2011 Medicare Part D Plan Formulary Information |
AARP MedicareRx Enhanced (PDP) (S5921-303-0)
Benefit Details
![Email Prescription and/or Health Benefit details for AARP MedicareRx Enhanced (PDP). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The AARP MedicareRx Enhanced (PDP) (S5921-303-0) Formulary Drugs Starting with the Letter E in CMS PDP Region 18 which includes: MO
|
Drugs Starting with Letter E
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
E.E.S. 200MG/5ML GRANULES ![Compare how all Medicare Part D PDP plans in MO cover E.E.S. 200MG/5ML GRANULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EC-NAPROSYN 375MG TABLET EC ![Compare how all Medicare Part D PDP plans in MO cover EC-NAPROSYN 375MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EC-NAPROSYN 500MG TABLET EC ![Compare how all Medicare Part D PDP plans in MO cover EC-NAPROSYN 500MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ECONAZOLE NITRATE 1% CREAM 85GM TUBE ![Compare how all Medicare Part D PDP plans in MO cover ECONAZOLE NITRATE 1% CREAM 85GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ED K+10 TABLET ![Compare how all Medicare Part D PDP plans in MO cover ED K+10 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
EDECRIN 25MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover EDECRIN 25MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EES 400 TABLET 400MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover EES 400 TABLET 400MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
EFFEXOR 37.5MG CAPSULE ER (90 CT) ![Compare how all Medicare Part D PDP plans in MO cover EFFEXOR 37.5MG CAPSULE ER (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:93 /31Days |
EFFEXOR 50MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in MO cover EFFEXOR 50MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:217 /31Days |
EFFEXOR XR 150MG CAPSULE ER 15 CAPSULES BOT ![Compare how all Medicare Part D PDP plans in MO cover EFFEXOR XR 150MG CAPSULE ER 15 CAPSULES BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:62 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT ![Compare how all Medicare Part D PDP plans in MO cover EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:93 /31Days |
EFUDEX 5% CREAM ![Compare how all Medicare Part D PDP plans in MO cover EFUDEX 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EFUDEX SOLUTION TOPICAL 5% 10 ML BOTDR ![Compare how all Medicare Part D PDP plans in MO cover EFUDEX SOLUTION TOPICAL 5% 10 ML BOTDR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SAFFLOWER OIL 100 MG/ML / SOYBEAN OIL 100 MG/M ![Compare how all Medicare Part D PDP plans in MO cover EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SAFFLOWER OIL 100 MG/ML / SOYBEAN OIL 100 MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | P |
EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SOYBEAN OIL 100 MG/ML INJECTABLE SUSPENSION [L ![Compare how all Medicare Part D PDP plans in MO cover EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SOYBEAN OIL 100 MG/ML INJECTABLE SUSPENSION [L.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | P |
EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SOYBEAN OIL 200 MG/ML INJECTABLE SUSPENSION [L ![Compare how all Medicare Part D PDP plans in MO cover EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SOYBEAN OIL 200 MG/ML INJECTABLE SUSPENSION [L.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | P |
ELAPRASE 6MG/3ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover ELAPRASE 6MG/3ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ELDEPRYL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover ELDEPRYL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ELESTAT 0.05% EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover ELESTAT 0.05% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ELESTRIN GEL ![Compare how all Medicare Part D PDP plans in MO cover ELESTRIN GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:144 /31Days |
ELIDEL 1% CREAM ![Compare how all Medicare Part D PDP plans in MO cover ELIDEL 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | S |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ELIGARD 22.5MG SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover ELIGARD 22.5MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:1 /84Days |
ELIGARD 30MG SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover ELIGARD 30MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:1 /112Days |
ELIGARD 45MG SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover ELIGARD 45MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:1 /168Days |
ELIGARD 7.5MG SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover ELIGARD 7.5MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:1 /28Days |
ELIPHOS TABLETS CALCIUM ACETATE TABLETS 667MG 200 BOT ![Compare how all Medicare Part D PDP plans in MO cover ELIPHOS TABLETS CALCIUM ACETATE TABLETS 667MG 200 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ELITEK 1.5MG VIAL ![Compare how all Medicare Part D PDP plans in MO cover ELITEK 1.5MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ELIXOPHYLLIN 80MG/15ML ELIX ![Compare how all Medicare Part D PDP plans in MO cover ELIXOPHYLLIN 80MG/15ML ELIX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ELLENCE 2MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover ELLENCE 2MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | S |
