2013 Medicare Part D Plan Formulary Information |
Freedom Blue PPO Deluxe (PPO) (H5106-014-0)
Benefit Details
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The Freedom Blue PPO Deluxe (PPO) (H5106-014-0) Formulary Drugs Starting with the Letter M in BOONE County, WV: CMS MA Region 6 which includes: WV
|
Drugs Starting with Letter M
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML ![Compare how all Medicare Part D PDP plans in WV cover M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Macrobid 25; 75mg/1; mg/1 100 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Macrobid 25; 75mg/1; mg/1 100 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:90 /365Days |
Macrodantin Nitrofurantion crystals 100mg 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Macrodantin Nitrofurantion crystals 100mg 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:90 /365Days |
Macrodantin Nitrofurantion crystals 25mg 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Macrodantin Nitrofurantion crystals 25mg 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:90 /365Days |
mafenide acetate 50 gm powd pk ![Compare how all Medicare Part D PDP plans in WV cover mafenide acetate 50 gm powd pk.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Magnacet 400; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Magnacet 400; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:300 /25Days |
MAGNACET 5 MG-400 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAGNACET 5 MG-400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:300 /25Days |
MAGNACET 7.5 MG-400 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAGNACET 7.5 MG-400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:300 /25Days |
MAGNESIUM SULFATE INJECTION 5 GM/10ML ![Compare how all Medicare Part D PDP plans in WV cover MAGNESIUM SULFATE INJECTION 5 GM/10ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MALARONE 250-100MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MALARONE 250-100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MALARONE 62.5-25MG PED TABLET ![Compare how all Medicare Part D PDP plans in WV cover MALARONE 62.5-25MG PED TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
Malathion 5mg/mL 1 BOTTLE in 1 CARTON / 59 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Malathion 5mg/mL 1 BOTTLE in 1 CARTON / 59 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MAPROTILINE 25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAPROTILINE 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MAPROTILINE 50MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAPROTILINE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MAPROTILINE 75MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAPROTILINE 75MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Marinol 10mg/1 60 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Marinol 10mg/1 60 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
MARINOL 2.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MARINOL 2.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
MARINOL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MARINOL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
MARLISSA-28 TABLET ![Compare how all Medicare Part D PDP plans in WV cover MARLISSA-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MARPLAN 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover MARPLAN 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
MATULANE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MATULANE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Matzim LA 180mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Matzim LA 180mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Matzim LA 240mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Matzim LA 240mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Matzim LA 300mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Matzim LA 300mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Matzim LA 360mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Matzim LA 360mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Matzim LA 420mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Matzim LA 420mg/1 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MAVIK 1MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAVIK 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MAVIK 2MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAVIK 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MAVIK 4MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAVIK 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MAXALT 10mg/1 18 POUCH in 1 CARTON / 1 TABLET in 1 POUCH ![Compare how all Medicare Part D PDP plans in WV cover MAXALT 10mg/1 18 POUCH in 1 CARTON / 1 TABLET in 1 POUCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | Q:12 /25Days |
MAXALT 5mg/1 18 POUCH in 1 CARTON / 1 TABLET in 1 POUCH ![Compare how all Medicare Part D PDP plans in WV cover MAXALT 5mg/1 18 POUCH in 1 CARTON / 1 TABLET in 1 POUCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | Q:12 /25Days |
MAXALT MLT 10MG TABLET 4X3 UNIT DOSE CASE ![Compare how all Medicare Part D PDP plans in WV cover MAXALT MLT 10MG TABLET 4X3 UNIT DOSE CASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | Q:12 /25Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MAXALT MLT 5MG TABLET 4X3 UNIT CASE ![Compare how all Medicare Part D PDP plans in WV cover MAXALT MLT 5MG TABLET 4X3 UNIT CASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | Q:12 /25Days |
MAXIDEX OPHTHALMIC SUSPENSION 0.1% 5ML BOT ![Compare how all Medicare Part D PDP plans in WV cover MAXIDEX OPHTHALMIC SUSPENSION 0.1% 5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MAXIDONE 10-750 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAXIDONE 10-750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:150 /25Days |
