2011 Medicare Part D Plan Formulary Information |
UA Medicare Part D Prescription Drug Cov (PDP) (S5755-028-0)
Benefit Details
![Email Prescription and/or Health Benefit details for UA Medicare Part D Prescription Drug Cov (PDP). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The UA Medicare Part D Prescription Drug Cov (PDP) (S5755-028-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 25 which includes: IA MN MT NE ND SD WY
|
Drugs Starting with Letter N
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
NABUMETONE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NABUMETONE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NABUMETONE 750MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NABUMETONE 750MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NADOLOL TABLETS ![Compare how all Medicare Part D PDP plans in MT cover NADOLOL TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NADOLOL TABLETS ![Compare how all Medicare Part D PDP plans in MT cover NADOLOL TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NADOLOL-BENDROFLUMETHIAZIDE 40-5MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NADOLOL-BENDROFLUMETHIAZIDE 40-5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NADOLOL-BENDROFLUMETHIAZIDE 80-5MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NADOLOL-BENDROFLUMETHIAZIDE 80-5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAFAZAIR 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in MT cover NAFAZAIR 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAFCILLIN 1GM/50ML INJ ![Compare how all Medicare Part D PDP plans in MT cover NAFCILLIN 1GM/50ML INJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NAFCILLIN FOR INJECTION 1 GM/ML ![Compare how all Medicare Part D PDP plans in MT cover NAFCILLIN FOR INJECTION 1 GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL ![Compare how all Medicare Part D PDP plans in MT cover NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAFTIN HCL GEL 1% 60GM TUBE ![Compare how all Medicare Part D PDP plans in MT cover NAFTIN HCL GEL 1% 60GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NAFTIN 1% CREAM ![Compare how all Medicare Part D PDP plans in MT cover NAFTIN 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in MT cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | None |
NALLPEN 2GM/50ML 2.4% DEX ![Compare how all Medicare Part D PDP plans in MT cover NALLPEN 2GM/50ML 2.4% DEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NALOXONE 1MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in MT cover NALOXONE 1MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG ![Compare how all Medicare Part D PDP plans in MT cover NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in MT cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAMENDA 10MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NAMENDA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | Q:180 /90Days |
NAMENDA 10MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in MT cover NAMENDA 10MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NAMENDA 5-10MG TITRATION PK ![Compare how all Medicare Part D PDP plans in MT cover NAMENDA 5-10MG TITRATION PK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAMENDA 5MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NAMENDA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | Q:270 /90Days |
NAPROXEN 125MG/5ML SUSPEN ![Compare how all Medicare Part D PDP plans in MT cover NAPROXEN 125MG/5ML SUSPEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MT cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAPROXEN 375MG TABLET EC ![Compare how all Medicare Part D PDP plans in MT cover NAPROXEN 375MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAPROXEN 500MG TABLET EC ![Compare how all Medicare Part D PDP plans in MT cover NAPROXEN 500MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAPROXEN SODIUM 275 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MT cover NAPROXEN SODIUM 275 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAPROXEN SODIUM 550 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MT cover NAPROXEN SODIUM 550 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NAPROXEN TABLET 375MG (500 CT) ![Compare how all Medicare Part D PDP plans in MT cover NAPROXEN TABLET 375MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NARATRIPTAN TABLETS ![Compare how all Medicare Part D PDP plans in MT cover NARATRIPTAN TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:36 /90Days |
NARATRIPTAN TABLETS ![Compare how all Medicare Part D PDP plans in MT cover NARATRIPTAN TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:24 /90Days |
NARDIL 15MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NARDIL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NASACORT AQ AER 55MCG/AC ![Compare how all Medicare Part D PDP plans in MT cover NASACORT AQ AER 55MCG/AC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NASONEX 50MCG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in MT cover NASONEX 50MCG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in MT cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NATEGLINIDE 120 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MT cover NATEGLINIDE 120 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:270 /90Days |
NATEGLINIDE 60 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MT cover NATEGLINIDE 60 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:270 /90Days |
NAVANE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NAVANE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in MT cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | P |
NECON 0.5/35-28 TABLET ![Compare how all Medicare Part D PDP plans in MT cover NECON 0.5/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NECON 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in MT cover NECON 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NECON 10/11-28 TABLET ![Compare how all Medicare Part D PDP plans in MT cover NECON 10/11-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NECON 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in MT cover NECON 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in MT cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:180 /90Days |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:180 /90Days |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:180 /90Days |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in MT cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:180 /90Days |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in MT cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | Q:180 /90Days |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in MT cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NEOMYCIN AND POLYMYXIN B SULFATES AND DEXAMETHASONE OPHTHALMIC OINTMENT ![Compare how all Medicare Part D PDP plans in MT cover NEOMYCIN AND POLYMYXIN B SULFATES AND DEXAMETHASONE OPHTHALMIC OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in MT cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in MT cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in MT cover NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in MT cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in MT cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NEORAL 100MG GELATN CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NEORAL 100MG GELATN CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | P |