ELMIRON CAPSULES 100MG ![Compare how all Medicare Part D PDP plans in MO cover ELMIRON CAPSULES 100MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ELOCON 0.1% CREAM ![Compare how all Medicare Part D PDP plans in MO cover ELOCON 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ELOCON 0.1% LOTION ![Compare how all Medicare Part D PDP plans in MO cover ELOCON 0.1% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ELOCON 0.1% OINTMENT ![Compare how all Medicare Part D PDP plans in MO cover ELOCON 0.1% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ELOXATIN 100MG/20ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover ELOXATIN 100MG/20ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ELSPAR INJ 10000UNT ![Compare how all Medicare Part D PDP plans in MO cover ELSPAR INJ 10000UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EMADINE 0.05% EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover EMADINE 0.05% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EMBEDA 20-0.8 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EMBEDA 20-0.8 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:2 /1Days |
EMBEDA 30-1.2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EMBEDA 30-1.2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:2 /1Days |
EMBEDA 50-2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EMBEDA 50-2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:2 /1Days |
EMBEDA CAPSULES EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover EMBEDA CAPSULES EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:2 /1Days |
EMBEDA CAPSULES EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover EMBEDA CAPSULES EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:2 /1Days |
EMBEDA CAPSULES EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover EMBEDA CAPSULES EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:2 /1Days |
EMCYT 140MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EMCYT 140MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
EMEND 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EMEND 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | P Q:1 /31Days |
EMEND CAPSULES 125MG 6 BLPK ![Compare how all Medicare Part D PDP plans in MO cover EMEND CAPSULES 125MG 6 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | P Q:2 /31Days |
EMEND CAPSULES 80MG 2 BLPK ![Compare how all Medicare Part D PDP plans in MO cover EMEND CAPSULES 80MG 2 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | P Q:2 /31Days |
EMEND TRIFOLD PACK ![Compare how all Medicare Part D PDP plans in MO cover EMEND TRIFOLD PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | P Q:6 /31Days |
EMLA CREAM 2.5%/2.5% 30 GM TUBE ![Compare how all Medicare Part D PDP plans in MO cover EMLA CREAM 2.5%/2.5% 30 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EMSAM TRANSDERMAL SYSTEM PATCHES 12MG/24H ![Compare how all Medicare Part D PDP plans in MO cover EMSAM TRANSDERMAL SYSTEM PATCHES 12MG/24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | S Q:31 /31Days |
EMSAM TRANSDERMAL SYSTEM PATCHES 6MG/24H ![Compare how all Medicare Part D PDP plans in MO cover EMSAM TRANSDERMAL SYSTEM PATCHES 6MG/24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | S Q:31 /31Days |
EMSAM TRANSDERMAL SYSTEM PATCHES 9MG/24H ![Compare how all Medicare Part D PDP plans in MO cover EMSAM TRANSDERMAL SYSTEM PATCHES 9MG/24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | S Q:31 /31Days |
EMTRIVA 10MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover EMTRIVA 10MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EMTRIVA 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EMTRIVA 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ENABLEX 15MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENABLEX 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:31 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ENABLEX 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENABLEX 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:31 /31Days |
ENALAPRIL MALEATE 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover ENALAPRIL MALEATE 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENALAPRIL MALEATE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENALAPRIL MALEATE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENALAPRIL MALEATE 20MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in MO cover ENALAPRIL MALEATE 20MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENALAPRIL MALEATE TABLETS 5MG ![Compare how all Medicare Part D PDP plans in MO cover ENALAPRIL MALEATE TABLETS 5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENALAPRIL MALEATE-HCTZ 10MG-25MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover ENALAPRIL MALEATE-HCTZ 10MG-25MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENALAPRIL MALEATE-HCTZ 5-12.5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover ENALAPRIL MALEATE-HCTZ 5-12.5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENBREL 25 MG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover ENBREL 25 MG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:8 /28Days |
ENBREL 25MG KIT ![Compare how all Medicare Part D PDP plans in MO cover ENBREL 25MG KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:4 /28Days |
ENBREL INJECTION 50MG/ML SYR ![Compare how all Medicare Part D PDP plans in MO cover ENBREL INJECTION 50MG/ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:8 /28Days |