MAXITROL EYE OINTMENT ![Compare how all Medicare Part D PDP plans in WV cover MAXITROL EYE OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MAXITROL SUS 0.1% OP ![Compare how all Medicare Part D PDP plans in WV cover MAXITROL SUS 0.1% OP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MAXZIDE 37.5 MG-25 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MAXZIDE 37.5 MG-25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MAXZIDE 50; 75mg 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover MAXZIDE 50; 75mg 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MECLIZINE HYDROCHLORIDE TABLETS 12.5MG 100 BOT ![Compare how all Medicare Part D PDP plans in WV cover MECLIZINE HYDROCHLORIDE TABLETS 12.5MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MECLIZINE HYDROCHLORIDE TABLETS 25MG 100 BOT ![Compare how all Medicare Part D PDP plans in WV cover MECLIZINE HYDROCHLORIDE TABLETS 25MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MECLOFENAMATE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MECLOFENAMATE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MECLOFENAMATE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MECLOFENAMATE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MEDROL 16MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MEDROL 16MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEDROL 32MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MEDROL 32MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
MEDROL 4MG DOSEPAK ![Compare how all Medicare Part D PDP plans in WV cover MEDROL 4MG DOSEPAK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEDROL 4MG DOSEPAK (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover MEDROL 4MG DOSEPAK (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEDROL 8MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MEDROL 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Medroxyprogesterone Acetate 10mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Medroxyprogesterone Acetate 10mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Medroxyprogesterone Acetate 2.5mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Medroxyprogesterone Acetate 2.5mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Medroxyprogesterone Acetate 5mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Medroxyprogesterone Acetate 5mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEDROXYPROGESTERONE ACETATE INJECTION SUSPENSION 150MG 1 VIALSD CRTN ![Compare how all Medicare Part D PDP plans in WV cover MEDROXYPROGESTERONE ACETATE INJECTION SUSPENSION 150MG 1 VIALSD CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Mefenamic Acid 250mg/1 30 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Mefenamic Acid 250mg/1 30 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEFLOQUINE HCL 250MG TABLET 25 BOT ![Compare how all Medicare Part D PDP plans in WV cover MEFLOQUINE HCL 250MG TABLET 25 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MEGACE 40MG/ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in WV cover MEGACE 40MG/ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEGACE ES 625MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in WV cover MEGACE ES 625MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEGESTROL 20MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MEGESTROL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEGESTROL ACETATE 40MG TABLET (250 CT) ![Compare how all Medicare Part D PDP plans in WV cover MEGESTROL ACETATE 40MG TABLET (250 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Megestrol Acetate 40mg/mL 480 mL in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Megestrol Acetate 40mg/mL 480 mL in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Meloxicam 15mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Meloxicam 15mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MELOXICAM 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MELOXICAM 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MELOXICAM 7.5MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in WV cover MELOXICAM 7.5MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MELPHALAN 5 MG/ML INJECTABLE SOLUTION ![Compare how all Medicare Part D PDP plans in WV cover MELPHALAN 5 MG/ML INJECTABLE SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
Menactra 4; 4; 4; 4ug/0.5mL; ug/0.5mL; ug/0.5mL; ug/0.5mL 5 VIAL, SINGLE-DOSE in 1 PACKAGE / 0.5 mL ![Compare how all Medicare Part D PDP plans in WV cover Menactra 4; 4; 4; 4ug/0.5mL; ug/0.5mL; ug/0.5mL; ug/0.5mL 5 VIAL, SINGLE-DOSE in 1 PACKAGE / 0.5 mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
MENEST 0.3MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MENEST 0.3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MENEST 0.625MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MENEST 0.625MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MENEST 1.25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MENEST 1.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MENEST 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MENEST 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MENOMUNE-A/C/Y/W-135 VIAL ![Compare how all Medicare Part D PDP plans in WV cover MENOMUNE-A/C/Y/W-135 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
MENOSTAR 14 MCG/DAY PATCH ![Compare how all Medicare Part D PDP plans in WV cover MENOSTAR 14 MCG/DAY PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MENTAX 1% CREAM 15G TUBE ![Compare how all Medicare Part D PDP plans in WV cover MENTAX 1% CREAM 15G TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MENVEO INJECTION KIT ![Compare how all Medicare Part D PDP plans in WV cover MENVEO INJECTION KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEPERIDINE 50MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in WV cover MEPERIDINE 50MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Meperidine Hydrochloride 100mg/1 100 TABLET BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Meperidine Hydrochloride 100mg/1 100 TABLET BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Meperidine Hydrochloride 100mg/mL 25 VIAL in 1 CARTON / 1 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WV cover Meperidine Hydrochloride 100mg/mL 25 VIAL in 1 CARTON / 1 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Meperidine Hydrochloride 25mg/mL 25 VIAL in 1 CARTON / 1 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WV cover Meperidine Hydrochloride 25mg/mL 25 VIAL in 1 CARTON / 1 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Meperidine Hydrochloride 50mg/1 100 TABLET BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Meperidine Hydrochloride 50mg/1 100 TABLET BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Meperidine Hydrochloride 50mg/mL 25 VIAL in 1 CARTON / 1 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WV cover Meperidine Hydrochloride 50mg/mL 25 VIAL in 1 CARTON / 1 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Meprobamate 200mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Meprobamate 200mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Meprobamate 400mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Meprobamate 400mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEPRON 750MG/5ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in WV cover MEPRON 750MG/5ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
