2013 Medicare Part D Plan Formulary Information |
Peoples Health Secure Choice (HMO SNP) (H1961-008-0)
Benefit Details
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The Peoples Health Secure Choice (HMO SNP) (H1961-008-0) Formulary Drugs Starting with the Letter R in IBERVILLE Parish, LA: CMS MA Region 16 which includes: LA
|
Drugs Starting with Letter R
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
RABIES VACCINE RABAVERT INJECTION 2.5UNT/ML 1 DOSE VIAL ![Compare how all Medicare Part D PDP plans in LA cover RABIES VACCINE RABAVERT INJECTION 2.5UNT/ML 1 DOSE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RAMIPRIL 1.25MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RAMIPRIL 1.25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
25% | 25% | None |
RAMIPRIL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RAMIPRIL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
25% | 25% | None |
RAMIPRIL 2.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RAMIPRIL 2.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
25% | 25% | None |
RAMIPRIL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RAMIPRIL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
25% | 25% | None |
RANEXA ER 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RANEXA ER 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RANEXA ER 500 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RANEXA ER 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RANITIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RANITIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Ranitidine 16.8mg/mL 473 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Ranitidine 16.8mg/mL 473 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Ranitidine 300mg/1 100 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Ranitidine 300mg/1 100 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Ranitidine Hydrochloride 300mg/1 30 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Ranitidine Hydrochloride 300mg/1 30 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RANITIDINE TABLET USP 150MG (500 CT) ![Compare how all Medicare Part D PDP plans in LA cover RANITIDINE TABLET USP 150MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
25% | 25% | None |
RAPAMUNE 1MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RAPAMUNE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | P |
RAPAMUNE 1MG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in LA cover RAPAMUNE 1MG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | P |
RAPAMUNE 2MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RAPAMUNE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | P |
RAPAMUNE TABLETS ![Compare how all Medicare Part D PDP plans in LA cover RAPAMUNE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | P |
RAZADYNE 12MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RAZADYNE 12MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RAZADYNE 4MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RAZADYNE 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RAZADYNE 8MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RAZADYNE 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RAZADYNE ER 16MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RAZADYNE ER 16MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RAZADYNE ER 24MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RAZADYNE ER 24MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RAZADYNE ER 8MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RAZADYNE ER 8MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RAZADYNE SOL 4MG/ML ![Compare how all Medicare Part D PDP plans in LA cover RAZADYNE SOL 4MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REBETOL 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover REBETOL 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
REBETOL 40MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in LA cover REBETOL 40MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REBIF 22ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS ![Compare how all Medicare Part D PDP plans in LA cover REBIF 22ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REBIF 44ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS ![Compare how all Medicare Part D PDP plans in LA cover REBIF 44ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL ![Compare how all Medicare Part D PDP plans in LA cover REBIF TITRTN SOL PACK 8.8MCG/22 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
RECLAST INJECTION ![Compare how all Medicare Part D PDP plans in LA cover RECLAST INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
RECLIPSEN 0.15-0.03 TABLET ![Compare how all Medicare Part D PDP plans in LA cover RECLIPSEN 0.15-0.03 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RECTIV 0.4% OINTMENT ![Compare how all Medicare Part D PDP plans in LA cover RECTIV 0.4% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Regonol 5mg/mL 10 AMPULE in 1 CARTON / 2 mL in 1 AMPULE ![Compare how all Medicare Part D PDP plans in LA cover Regonol 5mg/mL 10 AMPULE in 1 CARTON / 2 mL in 1 AMPULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REGRANEX 0.01% GEL ![Compare how all Medicare Part D PDP plans in LA cover REGRANEX 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in LA cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RELISTOR 12 MG/0.6 ML KIT ![Compare how all Medicare Part D PDP plans in LA cover RELISTOR 12 MG/0.6 ML KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
RELPAX 20MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RELPAX 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | Q:6 /30Days |
RELPAX 40MG TABLET 6X2 BLPK ![Compare how all Medicare Part D PDP plans in LA cover RELPAX 40MG TABLET 6X2 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | Q:6 /30Days |
REMERON 15MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REMERON 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REMERON 30MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REMERON 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REMERON 45MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REMERON 45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REMERON SLTABLET 15MG TABLET 30 BLPK CRTN ![Compare how all Medicare Part D PDP plans in LA cover REMERON SLTABLET 15MG TABLET 30 BLPK CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN ![Compare how all Medicare Part D PDP plans in LA cover REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REMERON SLTABLET 45MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REMERON SLTABLET 45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REMICADE 100MG VIAL ![Compare how all Medicare Part D PDP plans in LA cover REMICADE 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REMODULIN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover REMODULIN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REMODULIN 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover REMODULIN 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REMODULIN 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover REMODULIN 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REMODULIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover REMODULIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
RENVELA 800MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RENVELA 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
