2011 Medicare Part D Plan Formulary Information |
AARP MedicareRx Preferred (PDP) (S5820-002-0)
Benefit Details
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The AARP MedicareRx Preferred (PDP) (S5820-002-0) Formulary Drugs Starting with the Letter O in CMS PDP Region 2 which includes: CT MA RI VT
|
Drugs Starting with Letter O
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
OCELLA TABLET ![Compare how all Medicare Part D PDP plans in VT cover OCELLA TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OCTREOTIDE ACETATE INJECTION 1000MCG 1X5ML VIALMD ![Compare how all Medicare Part D PDP plans in VT cover OCTREOTIDE ACETATE INJECTION 1000MCG 1X5ML VIALMD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P |
OCTREOTIDE ACETATE INJECTION 100MCG 10 X1ML AMP ![Compare how all Medicare Part D PDP plans in VT cover OCTREOTIDE ACETATE INJECTION 100MCG 10 X1ML AMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:124 /31Days |
OCTREOTIDE ACETATE INJECTION 500MCG 10 X1ML AMP ![Compare how all Medicare Part D PDP plans in VT cover OCTREOTIDE ACETATE INJECTION 500MCG 10 X1ML AMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:93 /31Days |
OCTREOTIDE ACETATE INJECTION SOLUTION 200MCG 1 X 5ML VIALMD ![Compare how all Medicare Part D PDP plans in VT cover OCTREOTIDE ACETATE INJECTION SOLUTION 200MCG 1 X 5ML VIALMD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:120 /30Days |
OCTREOTIDE ACETATE INJECTION SOLUTION 50MCG 10X1ML AMP ![Compare how all Medicare Part D PDP plans in VT cover OCTREOTIDE ACETATE INJECTION SOLUTION 50MCG 10X1ML AMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | P Q:124 /31Days |
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT ![Compare how all Medicare Part D PDP plans in VT cover OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OFLOXACIN 0.3% DROPS ![Compare how all Medicare Part D PDP plans in VT cover OFLOXACIN 0.3% DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OFLOXACIN 200MG TABLET (50 CT) ![Compare how all Medicare Part D PDP plans in VT cover OFLOXACIN 200MG TABLET (50 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
OFLOXACIN 300MG TABLET (50 CT) ![Compare how all Medicare Part D PDP plans in VT cover OFLOXACIN 300MG TABLET (50 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OFLOXACIN 400MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in VT cover OFLOXACIN 400MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
OFLOXACIN OPHTHALMIC SOLUTION 0.3% 5ML BOT ![Compare how all Medicare Part D PDP plans in VT cover OFLOXACIN OPHTHALMIC SOLUTION 0.3% 5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OGESTREL TABLET 0.05MG/0.5MG ![Compare how all Medicare Part D PDP plans in VT cover OGESTREL TABLET 0.05MG/0.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OLOPATADINE HCL 0.6% SPRAY SOLUTION NASAL SPRAY ![Compare how all Medicare Part D PDP plans in VT cover OLOPATADINE HCL 0.6% SPRAY SOLUTION NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:31 /31Days |
OLUX-E 0.05% FOAM ![Compare how all Medicare Part D PDP plans in VT cover OLUX-E 0.05% FOAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OMEPRAZOLE 10MG CAPSULE DELAYED RELEASE (30 CT) ![Compare how all Medicare Part D PDP plans in VT cover OMEPRAZOLE 10MG CAPSULE DELAYED RELEASE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | Q:31 /31Days |
OMEPRAZOLE CAPSULES ![Compare how all Medicare Part D PDP plans in VT cover OMEPRAZOLE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:62 /31Days |
OMEPRAZOLE CAPSULES ![Compare how all Medicare Part D PDP plans in VT cover OMEPRAZOLE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:62 /31Days |
OMEPRAZOLE CAPSULES DELAYED RELEASE ![Compare how all Medicare Part D PDP plans in VT cover OMEPRAZOLE CAPSULES DELAYED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | Q:124 /31Days |
OMEPRAZOLE CAPSULES DELAYED RELEASE 40 MG ![Compare how all Medicare Part D PDP plans in VT cover OMEPRAZOLE CAPSULES DELAYED RELEASE 40 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | Q:62 /31Days |
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM ![Compare how all Medicare Part D PDP plans in VT cover OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG ![Compare how all Medicare Part D PDP plans in VT cover OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P |
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG ![Compare how all Medicare Part D PDP plans in VT cover OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P |