MERCAPTOPURINE 50MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MERCAPTOPURINE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEROPENEM FOR INJECTION ![Compare how all Medicare Part D PDP plans in WV cover MEROPENEM FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MERREM INJECTION 500MG 10X20MLVIALS VIAL ![Compare how all Medicare Part D PDP plans in WV cover MERREM INJECTION 500MG 10X20MLVIALS VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Mesalamine 1 KIT in 1 CARTON ![Compare how all Medicare Part D PDP plans in WV cover Mesalamine 1 KIT in 1 CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MESNA INJECTION 1GM/ML 10ML VIALMD CRTN ![Compare how all Medicare Part D PDP plans in WV cover MESNA INJECTION 1GM/ML 10ML VIALMD CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MESNEX 400MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MESNEX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MESNEX INJECTION ![Compare how all Medicare Part D PDP plans in WV cover MESNEX INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
MESTINON 180MG TIMESPAN ![Compare how all Medicare Part D PDP plans in WV cover MESTINON 180MG TIMESPAN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
MESTINON 60MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in WV cover MESTINON 60MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
MESTINON TABLETS 60MG 100 BOT ![Compare how all Medicare Part D PDP plans in WV cover MESTINON TABLETS 60MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METADATE CD 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover METADATE CD 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METADATE CD 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover METADATE CD 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Metadate CD 30mg EXTENDED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Metadate CD 30mg EXTENDED RELEASE 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METADATE CD 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover METADATE CD 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METADATE CD 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover METADATE CD 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METADATE CD 60MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover METADATE CD 60MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METADATE ER 20MG TABLET SA ![Compare how all Medicare Part D PDP plans in WV cover METADATE ER 20MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METAPROTERENOL 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METAPROTERENOL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METAPROTERENOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METAPROTERENOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Metaproterenol Sulfate 10mg/5mL 473 mL in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Metaproterenol Sulfate 10mg/5mL 473 mL in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METFORMIN HCL 1000MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in WV cover METFORMIN HCL 1000MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METFORMIN HCL 500MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in WV cover METFORMIN HCL 500MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METFORMIN HCL ER 1,000 MG TAB ![Compare how all Medicare Part D PDP plans in WV cover METFORMIN HCL ER 1,000 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METFORMIN HCL ER 500MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in WV cover METFORMIN HCL ER 500MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Metformin Hydrochloride 750mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Metformin Hydrochloride 750mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METFORMIN HYDROCHLORIDE 850mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover METFORMIN HYDROCHLORIDE 850mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHADONE HCL 5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover METHADONE HCL 5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHADONE HYDROCHLORIDE 10mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover METHADONE HYDROCHLORIDE 10mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Methadone Hydrochloride 10mg/5mL ![Compare how all Medicare Part D PDP plans in WV cover Methadone Hydrochloride 10mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methadone Hydrochloride 10mg/mL ![Compare how all Medicare Part D PDP plans in WV cover Methadone Hydrochloride 10mg/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methadone Hydrochloride 5mg/5mL ![Compare how all Medicare Part D PDP plans in WV cover Methadone Hydrochloride 5mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHADONE HYDROCHLORIDE INJECTION 10MG/ML ![Compare how all Medicare Part D PDP plans in WV cover METHADONE HYDROCHLORIDE INJECTION 10MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHADOSE 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHADOSE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHAMPHETAMINE HYDROCHLORIDE TABLETS 5 MG ![Compare how all Medicare Part D PDP plans in WV cover METHAMPHETAMINE HYDROCHLORIDE TABLETS 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHAZOLAMIDE 25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHAZOLAMIDE 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHAZOLAMIDE 50MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHAZOLAMIDE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methenamine Hippurate 1g/1 ![Compare how all Medicare Part D PDP plans in WV cover Methenamine Hippurate 1g/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHERGINE 0.2MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHERGINE 0.2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Methimazole 10mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Methimazole 10mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHIMAZOLE TABLETS ![Compare how all Medicare Part D PDP plans in WV cover METHIMAZOLE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHITEST 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHITEST 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
