REQUIP XL ROPINIROLE HCL 8MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
REQUIP XL TABLET 12 MG ![Compare how all Medicare Part D PDP plans in GA cover REQUIP XL TABLET 12 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RESCRIPTOR 100MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RESCRIPTOR 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RESCRIPTOR 200MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RESCRIPTOR 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RESERPINE 0.1MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RESERPINE 0.1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RESERPINE 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RESERPINE 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RESTASIS CYCLOSPORINE OPTHALMIC EMULSION .05% 30 X 0.4 ML VIALSU ![Compare how all Medicare Part D PDP plans in GA 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 Generic/Preferred Brand |
$33.00 | $82.50 | None |
RETAPAMULIN 0.01 MG/MG TOPICAL OINTMENT [ALTABAX] ![Compare how all Medicare Part D PDP plans in GA cover RETAPAMULIN 0.01 MG/MG TOPICAL OINTMENT [ALTABAX].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
RETROVIR 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RETROVIR 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | 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 GA cover RETROVIR 10MGML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
RETROVIR 300MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RETROVIR 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
RETROVIR IV INFUSION VIAL ![Compare how all Medicare Part D PDP plans in GA cover RETROVIR IV INFUSION VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
REVATIO 10 MG/12.5 ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover REVATIO 10 MG/12.5 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REVATIO 20MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover REVATIO 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REVIA 50MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover REVIA 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
REVLIMID 10MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in GA cover REVLIMID 10MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in GA cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REVLIMID 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in GA cover REVLIMID 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REVLIMID 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover REVLIMID 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
REYATAZ 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover REYATAZ 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REYATAZ 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover REYATAZ 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
REYATAZ 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover REYATAZ 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
REYATAZ 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover REYATAZ 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RHEUMATREX 2.5MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in GA cover RHEUMATREX 2.5MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RIBAPAK 400-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in GA cover RIBAPAK 400-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RIBAPAK 600-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in GA cover RIBAPAK 600-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RIBAPAK 600-600MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in GA cover RIBAPAK 600-600MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RIBASPHERE 200MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RIBASPHERE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RIBASPHERE 400MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RIBASPHERE 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RIBASPHERE 600MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RIBASPHERE 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RIBASPHERE CAPSULES 200MG 42 BOT ![Compare how all Medicare Part D PDP plans in GA cover RIBASPHERE CAPSULES 200MG 42 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | 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 GA cover RIBAVIRIN 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RIBAVIRIN 200MG TABLET 168 BOT ![Compare how all Medicare Part D PDP plans in GA cover RIBAVIRIN 200MG TABLET 168 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RIBAVIRIN TABLETS 400MG 56 TABS BOT ![Compare how all Medicare Part D PDP plans in GA cover RIBAVIRIN TABLETS 400MG 56 TABS BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RIBAVIRIN TABLETS 600MG 56 TABS BOT ![Compare how all Medicare Part D PDP plans in GA cover RIBAVIRIN TABLETS 600MG 56 TABS BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
RIDAURA 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RIDAURA 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RIFAMATE CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RIFAMATE CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RIFAMPIN 150MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in GA cover RIFAMPIN 150MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RIFAMPIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover RIFAMPIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RIFAMPIN 600MG VIAL ![Compare how all Medicare Part D PDP plans in GA cover RIFAMPIN 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RIFATER TABLET ![Compare how all Medicare Part D PDP plans in GA cover RIFATER TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
RILUTEK 50MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RILUTEK 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIMANTADINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover RIMANTADINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
RINGERS INJECTION 1000ML BAG ![Compare how all Medicare Part D PDP plans in GA cover RINGERS INJECTION 1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RINGERS IRRIGATION 860-30 12X1000ML BAG ![Compare how all Medicare Part D PDP plans in GA cover RINGERS IRRIGATION 860-30 12X1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
RIOMET 500MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in GA cover RIOMET 500MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in GA cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | Q:4 /28Days |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in GA cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | Q:4 /28Days |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in GA cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | Q:4 /28Days |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in GA cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | Q:4 /28Days |
RISPERIDONE 1 MG DISINTEGRATING TABLET ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE 1 MG DISINTEGRATING TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:240 /30Days |
RISPERIDONE TABLET ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIDONE TABLET 1 MG ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIDONE TABLET 2 MG ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIDONE TABLET 3 MG ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIDONE TABLET 4 MG ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:120 /30Days |
RISPERIDONE TABLETS 3MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLETS 3MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIDONE TABLETS 4MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLETS 4MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:120 /30Days |
RISPERIDONE TABLETS ORALLY DISINTEGRATING 0.5MG 30 BLPK ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLETS ORALLY DISINTEGRATING 0.5MG 30 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIDONE TABLETS ORALLY DISINTEGRATING 2MG 30 BLPK ![Compare how all Medicare Part D PDP plans in GA cover RISPERIDONE TABLETS ORALLY DISINTEGRATING 2MG 30 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RISPERIODONE TABLET ![Compare how all Medicare Part D PDP plans in GA cover RISPERIODONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | Q:60 /30Days |
RITUXAN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover RITUXAN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in GA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | Q:60 /30Days |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in GA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | Q:60 /30Days |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in GA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | Q:60 /30Days |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in GA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | Q:60 /30Days |
ROBAXIN 100MG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover ROBAXIN 100MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | P |
ROMYCIN 5MG/G OINTMENT ![Compare how all Medicare Part D PDP plans in GA cover ROMYCIN 5MG/G OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROPINIROLE 6 MG EXTENDED RELEASE TABLET 24 HR [REQUIP] ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE 6 MG EXTENDED RELEASE TABLET 24 HR [REQUIP].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
ROPINIROLE HCL TABLET ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE HCL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROPINIROLE HCL TABLET 1 MG ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE HCL TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROPINIROLE HCL TABLET 2 MG ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE HCL TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROPINIROLE HCL TABLET 3 MG ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE HCL TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROPINIROLE HCL TABLET 4 MG ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE HCL TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROPINIROLE HCL TABLET 5 MG ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE HCL TABLET 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROPINIROLE HYDROCLORIDE TABLET ![Compare how all Medicare Part D PDP plans in GA cover ROPINIROLE HYDROCLORIDE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROTATEQ VACCINE ![Compare how all Medicare Part D PDP plans in GA cover ROTATEQ VACCINE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Preferred Brand |
$33.00 | $82.50 | None |
ROXICET 5-325/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in GA cover ROXICET 5-325/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROXICET 5/325 TABLET ![Compare how all Medicare Part D PDP plans in GA cover ROXICET 5/325 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROXICET 5/500 CAPLET ![Compare how all Medicare Part D PDP plans in GA cover ROXICET 5/500 CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Generic/Preferred Brand |
$3.00 | $7.50 | None |
ROXICODONE 15MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover ROXICODONE 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |
ROXICODONE 30MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover ROXICODONE 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Generic/Non-Preferred Brand |
$78.00 | $195.00 | None |