ONCASPAR 750UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in VT cover ONCASPAR 750UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ONDANSETRON HCL 24MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover ONDANSETRON HCL 24MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | P Q:3 /3Days |
ONDANSETRON HCL 4MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in VT cover ONDANSETRON HCL 4MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | P Q:100 /3Days |
ONDANSETRON HYDROCHLORIDE TABLETS ![Compare how all Medicare Part D PDP plans in VT cover ONDANSETRON HYDROCHLORIDE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | P Q:30 /10Days |
ONDANSETRON HYDROCHLORIDE TABLETS ![Compare how all Medicare Part D PDP plans in VT cover ONDANSETRON HYDROCHLORIDE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | P Q:30 /10Days |
ONDANSETRON INJECTION 2MG 5X2ML VIAL ![Compare how all Medicare Part D PDP plans in VT cover ONDANSETRON INJECTION 2MG 5X2ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
ONDANSETRON ODT 4MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in VT cover ONDANSETRON ODT 4MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | P Q:30 /10Days |
ONDANSETRON ODT 8MG (10 CT) ![Compare how all Medicare Part D PDP plans in VT cover ONDANSETRON ODT 8MG (10 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | P Q:30 /10Days |
ONTAK INJECTION 300MCG/2ML VIALSU ![Compare how all Medicare Part D PDP plans in VT cover ONTAK INJECTION 300MCG/2ML VIALSU.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OPANA 10MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OPANA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:6 /1Days |
OPANA 5MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OPANA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:6 /1Days |
OPANA ER 10MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OPANA ER 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OPANA ER 15MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in VT cover OPANA ER 15MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OPANA ER 20MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OPANA ER 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OPANA ER 30MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in VT cover OPANA ER 30MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OPANA ER 40MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OPANA ER 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OPANA ER 5MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OPANA ER 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OPANA ER 7.5MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in VT cover OPANA ER 7.5MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OPRELVEKIN 5 MG/ML INJECTABLE SOLUTION [NEUMEGA] ![Compare how all Medicare Part D PDP plans in VT cover OPRELVEKIN 5 MG/ML INJECTABLE SOLUTION [NEUMEGA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | P |
OPTIPRANOLOL 0.3% EYE DROPS ![Compare how all Medicare Part D PDP plans in VT cover OPTIPRANOLOL 0.3% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ORAP 1MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORAP 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
ORAP 2MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORAP 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
ORENCIA 250MG VIAL ![Compare how all Medicare Part D PDP plans in VT cover ORENCIA 250MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:4 /28Days |
ORFADIN 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in VT cover ORFADIN 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ORFADIN 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in VT cover ORFADIN 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ORFADIN 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in VT cover ORFADIN 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ORPHENADRINE CITRATE ER TABLET 100MG (100 CT) ![Compare how all Medicare Part D PDP plans in VT cover ORPHENADRINE CITRATE ER TABLET 100MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
ORPHENADRINE CITRATE INJECTION 3030MG/ML 10ML VIAL ![Compare how all Medicare Part D PDP plans in VT cover ORPHENADRINE CITRATE INJECTION 3030MG/ML 10ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
ORPHENADRINE COMP FORTE TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORPHENADRINE COMP FORTE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
ORPHENADRINE COMPOUND 25-385-30 TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORPHENADRINE COMPOUND 25-385-30 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
ORTHO EVRA DIS WEEK .75MG / 6MG ![Compare how all Medicare Part D PDP plans in VT cover ORTHO EVRA DIS WEEK .75MG / 6MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ORTHO MICRON TABLET DIALPAK ![Compare how all Medicare Part D PDP plans in VT cover ORTHO MICRON TABLET DIALPAK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
ORTHO NOVUM 7 7 7 28 TABLETS 0.035;1;0.MG;MG;MG 6 X 28 DLPK ![Compare how all Medicare Part D PDP plans in VT cover ORTHO NOVUM 7 7 7 28 TABLETS 0.035;1;0.MG;MG;MG 6 X 28 DLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
ORTHO TRI-CYCLEN LO TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORTHO TRI-CYCLEN LO TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
ORTHO-CEPT 28 DAY TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORTHO-CEPT 28 DAY TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
ORTHO-CYCLEN 28 TABLET 28 X 6 EA ![Compare how all Medicare Part D PDP plans in VT cover ORTHO-CYCLEN 28 TABLET 28 X 6 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
ORTHO-EST 0.625 TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORTHO-EST 0.625 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
ORTHO-EST 1.25 TABLET ![Compare how all Medicare Part D PDP plans in VT cover ORTHO-EST 1.25 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
ORTHOCLONE OKT-3 5MG/5ML ![Compare how all Medicare Part D PDP plans in VT cover ORTHOCLONE OKT-3 5MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P |
OSMOPREP TABLET 1.5GM ![Compare how all Medicare Part D PDP plans in VT cover OSMOPREP TABLET 1.5GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OVCON-35 28 TABLET ![Compare how all Medicare Part D PDP plans in VT cover OVCON-35 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OVCON-50 28 TABLET ![Compare how all Medicare Part D PDP plans in VT cover OVCON-50 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OXACILLIN 1GM/50ML INJ ![Compare how all Medicare Part D PDP plans in VT cover OXACILLIN 1GM/50ML INJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
OXACILLIN 2GM/50ML INJ ![Compare how all Medicare Part D PDP plans in VT cover OXACILLIN 2GM/50ML INJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
OXACILLIN FOR INJECTION 1 GM ![Compare how all Medicare Part D PDP plans in VT cover OXACILLIN FOR INJECTION 1 GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OXACILLIN INJECTION ![Compare how all Medicare Part D PDP plans in VT cover OXACILLIN INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OXALIPLATIN 5 MG/ML INJECTABLE SOLUTION ![Compare how all Medicare Part D PDP plans in VT cover OXALIPLATIN 5 MG/ML INJECTABLE SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
OXANDRIN 10MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXANDRIN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:56 /28Days |
OXANDRIN 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXANDRIN 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | P Q:112 /28Days |
OXANDROLONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXANDROLONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:56 /28Days |
OXANDROLONE TABLETS ![Compare how all Medicare Part D PDP plans in VT cover OXANDROLONE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | P Q:112 /28Days |
OXAPROZIN 600MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXAPROZIN 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXCARBAZEPINE 150MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXCARBAZEPINE 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OXCARBAZEPINE 300MG TABLET 500 NCRC BOT ![Compare how all Medicare Part D PDP plans in VT cover OXCARBAZEPINE 300MG TABLET 500 NCRC BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
OXCARBAZEPINE 60 MG/ML ORAL SUSPENSION ![Compare how all Medicare Part D PDP plans in VT cover OXCARBAZEPINE 60 MG/ML ORAL SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
OXCARBAZEPINE 600MG TABLET 500 NCRC BOT ![Compare how all Medicare Part D PDP plans in VT cover OXCARBAZEPINE 600MG TABLET 500 NCRC BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
OXISTAT 1% CREAM 30GM TUBE ![Compare how all Medicare Part D PDP plans in VT cover OXISTAT 1% CREAM 30GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OXISTAT 1% LOTION ![Compare how all Medicare Part D PDP plans in VT cover OXISTAT 1% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OXSORALEN 1% LOTION ![Compare how all Medicare Part D PDP plans in VT cover OXSORALEN 1% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$91.00 | $258.00 | None |
OXSORALEN-ULTRA 10MG CAP ![Compare how all Medicare Part D PDP plans in VT cover OXSORALEN-ULTRA 10MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