Methocarbamol 500mg 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Methocarbamol 500mg 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHOCARBAMOL 750MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in WV cover METHOCARBAMOL 750MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHOTREXATE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHOTREXATE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | P |
Methotrexate 25mg/mL 10 VIAL in 1 BOX, UNIT-DOSE / 8 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WV cover Methotrexate 25mg/mL 10 VIAL in 1 BOX, UNIT-DOSE / 8 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | P |
METHOTREXATE FOR INJECTION 1 GM/ML ![Compare how all Medicare Part D PDP plans in WV cover METHOTREXATE FOR INJECTION 1 GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | P |
METHSCOPOLAMINE BROMIDE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHSCOPOLAMINE BROMIDE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYCLOTHIAZIDE 5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYCLOTHIAZIDE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLDOPA 250MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLDOPA 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLDOPA 500MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLDOPA 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Methyldopa and Hydrochlorothiazide 25; 250mg/1; mg/1 100 TABLET BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover Methyldopa and Hydrochlorothiazide 25; 250mg/1; mg/1 100 TABLET BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLDOPA/HCTZ 250-15 TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLDOPA/HCTZ 250-15 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLDOPATE 250MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in WV cover METHYLDOPATE 250MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methylergonovine Maleate 0.2mg/1 28 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Methylergonovine Maleate 0.2mg/1 28 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLIN 10 MG CHEWABLE ![Compare how all Medicare Part D PDP plans in WV cover METHYLIN 10 MG CHEWABLE .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METHYLIN 2.5 MG CHEWABLE TAB ![Compare how all Medicare Part D PDP plans in WV cover METHYLIN 2.5 MG CHEWABLE TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METHYLIN 5 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLIN 5 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METHYLIN SOLUTION 5MG/5ML 500 ML BOT ![Compare how all Medicare Part D PDP plans in WV cover METHYLIN SOLUTION 5MG/5ML 500 ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METHYLPHENIDATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE 2 MG/ML ORAL SOLUTION [METHYLIN] ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE 2 MG/ML ORAL SOLUTION [METHYLIN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METHYLPHENIDATE 20MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHYLPHENIDATE CD 10 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE CD 10 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
methylphenidate cd 50 mg cap ![Compare how all Medicare Part D PDP plans in WV cover methylphenidate cd 50 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
methylphenidate cd 60 mg cap ![Compare how all Medicare Part D PDP plans in WV cover methylphenidate cd 60 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE ER 20 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE ER 20 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE ER 27 MG TAB ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE ER 27 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE ER 30 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE ER 30 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE ER 36 MG TAB ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE ER 36 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE ER 40 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE ER 40 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE ER 54 MG TAB ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE ER 54 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methylphenidate Hydrochloride 10mg/5mL 500 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Methylphenidate Hydrochloride 10mg/5mL 500 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE HYDROCHLORIDE 5mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE HYDROCHLORIDE 5mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Methylphenidate Hydrochloride 5mg/5mL 500 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Methylphenidate Hydrochloride 5mg/5mL 500 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPHENIDATE HYDROCHLORIDE EXTENDED-RELEASE 20mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover METHYLPHENIDATE HYDROCHLORIDE EXTENDED-RELEASE 20mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
methylprednisolone 125 mg vial ![Compare how all Medicare Part D PDP plans in WV cover methylprednisolone 125 mg vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPREDNISOLONE 16MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLPREDNISOLONE 16MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPREDNISOLONE 32MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLPREDNISOLONE 32MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
methylprednisolone 40 mg vial ![Compare how all Medicare Part D PDP plans in WV cover methylprednisolone 40 mg vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methylprednisolone 40mg/mL 1 VIAL, MULTI-DOSE in 1 CARTON / 5 mL in 1 VIAL, MULTI-DOSE ![Compare how all Medicare Part D PDP plans in WV cover Methylprednisolone 40mg/mL 1 VIAL, MULTI-DOSE in 1 CARTON / 5 mL in 1 VIAL, MULTI-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methylprednisolone 4mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Methylprednisolone 4mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METHYLPREDNISOLONE 8 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in WV cover METHYLPREDNISOLONE 8 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methylprednisolone acetate 80mg/mL 25 VIAL, GLASS in 1 CARTON / 1 mL in 1 VIAL, GLASS ![Compare how all Medicare Part D PDP plans in WV cover Methylprednisolone acetate 80mg/mL 25 VIAL, GLASS in 1 CARTON / 1 mL in 1 VIAL, GLASS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Methylprednisolone Sodium Succinate 1g/8mL 1 VIAL, SINGLE-DOSE in 1 BOX / 8 mL in 1 VIAL, SINGLE-DO ![Compare how all Medicare Part D PDP plans in WV cover Methylprednisolone Sodium Succinate 1g/8mL 1 VIAL, SINGLE-DOSE in 1 BOX / 8 mL in 1 VIAL, SINGLE-DO.