NEORAL 100MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in MT cover NEORAL 100MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | P |
NEORAL 25MG GELATIN CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NEORAL 25MG GELATIN CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | P |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in MT cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in MT cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand Name |
$95.00 | $190.00 | P Q:4 /90Days |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MT cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | P Q:67 /90Days |
NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR ![Compare how all Medicare Part D PDP plans in MT cover NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | P Q:21 /90Days |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in MT cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | P Q:34 /90Days |
NEURONTIN 250MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in MT cover NEURONTIN 250MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in MT cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in MT cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | P Q:360 /90Days |
NEXIUM 10MG PACKET ![Compare how all Medicare Part D PDP plans in MT cover NEXIUM 10MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | Q:90 /90Days |
NEXIUM 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NEXIUM 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | Q:90 /90Days |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in MT cover NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | Q:90 /90Days |
NEXIUM 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NEXIUM 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | Q:90 /90Days |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in MT cover NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | Q:90 /90Days |
NEXIUM IV 20MG VIAL ![Compare how all Medicare Part D PDP plans in MT cover NEXIUM IV 20MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NEXIUM IV 40MG VIAL ![Compare how all Medicare Part D PDP plans in MT cover NEXIUM IV 40MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NEXT CHOICE 0.75 MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NEXT CHOICE 0.75 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIASPAN 1000MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in MT cover NIASPAN 1000MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIASPAN ER 500MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in MT cover NIASPAN ER 500MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NIASPAN ER 750MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in MT cover NIASPAN ER 750MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NICARDIPINE HYDROCHLORIDE CAPSULES ![Compare how all Medicare Part D PDP plans in MT cover NICARDIPINE HYDROCHLORIDE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT ![Compare how all Medicare Part D PDP plans in MT cover NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in MT cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand Name |
$95.00 | $190.00 | P Q:504 /90Days |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in MT cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand Name |
$95.00 | $190.00 | P Q:90 /90Days |
NIFEDIAC CC 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIAC CC 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDIAC CC 60MG TABLET SA ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIAC CC 60MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDIAC CC 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIAC CC 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in MT cover NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in MT cover NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIPINE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDIPINE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIPINE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDIPINE TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIPINE TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDIPINE TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIPINE TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIFEDIPINE TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MT cover NIFEDIPINE TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NILANDRON 150MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NILANDRON 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand Name |
$95.00 | $190.00 | None |
NIMODIPINE 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NIMODIPINE 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | None |
NIPENT FOR INJECTION 10MG VIALS ![Compare how all Medicare Part D PDP plans in MT cover NIPENT FOR INJECTION 10MG VIALS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand Name |
$95.00 | $190.00 | None |
NISOLDIPINE 20MG TB24 ![Compare how all Medicare Part D PDP plans in MT cover NISOLDIPINE 20MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NISOLDIPINE 30MG TB24 ![Compare how all Medicare Part D PDP plans in MT cover NISOLDIPINE 30MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NISOLDIPINE 40MG TB24 ![Compare how all Medicare Part D PDP plans in MT cover NISOLDIPINE 40MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITRO BID OINTMENT 2% 1 GRAM X 48 PKG ![Compare how all Medicare Part D PDP plans in MT cover NITRO BID OINTMENT 2% 1 GRAM X 48 PKG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NITRO-DUR 0.3MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MT cover NITRO-DUR 0.3MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NITRO-DUR 0.8MG/HR PATCH INST. ![Compare how all Medicare Part D PDP plans in MT cover NITRO-DUR 0.8MG/HR PATCH INST..](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NITROFURANTOIN 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in MT cover NITROFURANTOIN 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NITROFURANTOIN MCR 50MG CAP ![Compare how all Medicare Part D PDP plans in MT cover NITROFURANTOIN MCR 50MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NITROGLYCERIN .2MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MT cover