2011 Medicare Part D Plan Formulary Information |
Health Net Orange Option 1 (PDP) (S5678-004-0)
Sanctioned Plan
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The Health Net Orange Option 1 (PDP) (S5678-004-0) Formulary Drugs Starting with the Letter M in CMS PDP Region 2 which includes: CT MA RI VT
|
Drugs Starting with Letter M
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML ![Compare how all Medicare Part D PDP plans in MA cover M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MACRODANTIN 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover MACRODANTIN 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MAGENSIUM SULFATE IN 5% DEXTROSE INJECTION 5-1 24 X 100ML CTR ![Compare how all Medicare Part D PDP plans in MA cover MAGENSIUM SULFATE IN 5% DEXTROSE INJECTION 5-1 24 X 100ML CTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MAGNESIUM SULFATE 4% IV SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover MAGNESIUM SULFATE 4% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MAGNESIUM SULFATE 8% IV SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover MAGNESIUM SULFATE 8% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MAGNESIUM SULFATE INJECTION 5 GM/10ML ![Compare how all Medicare Part D PDP plans in MA cover MAGNESIUM SULFATE INJECTION 5 GM/10ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MALARONE 250-100MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MALARONE 250-100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MALARONE 62.5-25MG PED TABLET ![Compare how all Medicare Part D PDP plans in MA cover MALARONE 62.5-25MG PED TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MAPROTILINE 25MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MAPROTILINE 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MAPROTILINE 50MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MAPROTILINE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MAPROTILINE 75MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MAPROTILINE 75MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MARGESIC H 5MG-500MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover MARGESIC H 5MG-500MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MARPLAN 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover MARPLAN 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MATULANE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover MATULANE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
25% | 25% | None |
MAXIDEX OPHTHALMIC SUSPENSION 0.1% 5ML BOT ![Compare how all Medicare Part D PDP plans in MA cover MAXIDEX OPHTHALMIC SUSPENSION 0.1% 5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MAXIPIME 1G VIAL ![Compare how all Medicare Part D PDP plans in MA cover MAXIPIME 1G VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MAXIPIME 2G ADD-VANTAGE VL ![Compare how all Medicare Part D PDP plans in MA cover MAXIPIME 2G ADD-VANTAGE VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MEBENDAZOLE 100MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in MA cover MEBENDAZOLE 100MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MECLIZINE HYDROCHLORIDE TABLETS 12.5MG 100 BOT ![Compare how all Medicare Part D PDP plans in MA cover MECLIZINE HYDROCHLORIDE TABLETS 12.5MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MECLIZINE HYDROCHLORIDE TABLETS 25MG 100 BOT ![Compare how all Medicare Part D PDP plans in MA cover MECLIZINE HYDROCHLORIDE TABLETS 25MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEDROXYPROGESTERONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MEDROXYPROGESTERONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MEDROXYPROGESTERONE 2.5MG ![Compare how all Medicare Part D PDP plans in MA cover MEDROXYPROGESTERONE 2.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEDROXYPROGESTERONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MEDROXYPROGESTERONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEDROXYPROGESTERONE ACETATE INJECTION SUSPENSION 150MG 1 VIALSD CRTN ![Compare how all Medicare Part D PDP plans in MA cover MEDROXYPROGESTERONE ACETATE INJECTION SUSPENSION 150MG 1 VIALSD CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MEFLOQUINE HCL 250MG TABLET 25 BOT ![Compare how all Medicare Part D PDP plans in MA cover MEFLOQUINE HCL 250MG TABLET 25 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEGACE ES 625MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in MA cover MEGACE ES 625MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MEGESTROL 20MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MEGESTROL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEGESTROL ACETATE 400MG/10ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in MA cover MEGESTROL ACETATE 400MG/10ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEGESTROL ACETATE 40MG TABLET (250 CT) ![Compare how all Medicare Part D PDP plans in MA cover MEGESTROL ACETATE 40MG TABLET (250 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MELOXICAM 15MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in MA cover MELOXICAM 15MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MELOXICAM TABLETS 7.5MG ![Compare how all Medicare Part D PDP plans in MA cover MELOXICAM TABLETS 7.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MELPHALAN 5 MG/ML INJECTABLE SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover MELPHALAN 5 MG/ML INJECTABLE SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MENACTRA INJECTION 4MCG/0.5ML 5 X .5ML SYR ![Compare how all Medicare Part D PDP plans in MA cover MENACTRA INJECTION 4MCG/0.5ML 5 X .5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MENEST 0.3MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MENEST 0.3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MENEST 0.625MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MENEST 0.625MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MENEST 1.25MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MENEST 1.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MENEST 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MENEST 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MENOMUNE-A/C/Y/W-135 VIAL ![Compare how all Medicare Part D PDP plans in MA cover MENOMUNE-A/C/Y/W-135 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MENOSTAR 14 MCG/DAY PATCH ![Compare how all Medicare Part D PDP plans in MA cover MENOSTAR 14 MCG/DAY PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MENTAX 1% CREAM 15G TUBE ![Compare how all Medicare Part D PDP plans in MA cover MENTAX 1% CREAM 15G TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MEPERIDINE 10MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE 10MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MEPERIDINE 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MEPERIDINE 50MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE 50MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MEPERIDINE 50MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE 50MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MEPERIDINE HCL 50MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE HCL 50MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEPERIDINE HCL INJECTION 75MG 25 X 1ML VIALSD ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE HCL INJECTION 75MG 25 X 1ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MEPERIDINE HCL TABLET 100MG (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE HCL TABLET 100MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MEPERIDINE HYDROCHLORIDE INJECTION 100MG/ML 25 X 1 ML VIALSD ![Compare how all Medicare Part D PDP plans in MA cover MEPERIDINE HYDROCHLORIDE INJECTION 100MG/ML 25 X 1 ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MEPRON 750MG/5ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in MA cover MEPRON 750MG/5ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
25% | 25% | None |
MERCAPTOPURINE 50MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MERCAPTOPURINE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MERREM INJECTION 500MG 10X20MLVIALS VIAL ![Compare how all Medicare Part D PDP plans in MA cover MERREM INJECTION 500MG 10X20MLVIALS VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MERUVAX II VACCINE/DILUENT ![Compare how all Medicare Part D PDP plans in MA cover MERUVAX II VACCINE/DILUENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MESALAMINE 4G/60ML ENEMA ![Compare how all Medicare Part D PDP plans in MA cover MESALAMINE 4G/60ML ENEMA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MESNA INJECTION 1GM/ML 10ML VIALMD CRTN ![Compare how all Medicare Part D PDP plans in MA cover MESNA INJECTION 1GM/ML 10ML VIALMD CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MESNEX 100MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover MESNEX 100MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MESNEX 400MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MESNEX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MESTINON 180MG TIMESPAN ![Compare how all Medicare Part D PDP plans in MA cover MESTINON 180MG TIMESPAN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MESTINON 60MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in MA cover MESTINON 60MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METADATE ER 20MG TABLET SA ![Compare how all Medicare Part D PDP plans in MA cover METADATE ER 20MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METAPROTERENOL 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METAPROTERENOL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METAPROTERENOL 10MG/5ML SYR ![Compare how all Medicare Part D PDP plans in MA cover METAPROTERENOL 10MG/5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METAPROTERENOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METAPROTERENOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METFORMIN HCL 1000MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in MA cover METFORMIN HCL 1000MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METFORMIN HCL 500MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in MA cover METFORMIN HCL 500MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METFORMIN HCL 850MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METFORMIN HCL 850MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METFORMIN HCL ER 500MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in MA cover METFORMIN HCL ER 500MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METFORMIN HCL ER 750MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover METFORMIN HCL ER 750MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHADONE 10MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover METHADONE 10MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHADONE 5MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover METHADONE 5MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHADONE HCL 5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover METHADONE HCL 5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHADONE HCL ORAL CONCENTRATE 10MG 946ML BOT ![Compare how all Medicare Part D PDP plans in MA cover METHADONE HCL ORAL CONCENTRATE 10MG 946ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHADONE HYDROCHLORIDE INJECTION 10MG/ML ![Compare how all Medicare Part D PDP plans in MA cover METHADONE HYDROCHLORIDE INJECTION 10MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METHADONE HYDROCHLORIDE TABLETS 10 MG ![Compare how all Medicare Part D PDP plans in MA cover METHADONE HYDROCHLORIDE TABLETS 10 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHADOSE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHADOSE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHADOSE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHADOSE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHAMPHETAMINE HYDROCHLORIDE TABLETS 5 MG ![Compare how all Medicare Part D PDP plans in MA cover METHAMPHETAMINE HYDROCHLORIDE TABLETS 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHAZOLAMIDE 25MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHAZOLAMIDE 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHAZOLAMIDE 50MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHAZOLAMIDE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHENAMINE HIPPURATE 1G TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHENAMINE HIPPURATE 1G TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHERGINE 0.2MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHERGINE 0.2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHIMAZOLE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHIMAZOLE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHIMAZOLE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHIMAZOLE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHITEST 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHITEST 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHOCARBAMOL 500MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHOCARBAMOL 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHOCARBAMOL 750MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in MA cover METHOCARBAMOL 750MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHOTREXATE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHOTREXATE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHOTREXATE FOR INJECTION 1 GM/ML ![Compare how all Medicare Part D PDP plans in MA cover METHOTREXATE FOR INJECTION 1 GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHOTREXATE INJECTION 25 MG/ML ![Compare how all Medicare Part D PDP plans in MA cover METHOTREXATE INJECTION 25 MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METHYCLOTHIAZIDE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYCLOTHIAZIDE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLDOPA 250MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLDOPA 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLDOPA 500MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLDOPA 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLDOPA/HCTZ 250-15 TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLDOPA/HCTZ 250-15 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLDOPA/HCTZ 250-25 TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLDOPA/HCTZ 250-25 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLDOPATE 250MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover METHYLDOPATE 250MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METHYLIN 10 MG CHEWABLE ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN 10 MG CHEWABLE .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHYLIN 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLIN 2.5 MG CHEWABLE TAB ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN 2.5 MG CHEWABLE TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHYLIN 20MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHYLIN 5 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN 5 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHYLIN ER 10MG TABLET SA ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN ER 10MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLIN ER 20MG TABLET SA ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN ER 20MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLIN SOLUTION 5MG/5ML 500 ML BOT ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN SOLUTION 5MG/5ML 500 ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHYLIN TABLET 5MG (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover METHYLIN TABLET 5MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPHENIDATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLPHENIDATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPHENIDATE 2 MG/ML ORAL SOLUTION [METHYLIN] ![Compare how all Medicare Part D PDP plans in MA cover METHYLPHENIDATE 2 MG/ML ORAL SOLUTION [METHYLIN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METHYLPHENIDATE 20MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLPHENIDATE 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPHENIDATE 5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover METHYLPHENIDATE 5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPHENIDATE TABLETS 20MG 100 TABS BOT ![Compare how all Medicare Part D PDP plans in MA cover METHYLPHENIDATE TABLETS 20MG 100 TABS BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPR ACE INJ 80MG/ML ![Compare how all Medicare Part D PDP plans in MA cover METHYLPR ACE INJ 80MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHYLPREDNISOLONE 16MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE 16MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPREDNISOLONE 1GM VIAL ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METHYLPREDNISOLONE 32MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE 32MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPREDNISOLONE 4 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE 4 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPREDNISOLONE 40MG/ML VL 5ML ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE 40MG/ML VL 5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METHYLPREDNISOLONE 8 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE 8 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METHYLPREDNISOLONE SODIUM SUCCINATE POWDER FOR INJECTION 125MG 25X125MG VIAL ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE SODIUM SUCCINATE POWDER FOR INJECTION 125MG 25X125MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METHYLPREDNISOLONE SODIUM SUCCINATE POWDER FOR INJECTION 40MG 25X40MG VIAL ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE SODIUM SUCCINATE POWDER FOR INJECTION 40MG 25X40MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METHYLPREDNISOLONE TABLET 4MG 21 PKGCOM ![Compare how all Medicare Part D PDP plans in MA cover METHYLPREDNISOLONE TABLET 4MG 21 PKGCOM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METIPRANOLOL 0.3% EYE DROPS ![Compare how all Medicare Part D PDP plans in MA cover METIPRANOLOL 0.3% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOCLOPRAMIDE 10 MG DISINTEGRATING TABLET [METOZOLV] ![Compare how all Medicare Part D PDP plans in MA cover METOCLOPRAMIDE 10 MG DISINTEGRATING TABLET [METOZOLV].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METOCLOPRAMIDE 5 MG DISINTEGRATING TABLET [METOZOLV] ![Compare how all Medicare Part D PDP plans in MA cover METOCLOPRAMIDE 5 MG DISINTEGRATING TABLET [METOZOLV].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
METOCLOPRAMIDE 5MG TABLET 1000 TABLET S BOT ![Compare how all Medicare Part D PDP plans in MA cover METOCLOPRAMIDE 5MG TABLET 1000 TABLET S BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOCLOPRAMIDE 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover METOCLOPRAMIDE 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METOCLOPRAMIDE HYDROCHLORIDE TABLETS 10MG 500 BOTPL ![Compare how all Medicare Part D PDP plans in MA cover METOCLOPRAMIDE HYDROCHLORIDE TABLETS 10MG 500 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOCLOPRAMIDE SOLUTION ORAL USP 5MG 1 PT BOT ![Compare how all Medicare Part D PDP plans in MA cover METOCLOPRAMIDE SOLUTION ORAL USP 5MG 1 PT BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOLAZONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METOLAZONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOLAZONE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METOLAZONE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOLAZONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METOLAZONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL SUCCINATE 25MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL SUCCINATE 25MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL SUCCINATE 50MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL SUCCINATE 50MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL SUCCINATE TABLETS EXTENDED RELEASE 100MG 100 BOT ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL SUCCINATE TABLETS EXTENDED RELEASE 100MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METOPROLOL SUCINNATE TABLETS EXTENDED RELEASE 200MG 1000 BOT ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL SUCINNATE TABLETS EXTENDED RELEASE 200MG 1000 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL TARTRATE 25MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL TARTRATE 25MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL TARTRATE INJECTION USP 5MG 10X5ML VIALSD ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL TARTRATE INJECTION USP 5MG 10X5ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT) ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL TARTRATE TABLET USP 100MG (1000 CT) ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL TARTRATE TABLET USP 100MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL-HYDROCHLOROTHIAZIDE 100-50MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL-HYDROCHLOROTHIAZIDE 100-50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL-HYDROCHLOROTHIAZIDE 100MG-25MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL-HYDROCHLOROTHIAZIDE 100MG-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METOPROLOL-HYDROCHLOROTHIAZIDE 50MG-25MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover METOPROLOL-HYDROCHLOROTHIAZIDE 50MG-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METROGEL TOPICAL 1% GEL ![Compare how all Medicare Part D PDP plans in MA cover METROGEL TOPICAL 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
METRONIDAZOLE 0.75% CREAM ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE 0.75% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METRONIDAZOLE 0.75% LOTION ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE 0.75% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METRONIDAZOLE 375MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE 375MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METRONIDAZOLE 500MG/100ML ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE 500MG/100ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
METRONIDAZOLE TABLETS USP 250MG 250 BOTPL ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE TABLETS USP 250MG 250 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METRONIDAZOLE TABLETS USP 500MG 100 BOTPL ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE TABLETS USP 500MG 100 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METRONIDAZOLE TOPICAL GEL 0.75% 45GM TUBE ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE TOPICAL GEL 0.75% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
METRONIDAZOLE VAGINAL GEL .75% 70GM TUBE ![Compare how all Medicare Part D PDP plans in MA cover METRONIDAZOLE VAGINAL GEL .75% 70GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MIACALCIN 200IU/ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover MIACALCIN 200IU/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MICARDIS 20MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICARDIS 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | Q:1 /1Days |
MICARDIS 40MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICARDIS 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | Q:1 /1Days |
MICARDIS 80MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICARDIS 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | Q:1 /1Days |
MICARDIS HCT 40/12.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICARDIS HCT 40/12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | Q:1 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MICARDIS HCT 80/12.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICARDIS HCT 80/12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | Q:1 /1Days |
MICARDIS HCT 80/25MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICARDIS HCT 80/25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | Q:1 /1Days |
MICONAZOLE 3 200MG SUPPOS. ![Compare how all Medicare Part D PDP plans in MA cover MICONAZOLE 3 200MG SUPPOS..](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MICROGESTIN 1-0.02MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICROGESTIN 1-0.02MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MICROGESTIN 1.5-0.03MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICROGESTIN 1.5-0.03MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MICROGESTIN FE 1.5/30 TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICROGESTIN FE 1.5/30 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MICROGESTIN FE 1/20 TABLET ![Compare how all Medicare Part D PDP plans in MA cover MICROGESTIN FE 1/20 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MIGERGOT 2-100MG SUPPOSITORY RECTAL ![Compare how all Medicare Part D PDP plans in MA cover MIGERGOT 2-100MG SUPPOSITORY RECTAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MILLIPRED TABLETS 5MG ![Compare how all Medicare Part D PDP plans in MA cover MILLIPRED TABLETS 5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MINITRAN 0.1MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in MA cover MINITRAN 0.1MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MINITRAN 0.2MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in MA cover MINITRAN 0.2MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MINITRAN 0.4MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in MA cover MINITRAN 0.4MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MINITRAN 0.6MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in MA cover MINITRAN 0.6MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MINOCYCLINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover MINOCYCLINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MINOCYCLINE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover MINOCYCLINE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MINOCYCLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover MINOCYCLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MINOXIDIL 10MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MINOXIDIL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MINOXIDIL 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MINOXIDIL 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MIRTAZAPINE 15MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in MA cover MIRTAZAPINE 15MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MIRTAZAPINE 15MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in MA cover MIRTAZAPINE 15MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MIRTAZAPINE 30MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in MA cover MIRTAZAPINE 30MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MIRTAZAPINE ORALLY DISINTEGRATING TABLETS 45MG 10 X 3 BOX ![Compare how all Medicare Part D PDP plans in MA cover MIRTAZAPINE ORALLY DISINTEGRATING TABLETS 45MG 10 X 3 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MIRTAZAPINE TABLET 30MG (30 CT) ![Compare how all Medicare Part D PDP plans in MA cover MIRTAZAPINE TABLET 30MG (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MIRTAZAPINE TABLET 7.5MG (30 CT) ![Compare how all Medicare Part D PDP plans in MA cover MIRTAZAPINE TABLET 7.5MG (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MIRTAZAPINE TABLETS 45MG 30 BOT ![Compare how all Medicare Part D PDP plans in MA cover MIRTAZAPINE TABLETS 45MG 30 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MISOPROSTOL 100MCG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MISOPROSTOL 100MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MISOPROSTOL 200MCG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MISOPROSTOL 200MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MITOMYCIN POWDER FOR INJECTION USP 20MG VIAL ![Compare how all Medicare Part D PDP plans in MA cover MITOMYCIN POWDER FOR INJECTION USP 20MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MITOXANTRONE INJECTION 2MG 125ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover MITOXANTRONE INJECTION 2MG 125ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MOEXIPRIL HCL 15MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MOEXIPRIL HCL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:4 /1Days |
MOEXIPRIL HCL 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MOEXIPRIL HCL 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:6 /1Days |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-12.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:2 /1Days |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-25MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:2 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 7.5-12.5MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 7.5-12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:4 /1Days |
MOMETASONE FUROATE CREAM 0.1% 45GM TUBE ![Compare how all Medicare Part D PDP plans in MA cover MOMETASONE FUROATE CREAM 0.1% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MOMETASONE FUROATE OINTMENT 0.1% 45GM TUBE ![Compare how all Medicare Part D PDP plans in MA cover MOMETASONE FUROATE OINTMENT 0.1% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MOMETASONE FUROATE TOPICAL SOLUTION 0.1% ![Compare how all Medicare Part D PDP plans in MA cover MOMETASONE FUROATE TOPICAL SOLUTION 0.1%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:5 /1Days |
MONONESSA TABLETS .250;.035MG; MG 6 X 28 CRTN ![Compare how all Medicare Part D PDP plans in MA cover MONONESSA TABLETS .250;.035MG; MG 6 X 28 CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:1 /1Days |
MORPHINE SULFATE 100MG TABLET SA ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE 100MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MORPHINE SULFATE 15MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MORPHINE SULFATE 15MG TABLET SA ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE 15MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MORPHINE SULFATE 20 MG/ML SOL ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE 20 MG/ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MORPHINE SULFATE 200MG TABLET SA ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE 200MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MORPHINE SULFATE 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MORPHINE SULFATE 5MG 25 X 1ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE 5MG 25 X 1ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MORPHINE SULFATE INJECTION 0.5MG 5X10ML VIALGL ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE INJECTION 0.5MG 5X10ML VIALGL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MORPHINE SULFATE INJECTION 1MG 5X10ML VIALGL ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE INJECTION 1MG 5X10ML VIALGL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MORPHINE SULFATE ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MORPHINE SULFATE ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MORPHINE SULFATE TABLET 30 MG ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE TABLET 30 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MORPHINE SULFATE TABLET ER 60MG (100 CT) ![Compare how all Medicare Part D PDP plans in MA cover MORPHINE SULFATE TABLET ER 60MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MOTOFEN TABLET ![Compare how all Medicare Part D PDP plans in MA cover MOTOFEN TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MOVIPREP 7.5-2.691G POWDER IN PACKET ![Compare how all Medicare Part D PDP plans in MA cover MOVIPREP 7.5-2.691G POWDER IN PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MOZOBIL SOLUTION 24MG/1.2ML ![Compare how all Medicare Part D PDP plans in MA cover MOZOBIL SOLUTION 24MG/1.2ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
25% | 25% | None |
MULTAQ DRONEDARONE TABLETS 400MG 60 BOT ![Compare how all Medicare Part D PDP plans in MA cover MULTAQ DRONEDARONE TABLETS 400MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MUPIROCIN 2% OINTMENT ![Compare how all Medicare Part D PDP plans in MA cover MUPIROCIN 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MUSTARGEN 10MG VIAL ![Compare how all Medicare Part D PDP plans in MA cover MUSTARGEN 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | None |
MYCAMINE 50MG VIAL ![Compare how all Medicare Part D PDP plans in MA cover MYCAMINE 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
25% | 25% | None |
MYCAMINE FOR INJECTION SOLUTION ![Compare how all Medicare Part D PDP plans in MA cover MYCAMINE FOR INJECTION SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
25% | 25% | None |
MYCOBUTIN 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in MA cover MYCOBUTIN 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |
MYCOPHENOLATE MOFETIL CAPSULES 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in MA cover MYCOPHENOLATE MOFETIL CAPSULES 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | P |
MYCOPHENOLATE MOFETIL TABLETS 500MG 500 BOT ![Compare how all Medicare Part D PDP plans in MA cover MYCOPHENOLATE MOFETIL TABLETS 500MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | P |
MYDRAL 0.5% DROPS ![Compare how all Medicare Part D PDP plans in MA cover MYDRAL 0.5% DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MYDRAL 1% DROPS ![Compare how all Medicare Part D PDP plans in MA cover MYDRAL 1% DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | None |
MYDRIACYL 1% EYE DROPS ![Compare how all Medicare Part D PDP plans in MA cover MYDRIACYL 1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MYFORTIC 180MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MYFORTIC 180MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MYFORTIC 360MG TABLET ![Compare how all Medicare Part D PDP plans in MA cover MYFORTIC 360MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | P |
MYOBLOC 5000UNITS/1ML VIAL ![Compare how all Medicare Part D PDP plans in MA cover MYOBLOC 5000UNITS/1ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
25% | 25% | P |
MYOZYME 50MG VIAL ![Compare how all Medicare Part D PDP plans in MA cover MYOZYME 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
25% | 25% | P |
MYSOLINE ANTICONVULSANT TABLETS 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in MA cover MYSOLINE ANTICONVULSANT TABLETS 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$75.00 | $188.00 | None |
MYTELASE 10MG CAPLET ![Compare how all Medicare Part D PDP plans in MA cover MYTELASE 10MG CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$39.00 | $78.00 | None |