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHYLPREDNISOLONE TABLET 4MG 21 PKGCOM ![Compare how all Medicare Part D PDP plans in WV cover METHYLPREDNISOLONE TABLET 4MG 21 PKGCOM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METIPRANOLOL 0.3% EYE DROPS ![Compare how all Medicare Part D PDP plans in WV cover METIPRANOLOL 0.3% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOCLOPRAMIDE 10 MG DISINTEGRATING TABLET [METOZOLV] ![Compare how all Medicare Part D PDP plans in WV cover METOCLOPRAMIDE 10 MG DISINTEGRATING TABLET [METOZOLV].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Metoclopramide 10mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Metoclopramide 10mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Metoclopramide 10mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Metoclopramide 10mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOCLOPRAMIDE 5 MG DISINTEGRATING TABLET [METOZOLV] ![Compare how all Medicare Part D PDP plans in WV cover METOCLOPRAMIDE 5 MG DISINTEGRATING TABLET [METOZOLV].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METOCLOPRAMIDE 5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METOCLOPRAMIDE 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Metoclopramide 5mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Metoclopramide 5mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Metoclopramide 5mg/mL 25 VIAL in 1 TRAY / 2 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WV cover Metoclopramide 5mg/mL 25 VIAL in 1 TRAY / 2 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOCLOPRAMIDE SOLUTION ORAL USP 5MG 1 PT BOT ![Compare how all Medicare Part D PDP plans in WV cover METOCLOPRAMIDE SOLUTION ORAL USP 5MG 1 PT BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOLAZONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METOLAZONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METOLAZONE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METOLAZONE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOLAZONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METOLAZONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL SUCC ER 100 MG TAB ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL SUCC ER 100 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL SUCC ER 50 MG TAB ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL SUCC ER 50 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL SUCCINATE 25MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL SUCCINATE 25MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL SUCINNATE TABLETS EXTENDED RELEASE 200MG 1000 BOT ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL SUCINNATE TABLETS EXTENDED RELEASE 200MG 1000 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL TARTRATE 25MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL TARTRATE 25MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL TARTRATE INJECTION USP 5MG 10X5ML VIALSD ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL TARTRATE INJECTION USP 5MG 10X5ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT) ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL TARTRATE TABLET USP 100MG (1000 CT) ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL TARTRATE TABLET USP 100MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL-HYDROCHLOROTHIAZIDE 100-50MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL-HYDROCHLOROTHIAZIDE 100-50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METOPROLOL-HYDROCHLOROTHIAZIDE 100MG-25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL-HYDROCHLOROTHIAZIDE 100MG-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METOPROLOL-HYDROCHLOROTHIAZIDE 50MG-25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover METOPROLOL-HYDROCHLOROTHIAZIDE 50MG-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METROCREAM 0.75% CREAM ![Compare how all Medicare Part D PDP plans in WV cover METROCREAM 0.75% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METROGEL TOPICAL 1% GEL ![Compare how all Medicare Part D PDP plans in WV cover METROGEL TOPICAL 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METROLOTION TOPICAL 0.75% ![Compare how all Medicare Part D PDP plans in WV cover METROLOTION TOPICAL 0.75%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
METRONIDAZOLE 0.75% CREAM ![Compare how all Medicare Part D PDP plans in WV cover METRONIDAZOLE 0.75% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METRONIDAZOLE 0.75% LOTION ![Compare how all Medicare Part D PDP plans in WV cover METRONIDAZOLE 0.75% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Metronidazole 375mg/1 50 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Metronidazole 375mg/1 50 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Metronidazole 500mg/100mL 24 BAG in 1 CARTON / 100 mL in 1 BAG ![Compare how all Medicare Part D PDP plans in WV cover Metronidazole 500mg/100mL 24 BAG in 1 CARTON / 100 mL in 1 BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METRONIDAZOLE TABLETS USP 250MG 250 BOTPL ![Compare how all Medicare Part D PDP plans in WV cover METRONIDAZOLE TABLETS USP 250MG 250 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METRONIDAZOLE TABLETS USP 500MG 100 BOTPL ![Compare how all Medicare Part D PDP plans in WV cover METRONIDAZOLE TABLETS USP 500MG 100 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METRONIDAZOLE TOPICAL GEL 0.75% 45GM TUBE ![Compare how all Medicare Part D PDP plans in WV cover METRONIDAZOLE TOPICAL GEL 0.75% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
METRONIDAZOLE VAGINAL GEL ![Compare how all Medicare Part D PDP plans in WV cover METRONIDAZOLE VAGINAL GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEVACOR 20MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MEVACOR 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEVACOR 40MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MEVACOR 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MEXILETINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MEXILETINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEXILETINE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MEXILETINE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MEXILETINE 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MEXILETINE 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIACALCIN 200IU/ML VIAL ![Compare how all Medicare Part D PDP plans in WV cover MIACALCIN 200IU/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