reprexain 10-200 mg tablet ![Compare how all Medicare Part D PDP plans in LA cover reprexain 10-200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
reprexain 2.5-200 mg tablet ![Compare how all Medicare Part D PDP plans in LA cover reprexain 2.5-200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
reprexain 5-200 mg tablet ![Compare how all Medicare Part D PDP plans in LA cover reprexain 5-200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REQUIP 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REQUIP 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REQUIP 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REQUIP 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REQUIP 1MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REQUIP 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REQUIP 2MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REQUIP 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REQUIP 3MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REQUIP 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REQUIP 4MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REQUIP 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
REQUIP 5MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REQUIP 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RESCRIPTOR 100mg/1 360 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RESCRIPTOR 100mg/1 360 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RESCRIPTOR 200 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RESCRIPTOR 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RESERPINE 0.1MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RESERPINE 0.1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | P |
RESTASIS CYCLOSPORINE OPTHALMIC EMULSION .05% 30 X 0.4 ML VIALSU ![Compare how all Medicare Part D PDP plans in LA cover RESTASIS CYCLOSPORINE OPTHALMIC EMULSION .05% 30 X 0.4 ML VIALSU.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RESTORIL 15mg/1 100 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RESTORIL 15mg/1 100 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RESTORIL 22.5mg/1 30 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RESTORIL 22.5mg/1 30 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RESTORIL 30mg/1 100 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RESTORIL 30mg/1 100 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RESTORIL 7.5mg/1 30 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RESTORIL 7.5mg/1 30 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RETROVIR 100mg/1 100 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RETROVIR 100mg/1 100 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RETROVIR 10mg/mL 10 VIAL, SINGLE-USE in 1 TRAY / 20 mL in 1 VIAL, SINGLE-USE ![Compare how all Medicare Part D PDP plans in LA cover RETROVIR 10mg/mL 10 VIAL, SINGLE-USE in 1 TRAY / 20 mL in 1 VIAL, SINGLE-USE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RETROVIR 50mg/5mL 240 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RETROVIR 50mg/5mL 240 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Revatio 0.8mg/mL 12.5 mL in 1 VIAL, SINGLE-USE ![Compare how all Medicare Part D PDP plans in LA cover Revatio 0.8mg/mL 12.5 mL in 1 VIAL, SINGLE-USE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REVATIO 20MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REVATIO 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P Q:90 /30Days |
REVIA 50MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover REVIA 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
REVLIMID 10MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in LA cover REVLIMID 10MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in LA cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REVLIMID 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in LA cover REVLIMID 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REVLIMID 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover REVLIMID 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
REYATAZ 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover REYATAZ 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
REYATAZ 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover REYATAZ 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
REYATAZ 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover REYATAZ 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
REYATAZ 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover REYATAZ 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RHEUMATREX 2.5MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in LA cover RHEUMATREX 2.5MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY ![Compare how all Medicare Part D PDP plans in LA cover RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RIBASPHERE 200MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RIBASPHERE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIBASPHERE 400MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RIBASPHERE 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIBASPHERE 600MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RIBASPHERE 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIBASPHERE CAPSULES 200MG 42 BOT ![Compare how all Medicare Part D PDP plans in LA cover RIBASPHERE CAPSULES 200MG 42 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIBASPHERE RibaPak ![Compare how all Medicare Part D PDP plans in LA cover RIBASPHERE RibaPak .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RIBASPHERE RibaPak 400mg/1 ![Compare how all Medicare Part D PDP plans in LA cover RIBASPHERE RibaPak 400mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RIBASPHERE RibaPak 600mg/1 ![Compare how all Medicare Part D PDP plans in LA cover RIBASPHERE RibaPak 600mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RIBAVIRIN 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RIBAVIRIN 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIBAVIRIN 200MG TABLET 168 BOT ![Compare how all Medicare Part D PDP plans in LA cover RIBAVIRIN 200MG TABLET 168 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIDAURA 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RIDAURA 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RIFADIN 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RIFADIN 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RIFADIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RIFADIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RIFADIN IV 600MG VIAL ![Compare how all Medicare Part D PDP plans in LA cover RIFADIN IV 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIFAMATE CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RIFAMATE CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RIFAMPIN 150MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in LA cover RIFAMPIN 150MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIFAMPIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover RIFAMPIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIFAMPIN 600MG VIAL ![Compare how all Medicare Part D PDP plans in LA cover RIFAMPIN 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIFATER TABLET ![Compare how all Medicare Part D PDP plans in LA cover RIFATER TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RILUTEK 50MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RILUTEK 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | P |