OXYBUTYNIN 5MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXYBUTYNIN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYBUTYNIN CHLORIDE ER 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in VT cover OXYBUTYNIN CHLORIDE ER 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | Q:62 /31Days |
OXYBUTYNIN CHLORIDE ER 5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in VT cover OXYBUTYNIN CHLORIDE ER 5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | Q:31 /31Days |
OXYBUTYNIN CHLORIDE SYRUP USP 5MG/5ML 5 ML UNIT DOSE CUP ![Compare how all Medicare Part D PDP plans in VT cover OXYBUTYNIN CHLORIDE SYRUP USP 5MG/5ML 5 ML UNIT DOSE CUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OXYBUTYNIN CHLORIDE TABLET ER 15MG (100 CT) ![Compare how all Medicare Part D PDP plans in VT cover OXYBUTYNIN CHLORIDE TABLET ER 15MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | Q:62 /31Days |
OXYCODONE AND ACETAMINOPHEN 325-5MG TABLET USP (500 CT) ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE AND ACETAMINOPHEN 325-5MG TABLET USP (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE AND ACETAMINOPHEN CAPSULES 500;5MG;MG 500 BOT ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE AND ACETAMINOPHEN CAPSULES 500;5MG;MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE AND ACETAMINOPHEN TABLETS 2.5;325MG;MG 100 BOT ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE AND ACETAMINOPHEN TABLETS 2.5;325MG;MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE HCL 30MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE HCL 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE HCL 5MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE HCL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE HCL-ACETAMINOPHEN 10MG-325MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE HCL-ACETAMINOPHEN 10MG-325MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE HCL-ACETAMINOPHEN 500-7.5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE HCL-ACETAMINOPHEN 500-7.5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE HCL-IBUPROFEN 400MG-5MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE HCL-IBUPROFEN 400MG-5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | None |
OXYCODONE HYDROCHLORIDE AND ACETAMINOPHEN TABLETS 650;10MG;MG 100 BOT ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE HYDROCHLORIDE AND ACETAMINOPHEN TABLETS 650;10MG;MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE HYDROCHLORIDE TABLETS 15MG 100 TABLETS BOTPL ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE HYDROCHLORIDE TABLETS 15MG 100 TABLETS BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OXYCODONE-ACETAMINOPHEN 7.5-325MG TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE-ACETAMINOPHEN 7.5-325MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCODONE/ASA 4.88/325 TABLET ![Compare how all Medicare Part D PDP plans in VT cover OXYCODONE/ASA 4.88/325 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$7.00 | $7.00 | None |
OXYCONTIN 10MG TABLET SA ![Compare how all Medicare Part D PDP plans in VT cover OXYCONTIN 10MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OXYCONTIN 15MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in VT cover OXYCONTIN 15MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OXYCONTIN 20MG TABLET SA ![Compare how all Medicare Part D PDP plans in VT cover OXYCONTIN 20MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OXYCONTIN 30MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in VT cover OXYCONTIN 30MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OXYCONTIN 40MG TABLET SA ![Compare how all Medicare Part D PDP plans in VT cover OXYCONTIN 40MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OXYCONTIN 60MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in VT cover OXYCONTIN 60MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:4 /1Days |
OXYCONTIN 80MG TABLET SA ![Compare how all Medicare Part D PDP plans in VT cover OXYCONTIN 80MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:6 /1Days |
OXYMORPHONE HYDROCHLORIDE TABLETS ![Compare how all Medicare Part D PDP plans in VT cover OXYMORPHONE HYDROCHLORIDE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:6 /1Days |
OXYMORPHONE HYDROCHLORIDE TABLETS ![Compare how all Medicare Part D PDP plans in VT cover OXYMORPHONE HYDROCHLORIDE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:6 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
OXYTROL 3.9MG/24HR PATCH ![Compare how all Medicare Part D PDP plans in VT cover OXYTROL 3.9MG/24HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$45.00 | $120.00 | Q:10 /31Days |