MIACALCIN 200UNITS NASAL SPRA ![Compare how all Medicare Part D PDP plans in WV cover MIACALCIN 200UNITS NASAL SPRA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Micardis 20mg/1 3 BLISTER PACK in 1 CARTON / 10 TABLET in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in WV cover Micardis 20mg/1 3 BLISTER PACK in 1 CARTON / 10 TABLET in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MICARDIS 40MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICARDIS 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MICARDIS 80MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICARDIS 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MICARDIS HCT 40/12.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICARDIS HCT 40/12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MICARDIS HCT 80/12.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICARDIS HCT 80/12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MICARDIS HCT 80/25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICARDIS HCT 80/25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MICONAZOLE 3 200MG SUPPOS. ![Compare how all Medicare Part D PDP plans in WV cover MICONAZOLE 3 200MG SUPPOS..](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MICROGESTIN 1-0.02MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICROGESTIN 1-0.02MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MICROGESTIN 1.5-0.03MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICROGESTIN 1.5-0.03MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MICROGESTIN FE 1.5/30 TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICROGESTIN FE 1.5/30 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MICROGESTIN FE 1/20 TABLET ![Compare how all Medicare Part D PDP plans in WV cover MICROGESTIN FE 1/20 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MICROZIDE 12.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MICROZIDE 12.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIDODRINE HCL 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIDODRINE HCL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MIDODRINE HCL 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIDODRINE HCL 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIDODRINE HCL 5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover MIDODRINE HCL 5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIGERGOT 2-100MG SUPPOSITORY RECTAL ![Compare how all Medicare Part D PDP plans in WV cover MIGERGOT 2-100MG SUPPOSITORY RECTAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIGRANAL 0.5MG/SPRY AEROSOL SPRAY W/PUMP ![Compare how all Medicare Part D PDP plans in WV cover MIGRANAL 0.5MG/SPRY AEROSOL SPRAY W/PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | Q:8 /25Days |
MILLIPRED 10;5MG;ML ![Compare how all Medicare Part D PDP plans in WV cover MILLIPRED 10;5MG;ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MILLIPRED TABLETS 5MG ![Compare how all Medicare Part D PDP plans in WV cover MILLIPRED TABLETS 5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINIPRESS 1MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MINIPRESS 1MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Minipress 2mg/1 250 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Minipress 2mg/1 250 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Minipress 5mg/1 250 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Minipress 5mg/1 250 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MINIVELLE 0.0375 MG PATCH ![Compare how all Medicare Part D PDP plans in WV cover MINIVELLE 0.0375 MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MINIVELLE 0.05 MG PATCH ![Compare how all Medicare Part D PDP plans in WV cover MINIVELLE 0.05 MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MINIVELLE 0.075 MG PATCH ![Compare how all Medicare Part D PDP plans in WV cover MINIVELLE 0.075 MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MINIVELLE 0.1 MG PATCH ![Compare how all Medicare Part D PDP plans in WV cover MINIVELLE 0.1 MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MINOCIN PELLET FILLED CAPSULES 100MG (50 CT) ![Compare how all Medicare Part D PDP plans in WV cover MINOCIN PELLET FILLED CAPSULES 100MG (50 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MINOCIN PELLET FILLED CAPSULES 50MG (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover MINOCIN PELLET FILLED CAPSULES 50MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MINOCYCLINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MINOCYCLINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINOCYCLINE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MINOCYCLINE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINOCYCLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MINOCYCLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Minocycline Hydrochloride 100mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Minocycline Hydrochloride 100mg/1 60 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Minocycline Hydrochloride 75mg/1 100 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Minocycline Hydrochloride 75mg/1 100 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINOCYCLINE HYDROCHLORIDE TABLETS 50MG ![Compare how all Medicare Part D PDP plans in WV cover MINOCYCLINE HYDROCHLORIDE TABLETS 50MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINOCYCLINE HYDROCHLORIDE TABLETS EXTENDED RELEASE 135MG ![Compare how all Medicare Part D PDP plans in WV cover MINOCYCLINE HYDROCHLORIDE TABLETS EXTENDED RELEASE 135MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MINOCYCLINE HYDROCHLORIDE TABLETS EXTENDED RELEASE 45MG ![Compare how all Medicare Part D PDP plans in WV cover MINOCYCLINE HYDROCHLORIDE TABLETS EXTENDED RELEASE 45MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINOCYCLINE HYDROCHLORIDE TABLETS EXTENDED RELEASE 90MG ![Compare how all Medicare Part D PDP plans in WV cover MINOCYCLINE HYDROCHLORIDE TABLETS EXTENDED RELEASE 90MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINOXIDIL 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MINOXIDIL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MINOXIDIL 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MINOXIDIL 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIRAPEX 0.125MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX 0.125MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX 0.75MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX 0.75MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX 1.