Rimantadine 100mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Rimantadine 100mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RINGERS INJECTION 1000ML BAG ![Compare how all Medicare Part D PDP plans in LA cover RINGERS INJECTION 1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RINGERS IRRIGATION 860-30 12X1000ML BAG ![Compare how all Medicare Part D PDP plans in LA cover RINGERS IRRIGATION 860-30 12X1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIOMET 500MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in LA cover RIOMET 500MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
RISPERDAL 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERDAL 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL 1MG M-TAB ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 1MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL 1MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL 2MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL 3MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL 4MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERDAL M TABLET 0.5MG ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL M TABLET 0.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL M-TAB 2mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL M-TAB 2mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL M-TAB 3mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL M-TAB 3mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RISPERDAL M-TAB 4mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in LA cover RISPERDAL M-TAB 4mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Risperidone 1mg/1 7 BLISTER PACK in 1 CARTON / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in LA cover Risperidone 1mg/1 7 BLISTER PACK in 1 CARTON / 4 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Risperidone 1mg/mL 30 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Risperidone 1mg/mL 30 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLET 1 MG ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLET 2 MG ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLET 3 MG ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE TABLET 4 MG ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLETS 3MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLETS 3MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLETS 4MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLETS 4MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLETS ORALLY DISINTEGRATING 0.5MG 30 BLPK ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLETS ORALLY DISINTEGRATING 0.5MG 30 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIDONE TABLETS ORALLY DISINTEGRATING 2MG 30 BLPK ![Compare how all Medicare Part D PDP plans in LA cover RISPERIDONE TABLETS ORALLY DISINTEGRATING 2MG 30 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RISPERIODONE TABLET ![Compare how all Medicare Part D PDP plans in LA cover RISPERIODONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RITALIN 10MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RITALIN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
RITALIN 20MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RITALIN 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
RITALIN 5MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover RITALIN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
RITUXAN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover RITUXAN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in LA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in LA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in LA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
RIVASTIGMINE TARTRATE CAPSULES ![Compare how all Medicare Part D PDP plans in LA cover RIVASTIGMINE TARTRATE CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
rizatriptan 10 mg odt ![Compare how all Medicare Part D PDP plans in LA cover rizatriptan 10 mg odt.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | Q:12 /30Days |
rizatriptan 10 mg tablet ![Compare how all Medicare Part D PDP plans in LA cover rizatriptan 10 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | Q:12 /30Days |
rizatriptan 5 mg odt ![Compare how all Medicare Part D PDP plans in LA cover rizatriptan 5 mg odt.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | Q:12 /30Days |
rizatriptan 5 mg tablet ![Compare how all Medicare Part D PDP plans in LA cover rizatriptan 5 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | Q:12 /30Days |
ROBINUL 1MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover ROBINUL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
ROBINUL FORTE 2MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover ROBINUL FORTE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
Rocaltrol 0.25ug GELATIN COATED 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Rocaltrol 0.25ug GELATIN COATED 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
Rocaltrol 0.5ug GELATIN COATED 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Rocaltrol 0.5ug GELATIN COATED 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Rocaltrol 1ug/mL 15 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover Rocaltrol 1ug/mL 15 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | P |
ROCEPHIN FOR INJECTION ![Compare how all Medicare Part D PDP plans in LA cover ROCEPHIN FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
ROPINIROLE HCL TABLET ![Compare how all Medicare Part D PDP plans in LA cover ROPINIROLE HCL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
ROPINIROLE HCL TABLET 1 MG ![Compare how all Medicare Part D PDP plans in LA cover ROPINIROLE HCL TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
ROPINIROLE HCL TABLET 2 MG ![Compare how all Medicare Part D PDP plans in LA cover ROPINIROLE HCL TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
ROPINIROLE HCL TABLET 3 MG ![Compare how all Medicare Part D PDP plans in LA cover ROPINIROLE HCL TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
ROPINIROLE HCL TABLET 4 MG ![Compare how all Medicare Part D PDP plans in LA cover ROPINIROLE HCL TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
ROPINIROLE HCL TABLET 5 MG ![Compare how all Medicare Part D PDP plans in LA cover ROPINIROLE HCL TABLET 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
ROPINIROLE HYDROCLORIDE TABLET ![Compare how all Medicare Part D PDP plans in LA cover ROPINIROLE HYDROCLORIDE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
25% | 25% | None |
ROTATEQ VACCINE ![Compare how all Medicare Part D PDP plans in LA cover ROTATEQ VACCINE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
ROZEREM 8MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in LA cover ROZEREM 8MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
25% | 25% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RYTHMOL FILM COATED TABLETS 225 MG ![Compare how all Medicare Part D PDP plans in LA cover RYTHMOL FILM COATED TABLETS 225 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RYTHMOL SR 225mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RYTHMOL SR 225mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RYTHMOL SR 325mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RYTHMOL SR 325mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RYTHMOL SR 425mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover RYTHMOL SR 425mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |
RYTHMOL TABLETS ![Compare how all Medicare Part D PDP plans in LA cover RYTHMOL TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
25% | 25% | None |