NITROGLYCERIN .2MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NITROGLYCERIN .4MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MT cover NITROGLYCERIN .4MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NITROGLYCERIN .6MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MT cover NITROGLYCERIN .6MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NITROGLYCERIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MT cover NITROGLYCERIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | P |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in MT cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NITROLINGUAL SPR PUMPSPRA ![Compare how all Medicare Part D PDP plans in MT cover NITROLINGUAL SPR PUMPSPRA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in MT cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NITROSTAT 0.4MG TABLET SL ![Compare how all Medicare Part D PDP plans in MT cover NITROSTAT 0.4MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in MT cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NIZATIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NIZATIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIZATIDINE 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NIZATIDINE 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NIZATIDINE ORAL SOLUTION 15MG/ML ![Compare how all Medicare Part D PDP plans in MT cover NIZATIDINE ORAL SOLUTION 15MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORDITROPIN NORDIFLEX 10MG/1.5 ![Compare how all Medicare Part D PDP plans in MT cover NORDITROPIN NORDIFLEX 10MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | P |
NORDITROPIN NORDIFLEX INJECTION ![Compare how all Medicare Part D PDP plans in MT cover NORDITROPIN NORDIFLEX INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | P |
NORDITROPIN NORDIFLEX INJECTION ![Compare how all Medicare Part D PDP plans in MT cover NORDITROPIN NORDIFLEX INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | P |
NORDITROPIN NORDIFLEX INJECTION ![Compare how all Medicare Part D PDP plans in MT cover NORDITROPIN NORDIFLEX INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty |
32% | 32% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORMOSOL -R INJ /D5W ![Compare how all Medicare Part D PDP plans in MT cover NORMOSOL -R INJ /D5W.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in MT cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOROXIN 400MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NOROXIN 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand Name |
$95.00 | $190.00 | None |
NORPACE CR 100MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in MT cover NORPACE CR 100MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NORTREL 0.5-0.035 TABLET ![Compare how all Medicare Part D PDP plans in MT cover NORTREL 0.5-0.035 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORTREL 1-0.035MG TABLET 21DAY ![Compare how all Medicare Part D PDP plans in MT cover NORTREL 1-0.035MG TABLET 21DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in MT cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORTREL 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in MT cover NORTREL 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORTRIPTYLINE 10MG/5ML SOL ![Compare how all Medicare Part D PDP plans in MT cover NORTRIPTYLINE 10MG/5ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORTRIPTYLINE HCL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NORTRIPTYLINE HCL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in MT cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORTRIPTYLINE HCL 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NORTRIPTYLINE HCL 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORTRIPTYLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in MT cover NORTRIPTYLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NORVIR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MT cover NORVIR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NORVIR 100MG SOFTGEL CAP ![Compare how all Medicare Part D PDP plans in MT cover NORVIR 100MG SOFTGEL CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MT cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVAMINE 15% 500ML IV ![Compare how all Medicare Part D PDP plans in MT cover NOVAMINE 15% 500ML IV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NOVOLIN 70/30 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MT cover NOVOLIN 70/30 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVOLIN 70/INJ 30 INNLT ![Compare how all Medicare Part D PDP plans in MT cover NOVOLIN 70/INJ 30 INNLT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVOLIN N 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MT cover NOVOLIN N 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVOLIN N INJ INNOLET ![Compare how all Medicare Part D PDP plans in MT cover NOVOLIN N INJ INNOLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NOVOLIN R 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MT cover NOVOLIN R 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MT cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVOLOG FLEXPEN SYRINGE ![Compare how all Medicare Part D PDP plans in MT cover NOVOLOG FLEXPEN SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in MT cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in MT cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in MT cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand Name |
$45.00 | $90.00 | None |
NUVARING 0.12-0.015 RING VAGINAL ![Compare how all Medicare Part D PDP plans in MT cover NUVARING 0.12-0.015 RING VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand Name |
$95.00 | $190.00 | None |
NYAMYC 100000 U/G POWDER ![Compare how all Medicare Part D PDP plans in MT cover NYAMYC 100000 U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NYSTATIN 100000 UNT/ML ORAL SUSPENSION ![Compare how all Medicare Part D PDP plans in MT cover NYSTATIN 100000 UNT/ML ORAL SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NYSTATIN 100000U/G POWDER ![Compare how all Medicare Part D PDP plans in MT cover NYSTATIN 100000U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NYSTATIN 100000U/GM CREAM ![Compare how all Medicare Part D PDP plans in MT cover NYSTATIN 100000U/GM CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN OINTMENT 100000UNT/GM 15 GM TUBE ![Compare how all Medicare Part D PDP plans in MT cover NYSTATIN OINTMENT 100000UNT/GM 15 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in MT cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in MT cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in MT cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |
NYSTOP 100000U/GM POWDER ![Compare how all Medicare Part D PDP plans in MT cover NYSTOP 100000U/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Generic |
$10.00 | $26.00 | None |