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX 1.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX 1MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX ER 0.375mg/1 1 BOTTLE, PLASTIC in 1 CARTON / 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTI ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX ER 0.375mg/1 1 BOTTLE, PLASTIC in 1 CARTON / 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTI.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MIRAPEX ER 0.75 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX ER 0.75 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX ER 1.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX ER 1.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX ER 2.25mg/1 ER 30 TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX ER 2.25mg/1 ER 30 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX ER 3 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX ER 3 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX ER 3.75mg/1 ER 30 TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX ER 3.75mg/1 ER 30 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRAPEX ER 4.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRAPEX ER 4.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MIRTAZAPINE 15 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MIRTAZAPINE 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIRTAZAPINE 15MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in WV cover MIRTAZAPINE 15MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIRTAZAPINE 30MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in WV cover MIRTAZAPINE 30MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Mirtazapine 45mg/1 500 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Mirtazapine 45mg/1 500 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Mirtazapine 7.5mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Mirtazapine 7.5mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MIRTAZAPINE ORALLY DISINTEGRATING TABLETS 45MG 10 X 3 BOX ![Compare how all Medicare Part D PDP plans in WV cover MIRTAZAPINE ORALLY DISINTEGRATING TABLETS 45MG 10 X 3 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MIRTAZAPINE TABLET 30MG (30 CT) ![Compare how all Medicare Part D PDP plans in WV cover MIRTAZAPINE TABLET 30MG (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
misoprostol 100 mcg tablet ![Compare how all Medicare Part D PDP plans in WV cover misoprostol 100 mcg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
misoprostol 200 mcg tablet ![Compare how all Medicare Part D PDP plans in WV cover misoprostol 200 mcg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MITOMYCIN POWDER FOR INJECTION USP 20MG VIAL ![Compare how all Medicare Part D PDP plans in WV cover MITOMYCIN POWDER FOR INJECTION USP 20MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MITOXANTRONE INJECTION 2MG 125ML VIAL ![Compare how all Medicare Part D PDP plans in WV cover MITOXANTRONE INJECTION 2MG 125ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOBIC 15MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOBIC 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MOBIC 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOBIC 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MOBIC 7.5MG/5ML SUSPENSION ![Compare how all Medicare Part D PDP plans in WV cover MOBIC 7.5MG/5ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MODAFINIL 100 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MODAFINIL 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | P |
MODAFINIL 200 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MODAFINIL 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Modicon 6 DIALPACK in 1 CARTON / 1 KIT in 1 DIALPACK ![Compare how all Medicare Part D PDP plans in WV cover Modicon 6 DIALPACK in 1 CARTON / 1 KIT in 1 DIALPACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MOEXIPRIL HCL 15MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOEXIPRIL HCL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOEXIPRIL HCL 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOEXIPRIL HCL 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-12.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 7.5-12.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 7.5-12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOMETASONE FUROATE 0.1% SOLN ![Compare how all Medicare Part D PDP plans in WV cover MOMETASONE FUROATE 0.1% SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Mometasone Furoate 1mg/g 45 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in WV cover Mometasone Furoate 1mg/g 45 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Mometasone Furoate 1mg/g 55 g in 1 BOTTLE, DROPPER ![Compare how all Medicare Part D PDP plans in WV cover Mometasone Furoate 1mg/g 55 g in 1 BOTTLE, DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOMETASONE FUROATE OINTMENT 0.1% 45GM TUBE ![Compare how all Medicare Part D PDP plans in WV cover MOMETASONE FUROATE OINTMENT 0.1% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Monodox 100mg/1 250 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Monodox 100mg/1 250 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Monodox 75mg/1 100 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Monodox 75mg/1 100 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MONOKET 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MONOKET 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MONONESSA TABLETS .250;.035MG; MG 6 X 28 CRTN ![Compare how all Medicare Part D PDP plans in WV cover MONONESSA TABLETS .250;.035MG; MG 6 X 28 CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MONTELUKAST SOD 10 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MONTELUKAST SOD 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
montelukast sod 4 mg granules ![Compare how all Medicare Part D PDP plans in WV cover montelukast sod 4 mg granules.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
montelukast sod 4 mg tab chew ![Compare how all Medicare Part D PDP plans in WV cover montelukast sod 4 mg tab chew.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