ENDOCET 10/650MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENDOCET 10/650MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ENDOCET 10MG-325MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENDOCET 10MG-325MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENDOCET 5/325 TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENDOCET 5/325 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENDOCET 7.5-325MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENDOCET 7.5-325MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENDOCET 7.5/500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENDOCET 7.5/500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENDODAN TABLETS 325;4.8355MG;MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover ENDODAN TABLETS 325;4.8355MG;MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ENDOMETRIN PROGESTERONE MICRONIZED 100MG INSERT ![Compare how all Medicare Part D PDP plans in MO cover ENDOMETRIN PROGESTERONE MICRONIZED 100MG INSERT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ENGERIX B INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENGERIX B INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | P |
ENGERIX B INJECTION 20MCG/ML ![Compare how all Medicare Part D PDP plans in MO cover ENGERIX B INJECTION 20MCG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | P |
ENGERIX-B 10MCG 10 X 0.5ML VIALSD ![Compare how all Medicare Part D PDP plans in MO cover ENGERIX-B 10MCG 10 X 0.5ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | P |
ENJUVIA 0.3MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENJUVIA 0.3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ENJUVIA 0.45MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENJUVIA 0.45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ENJUVIA 0.625MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENJUVIA 0.625MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ENJUVIA 0.9MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENJUVIA 0.9MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ENJUVIA 1.25MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ENJUVIA 1.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ENOXAPARIN SODIUM INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENOXAPARIN SODIUM INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | Q:2 /1Days |
ENOXAPARIN SODIUM INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENOXAPARIN SODIUM INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | Q:2 /1Days |
ENOXAPARIN SODIUM INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENOXAPARIN SODIUM INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | Q:2 /1Days |
ENOXAPARIN SODIUM INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENOXAPARIN SODIUM INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:600 /1Days |
ENOXAPARIN SODIUM INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENOXAPARIN SODIUM INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | Q:2 /1Days |
ENOXAPARIN SODIUM INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENOXAPARIN SODIUM INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | Q:1 /1Days |
ENOXAPARIN SODIUM INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ENOXAPARIN SODIUM INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:800 /1Days |
ENTOCORT EC 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover ENTOCORT EC 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ENULOSE SYRUP 10GM/15ML 1 PINT BOTPL ![Compare how all Medicare Part D PDP plans in MO cover ENULOSE SYRUP 10GM/15ML 1 PINT BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
EPIDUO GEL 0.1;2.5%;% 45 TRADE SIZE TUBE ![Compare how all Medicare Part D PDP plans in MO cover EPIDUO GEL 0.1;2.5%;% 45 TRADE SIZE TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | S |
EPINEPHRINE 0.1MG/ML ABBJCT ![Compare how all Medicare Part D PDP plans in MO cover EPINEPHRINE 0.1MG/ML ABBJCT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPIPEN 0.3MG AUTO-INJECTOR ![Compare how all Medicare Part D PDP plans in MO cover EPIPEN 0.3MG AUTO-INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:2 /31Days |
EPIPEN JR 0.15MG AUTO-INJCT ![Compare how all Medicare Part D PDP plans in MO cover EPIPEN JR 0.15MG AUTO-INJCT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:2 /31Days |
EPIRUBICIN HCL INJECTION SOLUTION 2MG 1 X 25ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover EPIRUBICIN HCL INJECTION SOLUTION 2MG 1 X 25ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPITOL 200MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EPITOL 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
EPIVIR 300MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EPIVIR 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPIVIR HBV 100MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EPIVIR HBV 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPIVIR HBV 25MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in MO cover EPIVIR HBV 25MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPIVIR ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover EPIVIR ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
EPIVIR TABLETS ![Compare how all Medicare Part D PDP plans in MO cover EPIVIR TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPLERENONE 25MG TABS ![Compare how all Medicare Part D PDP plans in MO cover EPLERENONE 25MG TABS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPLERENONE 50MG TABS ![Compare how all Medicare Part D PDP plans in MO cover EPLERENONE 50MG TABS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EPOGEN 10000U/ML VIAL MDV ![Compare how all Medicare Part D PDP plans in MO cover EPOGEN 10000U/ML VIAL MDV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | P Q:12 /28Days |
EPOGEN 2000U/ML VIAL SDV ![Compare how all Medicare Part D PDP plans in MO cover EPOGEN 2000U/ML VIAL SDV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | P Q:15 /31Days |
EPOGEN 3000U/ML VIAL SDV ![Compare how all Medicare Part D PDP plans in MO cover EPOGEN 3000U/ML VIAL SDV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | P Q:30 /31Days |
EPOGEN 4000U/ML VIAL SDV ![Compare how all Medicare Part D PDP plans in MO cover EPOGEN 4000U/ML VIAL SDV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | P Q:30 /31Days |
EPOGEN INJECTION 20000U 10 X 1ML CRTN ![Compare how all Medicare Part D PDP plans in MO cover EPOGEN INJECTION 20000U 10 X 1ML CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P Q:12 /28Days |
EPOGEN INJECTION 40000U 10 X 4ML VIALS VIALSD ![Compare how all Medicare Part D PDP plans in MO cover EPOGEN INJECTION 40000U 10 X 4ML VIALS VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P |
EPZICOM TABLETS ![Compare how all Medicare Part D PDP plans in MO cover EPZICOM TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
EQUETRO CAPSULES 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in MO cover EQUETRO CAPSULES 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
EQUETRO CAPSULES 300MG 120 BOT ![Compare how all Medicare Part D PDP plans in MO cover EQUETRO CAPSULES 300MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EQUETRO EXTENDED RELEASE CAPSULES 100MG 120 BOT ![Compare how all Medicare Part D PDP plans in MO cover EQUETRO EXTENDED RELEASE CAPSULES 100MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ERBITUX 100MG/50ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover ERBITUX 100MG/50ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | P |
ERGOLOID MESYLATES TABLETS 1MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover ERGOLOID MESYLATES TABLETS 1MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ERGOMAR SUBLINGUAL TABLET 2MG ![Compare how all Medicare Part D PDP plans in MO cover ERGOMAR SUBLINGUAL TABLET 2MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ERGOTAMINE-CAFFEINE 1-100MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ERGOTAMINE-CAFFEINE 1-100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERRIN 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ERRIN 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERTACZO 2% CREAM ![Compare how all Medicare Part D PDP plans in MO cover ERTACZO 2% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ERY 2% PADS 2% 60 PADS JAR ![Compare how all Medicare Part D PDP plans in MO cover ERY 2% PADS 2% 60 PADS JAR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERY DELAYED RELEASE TABLETS 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover ERY DELAYED RELEASE TABLETS 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ERY TAB TABLETS 333MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover ERY TAB TABLETS 333MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ERY-TAB 500MG TABLET EC ![Compare how all Medicare Part D PDP plans in MO cover ERY-TAB 500MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ERYPED 200MG/5ML 100 ML BOT ![Compare how all Medicare Part D PDP plans in MO cover ERYPED 200MG/5ML 100 ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ERYPED POWDER FOR ORAL SOLUTION 400MG/5ML 100 ML BOT ![Compare how all Medicare Part D PDP plans in MO cover ERYPED POWDER FOR ORAL SOLUTION 400MG/5ML 100 ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ERYTHROCIN 500MG ADDVNT VL ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROCIN 500MG ADDVNT VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ERYTHROCIN 500MG FILMTAB ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROCIN 500MG FILMTAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ERYTHROCIN STEARATE TABLETS 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROCIN STEARATE TABLETS 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ERYTHROMYCIN 2% SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROMYCIN 2% SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERYTHROMYCIN 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROMYCIN 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERYTHROMYCIN 500MG FILMTAB ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROMYCIN 500MG FILMTAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERYTHROMYCIN ETHYLSUCCINATE AND SULFISOXAZOLE ACETYL POWDER FOR ORAL SUSPENSION 200;600MG/5ML;MG/ 10 ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROMYCIN ETHYLSUCCINATE AND SULFISOXAZOLE ACETYL POWDER FOR ORAL SUSPENSION 200;600MG/5ML;MG/ 10.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERYTHROMYCIN GEL TOPICAL USP 2% 60 GM TUBE ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROMYCIN GEL TOPICAL USP 2% 60 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ERYTHROMYCIN OPHTHALMIC OINTMENT 0.5% 1 G BOX OF 50 TUBE ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROMYCIN OPHTHALMIC OINTMENT 0.5% 1 G BOX OF 50 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ERYTHROMYCIN-BENZOYL PEROXIDE 3-5% GEL ![Compare how all Medicare Part D PDP plans in MO cover ERYTHROMYCIN-BENZOYL PEROXIDE 3-5% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRACE 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTRACE 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ESTRACE 2MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTRACE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ESTRACE TABLET 1MG (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover ESTRACE TABLET 1MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ESTRACE VAG CREAM 0.1MG/GM ![Compare how all Medicare Part D PDP plans in MO cover ESTRACE VAG CREAM 0.1MG/GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ESTRADERM 0.05MG/24H PATCH TRANSDERMAL SEMIWEEKLY ![Compare how all Medicare Part D PDP plans in MO cover ESTRADERM 0.05MG/24H PATCH TRANSDERMAL SEMIWEEKLY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ESTRADERM 0.1MG/24HR PATCH TRANSDERMAL SEMIWEEKLY ![Compare how all Medicare Part D PDP plans in MO cover ESTRADERM 0.1MG/24HR PATCH TRANSDERMAL SEMIWEEKLY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ESTRADIOL .025MG/24H PATCH TRANSDERMAL WEEKLY ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL .025MG/24H PATCH TRANSDERMAL WEEKLY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL .0375MG/24 PATCH TRANSDERMAL WEEKLY ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL .0375MG/24 PATCH TRANSDERMAL WEEKLY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL .075MG/24H PATCH TRANSDERMAL WEEKLY ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL .075MG/24H PATCH TRANSDERMAL WEEKLY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ESTRADIOL 0.05MG/DAY PATCH ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL 0.05MG/DAY PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL 0.06MG/24H PATCH TRANSDERMAL WEEKLY ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL 0.06MG/24H PATCH TRANSDERMAL WEEKLY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL 0.1MG/DAY PATCH ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL 0.1MG/DAY PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL 2MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL TABLET 1MG (500 CT) ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL TABLET 1MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRADIOL VALERATE INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL VALERATE INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ESTRADIOL VALERATE INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL VALERATE INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ESTRADIOL VALERATE INJECTION ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL VALERATE INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ESTRADIOL-NORETH 1.0-0.5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTRADIOL-NORETH 1.0-0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTRING 2MG VAGINAL RING ![Compare how all Medicare Part D PDP plans in MO cover ESTRING 2MG VAGINAL RING.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:1 /90Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ESTROPIPATE 0.625 TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTROPIPATE 0.625 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTROPIPATE 1.25 TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTROPIPATE 1.25 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTROPIPATE 2.5 TABLET ![Compare how all Medicare Part D PDP plans in MO cover ESTROPIPATE 2.5 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ESTROSTEP TABLETS 1;.02MG;MG 28 BLPK ![Compare how all Medicare Part D PDP plans in MO cover ESTROSTEP TABLETS 1;.02MG;MG 28 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ETHAMBUTOL 400 MG ORAL TABLET [MYAMBUTOL] ![Compare how all Medicare Part D PDP plans in MO cover ETHAMBUTOL 400 MG ORAL TABLET [MYAMBUTOL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ETHAMBUTOL HCL 100MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover ETHAMBUTOL HCL 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ETHAMBUTOL HCL 400MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover ETHAMBUTOL HCL 400MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ETHINYL ESTRADIOL 0.02 MG / NORETHINDRONE 1 MG ORAL TABLET) } PACK [LOESTRIN 1/20 21 DAY] ![Compare how all Medicare Part D PDP plans in MO cover ETHINYL ESTRADIOL 0.02 MG / NORETHINDRONE 1 MG ORAL TABLET) } PACK [LOESTRIN 1/20 21 DAY].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ETHINYL ESTRADIOL 0.03 MG / LEVONORGESTREL 0.05 MG ORAL TABLET) / 10 (ETHINYL ESTRADIOL 0.03 MG 6 ![Compare how all Medicare Part D PDP plans in MO cover ETHINYL ESTRADIOL 0.03 MG / LEVONORGESTREL 0.05 MG ORAL TABLET) / 10 (ETHINYL ESTRADIOL 0.03 MG 6.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ETHINYL ESTRADIOL 0.03 MG / NORETHINDRONE 1.5 MG ORAL TABLET) } PACK [LOESTRIN 1.5/30 21 DAY] ![Compare how all Medicare Part D PDP plans in MO cover ETHINYL ESTRADIOL 0.03 MG / NORETHINDRONE 1.5 MG ORAL TABLET) } PACK [LOESTRIN 1.5/30 21 DAY].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
ETHINYL ESTRADIOL 0.03 MG / NORGESTREL 0.3 MG ORAL TABLET/ 7 (INERT INGREDIENTS 1 MG ORAL TAB 21 ![Compare how all Medicare Part D PDP plans in MO cover ETHINYL ESTRADIOL 0.03 MG / NORGESTREL 0.3 MG ORAL TABLET/ 7 (INERT INGREDIENTS 1 MG ORAL TAB 21.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ETHOSUXIMIDE 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover ETHOSUXIMIDE 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ETHOSUXIMIDE 250MG/5ML SYRP ![Compare how all Medicare Part D PDP plans in MO cover ETHOSUXIMIDE 250MG/5ML SYRP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ETHYOL POWDER FOR INJECTION 500MG 3 X 10ML VILSU CRTN ![Compare how all Medicare Part D PDP plans in MO cover ETHYOL POWDER FOR INJECTION 500MG 3 X 10ML VILSU CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | S |
ETIDRONATE DISODIUM 400MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in MO cover ETIDRONATE DISODIUM 400MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ETIDRONATE DISODIUM TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in MO cover ETIDRONATE DISODIUM TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
ETODOLAC 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover ETODOLAC 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ETODOLAC 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover ETODOLAC 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ETODOLAC 400MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in MO cover ETODOLAC 400MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ETODOLAC 400MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in MO cover ETODOLAC 400MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ETODOLAC 500MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover ETODOLAC 500MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ETODOLAC 500MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in MO cover ETODOLAC 500MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ETODOLAC 600MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in MO cover ETODOLAC 600MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic Brand |
$4.50 | $9.00 | None |
ETOPOPHOS 100MG VIAL ![Compare how all Medicare Part D PDP plans in MO cover ETOPOPHOS 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
ETOPOSIDE INJECTION 20MG 25ML VIALMD ![Compare how all Medicare Part D PDP plans in MO cover ETOPOSIDE INJECTION 20MG 25ML VIALMD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EURAX 10% CREAM 60GM ![Compare how all Medicare Part D PDP plans in MO cover EURAX 10% CREAM 60GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EURAX 10% LOTION 454ML ![Compare how all Medicare Part D PDP plans in MO cover EURAX 10% LOTION 454ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EVAMIST 1.53/SPRAY SPRAY NON-AEROSOL ![Compare how all Medicare Part D PDP plans in MO cover EVAMIST 1.53/SPRAY SPRAY NON-AEROSOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:16 /31Days |
EVOCLIN 1% FOAM ![Compare how all Medicare Part D PDP plans in MO cover EVOCLIN 1% FOAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EVOXAC 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EVOXAC 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | S |
EXELDERM 1% CREAM ![Compare how all Medicare Part D PDP plans in MO cover EXELDERM 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EXELDERM SOLUTION 1% 30 ML BOTPL ![Compare how all Medicare Part D PDP plans in MO cover EXELDERM SOLUTION 1% 30 ML BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |
EXELON 1.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EXELON 1.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:62 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
EXELON 2MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover EXELON 2MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:186 /31Days |
EXELON 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EXELON 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:62 /31Days |
EXELON 4.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EXELON 4.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:62 /31Days |
EXELON 4.6MG/24HR PATCH TRANSDERMAL 24 HOURS ![Compare how all Medicare Part D PDP plans in MO cover EXELON 4.6MG/24HR PATCH TRANSDERMAL 24 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:31 /31Days |
EXELON 6MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover EXELON 6MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:62 /31Days |
EXELON 9.5MG/24HR PATCH TRANSDERMAL 24 HOURS ![Compare how all Medicare Part D PDP plans in MO cover EXELON 9.5MG/24HR PATCH TRANSDERMAL 24 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | Q:31 /31Days |
EXFORGE 10MG-160MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EXFORGE 10MG-160MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:31 /31Days |
EXFORGE 10MG-320MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EXFORGE 10MG-320MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:31 /31Days |
EXFORGE 5MG-160MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EXFORGE 5MG-160MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:62 /31Days |
EXFORGE 5MG-320MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EXFORGE 5MG-320MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | Q:31 /31Days |
EXJADE 125MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EXJADE 125MG TABLET.](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 |
EXJADE 250MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EXJADE 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
EXJADE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover EXJADE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Specialty |
33% | 33% | None |
EXTENDED PHENYTOIN SODIUM CAPSULES 300 MG ![Compare how all Medicare Part D PDP plans in MO cover EXTENDED PHENYTOIN SODIUM CAPSULES 300 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Generic Preferred Brand |
$40.00 | $105.00 | None |
EXTINA 2% FOAM ![Compare how all Medicare Part D PDP plans in MO cover EXTINA 2% FOAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Generic Non-Preferred Brand |
$74.00 | $207.00 | None |