2011 Medicare Part D Plan Formulary Information |
Health Net Orange Option 2 (PDP) (S5678-011-0)
Sanctioned Plan
![Email Prescription and/or Health Benefit details for Health Net Orange Option 2 (PDP). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The Health Net Orange Option 2 (PDP) (S5678-011-0) Formulary Drugs Starting with the Letter V in CMS PDP Region 4 which includes: NJ
|
Drugs Starting with Letter V
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
VAGIFEM 10 MCG VAGINAL TAB ![Compare how all Medicare Part D PDP plans in NJ cover VAGIFEM 10 MCG VAGINAL TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VAGIFEM 25MCG VAGINAL TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VAGIFEM 25MCG VAGINAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VALACYCLOVIR 1000 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VALACYCLOVIR 1000 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VALACYCLOVIR 500 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VALACYCLOVIR 500 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VALCYTE 450MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VALCYTE 450MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VALCYTE FOR ORAL SOLUTION 50MG/ML ![Compare how all Medicare Part D PDP plans in NJ cover VALCYTE FOR ORAL SOLUTION 50MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | Q:21 /1Days |
VALPROATE SOD 500MG/5ML VL ![Compare how all Medicare Part D PDP plans in NJ cover VALPROATE SOD 500MG/5ML VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VALPROIC ACID 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in NJ cover VALPROIC ACID 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VALPROIC ACID SYRUP USP 250MG 16 FL OZ BOT ![Compare how all Medicare Part D PDP plans in NJ cover VALPROIC ACID SYRUP USP 250MG 16 FL OZ BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VALTREX 1GM CAPLET (90 CT) ![Compare how all Medicare Part D PDP plans in NJ cover VALTREX 1GM CAPLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VALTREX 500MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VALTREX 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VANCOCIN HCL 125MG PULVULE ![Compare how all Medicare Part D PDP plans in NJ cover VANCOCIN HCL 125MG PULVULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VANCOCIN HCL 1G/200ML BAG ![Compare how all Medicare Part D PDP plans in NJ cover VANCOCIN HCL 1G/200ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VANCOCIN HCL 250MG PULVULE ![Compare how all Medicare Part D PDP plans in NJ cover VANCOCIN HCL 250MG PULVULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VANCOMYCIN HCL 10GM VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VANCOMYCIN HCL 10GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VANDAZOLE 0.75% GEL WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in NJ cover VANDAZOLE 0.75% GEL WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VANOS 0.1% CREAM ![Compare how all Medicare Part D PDP plans in NJ cover VANOS 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VANTIN 200MG TABLET (20 CT) ![Compare how all Medicare Part D PDP plans in NJ cover VANTIN 200MG TABLET (20 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VAQTA 25 UNITS/0.5ML VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VAQTA 25 UNITS/0.5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VARIVAX VACCINE W/DILUENT ![Compare how all Medicare Part D PDP plans in NJ cover VARIVAX VACCINE W/DILUENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VASERETIC 10MG-25MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VASERETIC 10MG-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:2 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VASOTEC 10MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VASOTEC 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:2 /1Days |
VASOTEC 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VASOTEC 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:2 /1Days |
VASOTEC 20MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VASOTEC 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:4 /1Days |
VASOTEC 5MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VASOTEC 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:2 /1Days |
VECTICAL OINTMENT 3MCG/GM 100 GM TUBE ![Compare how all Medicare Part D PDP plans in NJ cover VECTICAL OINTMENT 3MCG/GM 100 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VELCADE 3.5MG VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VELCADE 3.5MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | None |
VELIVET 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VELIVET 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | Q:1 /1Days |
VENLAFAXINE HCL 100MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | Q:3 /1Days |
VENLAFAXINE HCL 25MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | Q:3 /1Days |
VENLAFAXINE HCL 37.5MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL 37.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | Q:3 /1Days |
VENLAFAXINE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | Q:3 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VENLAFAXINE HCL 75MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL 75MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | Q:5 /1Days |
VENLAFAXINE HCL ER TAB ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL ER TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:2 /1Days |
VENLAFAXINE HCL ER TAB 225 MG ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL ER TAB 225 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |
VENLAFAXINE HCL ER TAB 37.5 MG ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL ER TAB 37.5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |
VENLAFAXINE HCL ER TAB 75 MG ![Compare how all Medicare Part D PDP plans in NJ cover VENLAFAXINE HCL ER TAB 75 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:3 /1Days |
VENTAVIS ILOPROST INHALATION SOLUTION 10MCG/ML 1 ML AMP ![Compare how all Medicare Part D PDP plans in NJ cover VENTAVIS ILOPROST INHALATION SOLUTION 10MCG/ML 1 ML AMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | P |
VENTOLIN HFA 90MCG INHALER ![Compare how all Medicare Part D PDP plans in NJ cover VENTOLIN HFA 90MCG INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |
VERAMYST 27.5MCG SPRAY SUSPENSION ![Compare how all Medicare Part D PDP plans in NJ cover VERAMYST 27.5MCG SPRAY SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VERAPAMIL 120MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL 120MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL 180MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL 180MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL 2.5MG/ML AMPUL ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL 2.5MG/ML AMPUL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VERAPAMIL 240MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL 240MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL 40MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL ER 100MG CAPSULE 24HR SR PELLETS ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL ER 100MG CAPSULE 24HR SR PELLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERAPAMIL ER 180 MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL ER 180 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL ER 200MG CAPSULE 24HR SR PELLETS (100 CT) ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL ER 200MG CAPSULE 24HR SR PELLETS (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERAPAMIL ER 300MG CAPSULE 24HR SR PELLETS ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL ER 300MG CAPSULE 24HR SR PELLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERAPAMIL HCL 120MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL HCL 120MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL HCL 80MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL HCL 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL HCL ER TABLETS ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL HCL ER TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERAPAMIL HCL TABLETS ER 240 MG ![Compare how all Medicare Part D PDP plans in NJ cover VERAPAMIL HCL TABLETS ER 240 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VERDESO 0.05% FOAM ![Compare how all Medicare Part D PDP plans in NJ cover VERDESO 0.05% FOAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VEREGEN 15% OINTMENT ![Compare how all Medicare Part D PDP plans in NJ cover VEREGEN 15% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERELAN 120MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERELAN 120MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERELAN 180MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERELAN 180MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERELAN 240MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERELAN 240MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERELAN 360MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERELAN 360MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERELAN PM 100MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERELAN PM 100MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERELAN PM 200MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERELAN PM 200MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERELAN PM 300MG CAP PELLET ![Compare how all Medicare Part D PDP plans in NJ cover VERELAN PM 300MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VERIPRED 20 ORAL SOLUTION 20MG/5ML 8 FL OZ BOT ![Compare how all Medicare Part D PDP plans in NJ cover VERIPRED 20 ORAL SOLUTION 20MG/5ML 8 FL OZ BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VESICARE 10MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VESICARE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | Q:1 /1Days |
VESICARE 5MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in NJ cover VESICARE 5MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | Q:1 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VEXOL 1% EYE DROPS ![Compare how all Medicare Part D PDP plans in NJ cover VEXOL 1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VFEND 200MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VFEND 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VFEND 40MG/ML SUSPENSION ![Compare how all Medicare Part D PDP plans in NJ cover VFEND 40MG/ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VFEND 50MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VFEND 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VFEND IV 200MG VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VFEND IV 200MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | None |
VIBRA-TAB S 100MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VIBRA-TAB S 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIBRAMYCIN 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in NJ cover VIBRAMYCIN 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIBRAMYCIN 25MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in NJ cover VIBRAMYCIN 25MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIBRAMYCIN 50MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in NJ cover VIBRAMYCIN 50MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VICODIN 5/500 TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VICODIN 5/500 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VICODIN ES TABLET 7.5-750 ![Compare how all Medicare Part D PDP plans in NJ cover VICODIN ES TABLET 7.5-750.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VICODIN HP TABLET 10-660 ![Compare how all Medicare Part D PDP plans in NJ cover VICODIN HP TABLET 10-660.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$2.00 | $4.00 | None |
VICOPROFEN 200/7.5 TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VICOPROFEN 200/7.5 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VICTOZA 3-PAK 18 MG/3 ML PEN ![Compare how all Medicare Part D PDP plans in NJ cover VICTOZA 3-PAK 18 MG/3 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | P |
VIDAZA FOR INJECTION 100MG/VIAL 1 VIALSU ![Compare how all Medicare Part D PDP plans in NJ cover VIDAZA FOR INJECTION 100MG/VIAL 1 VIALSU.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VIDEX 2GM PEDIATRIC TUBEX ![Compare how all Medicare Part D PDP plans in NJ cover VIDEX 2GM PEDIATRIC TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VIDEX EC 125MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in NJ cover VIDEX EC 125MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIDEX EC 200MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in NJ cover VIDEX EC 200MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIDEX EC 250MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in NJ cover VIDEX EC 250MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIDEX EC 400MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in NJ cover VIDEX EC 400MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL] ![Compare how all Medicare Part D PDP plans in NJ cover VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | Q:6 /1Days |
VIGABATRIN 500 MG ORAL TABLET [SABRIL] ![Compare how all Medicare Part D PDP plans in NJ cover VIGABATRIN 500 MG ORAL TABLET [SABRIL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | Q:6 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIGAMOX 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in NJ cover VIGAMOX 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | Q:3 /7Days |
VIMPAT 10 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in NJ cover VIMPAT 10 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P Q:40 /1Days |
VIMPAT INJECTION 10MG/ML 10 X 20ML VIALGL ![Compare how all Medicare Part D PDP plans in NJ cover VIMPAT INJECTION 10MG/ML 10 X 20ML VIALGL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | P |
VIMPAT TABLETS 100MG 60 BOTPL ![Compare how all Medicare Part D PDP plans in NJ cover VIMPAT TABLETS 100MG 60 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | P |
VIMPAT TABLETS 150MG 60 BOTPL ![Compare how all Medicare Part D PDP plans in NJ cover VIMPAT TABLETS 150MG 60 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | P |
VIMPAT TABLETS 200MG 60 BOTPL ![Compare how all Medicare Part D PDP plans in NJ cover VIMPAT TABLETS 200MG 60 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | P |
VIMPAT TABLETS 50MG 60 BOTPL ![Compare how all Medicare Part D PDP plans in NJ cover VIMPAT TABLETS 50MG 60 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | P |
VINBLASTINE SULF 10MG VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VINBLASTINE SULF 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VINCRISTINE 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VINCRISTINE 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VINCRISTINE 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VINCRISTINE 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
VINORELBINE 10MG/ML VIAL 5ML VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VINORELBINE 10MG/ML VIAL 5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Injectable |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIRACEPT 250MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VIRACEPT 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VIRACEPT 50MG/GM ORAL POWDER ![Compare how all Medicare Part D PDP plans in NJ cover VIRACEPT 50MG/GM ORAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VIRACEPT 625MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VIRACEPT 625MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VIRAMUNE 200MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VIRAMUNE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VIRAMUNE 50MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in NJ cover VIRAMUNE 50MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VIRAZOLE 6GM VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VIRAZOLE 6GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIREAD 300MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VIREAD 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VIROPTIC 1% EYE DROPS ![Compare how all Medicare Part D PDP plans in NJ cover VIROPTIC 1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VISICOL 1.5GM TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VISICOL 1.5GM TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VISTARIL 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in NJ cover VISTARIL 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VISTARIL 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in NJ cover VISTARIL 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VISTIDE 75MG/ML VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VISTIDE 75MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | None |
VIVACTIL 10MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VIVACTIL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIVACTIL 5MG TABLET ![Compare how all Medicare Part D PDP plans in NJ cover VIVACTIL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIVAGLOBIN SOL 160MG/ML 10ML VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VIVAGLOBIN SOL 160MG/ML 10ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VIVELLE-DOT 0.025MG PATCH ![Compare how all Medicare Part D PDP plans in NJ cover VIVELLE-DOT 0.025MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIVELLE-DOT 0.0375MG PATCH 8 POUCH CRTN ![Compare how all Medicare Part D PDP plans in NJ cover VIVELLE-DOT 0.0375MG PATCH 8 POUCH CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIVELLE-DOT 0.05MG PATCH 8 POUCH CRTN ![Compare how all Medicare Part D PDP plans in NJ cover VIVELLE-DOT 0.05MG PATCH 8 POUCH CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIVELLE-DOT 0.075MG PATCH 1X3X8 POUCH CRTN ![Compare how all Medicare Part D PDP plans in NJ cover VIVELLE-DOT 0.075MG PATCH 1X3X8 POUCH CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIVELLE-DOT 0.1MG PATCH 8 POUCH CRTN ![Compare how all Medicare Part D PDP plans in NJ cover VIVELLE-DOT 0.1MG PATCH 8 POUCH CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VIVITROL INJECTABLE SUSPENSION 380MG/VIAL ![Compare how all Medicare Part D PDP plans in NJ cover VIVITROL INJECTABLE SUSPENSION 380MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 Specialty |
33% | 33% | P |
VIVOTIF BERNA 2B UNIT CAPSULE DELAYED RELEASE ![Compare how all Medicare Part D PDP plans in NJ cover VIVOTIF BERNA 2B UNIT CAPSULE DELAYED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VOLTAREN 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in NJ cover VOLTAREN 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VOLTAREN 1% GEL ![Compare how all Medicare Part D PDP plans in NJ cover VOLTAREN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:17 /1Days |
VOLTAREN 75MG TABLET EC ![Compare how all Medicare Part D PDP plans in NJ cover VOLTAREN 75MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VOLTAREN-XR 100MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in NJ cover VOLTAREN-XR 100MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VOSPIRE ER 4MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in NJ cover VOSPIRE ER 4MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VOSPIRE ER 8MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in NJ cover VOSPIRE ER 8MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | None |
VYTORIN 10/10MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in NJ cover VYTORIN 10/10MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VYTORIN 10/20MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in NJ cover VYTORIN 10/20MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VYTORIN 10/40MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in NJ cover VYTORIN 10/40MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VYTORIN 10/80MG TABLET 2500 BOT ![Compare how all Medicare Part D PDP plans in NJ cover VYTORIN 10/80MG TABLET 2500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$34.00 | $68.00 | None |
VYVANSE 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in NJ cover VYVANSE 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:2 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VYVANSE 40MG CAPSULE 100 EA ![Compare how all Medicare Part D PDP plans in NJ cover VYVANSE 40MG CAPSULE 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |
VYVANSE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in NJ cover VYVANSE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |
VYVANSE 70MG CAPSULE ![Compare how all Medicare Part D PDP plans in NJ cover VYVANSE 70MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |
VYVANSE CAPSULES 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in NJ cover VYVANSE CAPSULES 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |
VYVANSE CAPSULES 60MG 100 BOT ![Compare how all Medicare Part D PDP plans in NJ cover VYVANSE CAPSULES 60MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$68.00 | $170.00 | Q:1 /1Days |