montelukast sod 5 mg tab chew ![Compare how all Medicare Part D PDP plans in WV cover montelukast sod 5 mg tab chew.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MONUROL PAK GRANULES 3 GM ![Compare how all Medicare Part D PDP plans in WV cover MONUROL PAK GRANULES 3 GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MORPHINE SULFATE 100MG TABLET SA ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE 100MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Morphine Sulfate 100mg/5mL 15 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Morphine Sulfate 100mg/5mL 15 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE 15MG TABLET SA ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE 15MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MORPHINE SULFATE 200MG TABLET SA ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE 200MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ER 100 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ER 100 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ER 20 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ER 20 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ER 30 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ER 30 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ER 50 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ER 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ER 60 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ER 60 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ER 80 MG CAP ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ER 80 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE TABLET ER 60MG (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE TABLET ER 60MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MORPHINE SULFATE TABLETS ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MORPHINE SULFATE TABLETS ![Compare how all Medicare Part D PDP plans in WV cover MORPHINE SULFATE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MOTOFEN TABLET ![Compare how all Medicare Part D PDP plans in WV cover MOTOFEN TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MOVIPREP 7.5-2.691G POWDER IN PACKET ![Compare how all Medicare Part D PDP plans in WV cover MOVIPREP 7.5-2.691G POWDER IN PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Moxatag 775mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Moxatag 775mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MOXEZA 5.45mg/mL 3 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover MOXEZA 5.45mg/mL 3 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MOZOBIL SOLUTION 24MG/1.2ML ![Compare how all Medicare Part D PDP plans in WV cover MOZOBIL SOLUTION 24MG/1.2ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
MS Contin 100mg/1 ![Compare how all Medicare Part D PDP plans in WV cover MS Contin 100mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MS CONTIN 15MG TABLET 100 EA ![Compare how all Medicare Part D PDP plans in WV cover MS CONTIN 15MG TABLET 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MS CONTIN 200MG TABLET SA ![Compare how all Medicare Part D PDP plans in WV cover MS CONTIN 200MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MS Contin 30mg/1 ![Compare how all Medicare Part D PDP plans in WV cover MS Contin 30mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MS Contin 60mg/1 ![Compare how all Medicare Part D PDP plans in WV cover MS Contin 60mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Multaq 400mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Multaq 400mg/1 60 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
mupirocin 2% cream ![Compare how all Medicare Part D PDP plans in WV cover mupirocin 2% cream.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MUPIROCIN 2% OINTMENT ![Compare how all Medicare Part D PDP plans in WV cover MUPIROCIN 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MUSTARGEN 10MG VIAL ![Compare how all Medicare Part D PDP plans in WV cover MUSTARGEN 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MYAMBUTOL 400 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MYAMBUTOL 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MYCAMINE 50MG VIAL ![Compare how all Medicare Part D PDP plans in WV cover MYCAMINE 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MYCAMINE FOR INJECTION SOLUTION ![Compare how all Medicare Part D PDP plans in WV cover MYCAMINE FOR INJECTION SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MYCOBUTIN 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MYCOBUTIN 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
Mycophenolate Mofetil 250mg/1 100 BLISTER PACK in 1 BOX, UNIT-DOSE / 1 CAPSULE in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in WV cover Mycophenolate Mofetil 250mg/1 100 BLISTER PACK in 1 BOX, UNIT-DOSE / 1 CAPSULE in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | P |
MYCOPHENOLATE MOFETIL TABLETS 500MG 500 BOT ![Compare how all Medicare Part D PDP plans in WV cover MYCOPHENOLATE MOFETIL TABLETS 500MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MYFORTIC 180MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MYFORTIC 180MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | P |
MYFORTIC 360MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MYFORTIC 360MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | P |
MYORISAN 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MYORISAN 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MYORISAN 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MYORISAN 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MYORISAN 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover MYORISAN 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
MYOZYME 50MG VIAL ![Compare how all Medicare Part D PDP plans in WV cover MYOZYME 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
MYRBETRIQ ER 25 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MYRBETRIQ ER 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MYRBETRIQ ER 50 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover MYRBETRIQ ER 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Mysoline 50mg/1 ![Compare how all Medicare Part D PDP plans in WV cover Mysoline 50mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MYSOLINE ANTICONVULSANT TABLETS 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in WV cover MYSOLINE ANTICONVULSANT TABLETS 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
MYTELASE 10MG CAPLET ![Compare how all Medicare Part D PDP plans in WV cover MYTELASE 10MG CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |