2013 Medicare Part D Plan Formulary Information |
Freedom Blue PPO Standard (PPO) (H5106-013-0)
Benefit Details
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The Freedom Blue PPO Standard (PPO) (H5106-013-0) Formulary Drugs Starting with the Letter Z in ROANE County, WV: CMS MA Region 6 which includes: WV
|
Drugs Starting with Letter Z
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
ZAFIRLUKAST TABLETS ![Compare how all Medicare Part D PDP plans in WV cover ZAFIRLUKAST TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZAFIRLUKAST TABLETS ![Compare how all Medicare Part D PDP plans in WV cover ZAFIRLUKAST TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZALEPLON 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZALEPLON 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZALEPLON 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZALEPLON 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZALTRAP 100 MG/4 ML VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZALTRAP 100 MG/4 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZAMICET SOLN 325MG; 10MG/15ML ![Compare how all Medicare Part D PDP plans in WV cover ZAMICET SOLN 325MG; 10MG/15ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZANAFLEX 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZANAFLEX 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANAFLEX 4MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZANAFLEX 4MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANAFLEX 4MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZANAFLEX 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANAFLEX 6MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZANAFLEX 6MG CAPSULE.](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 |
ZANOSAR 1GM VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZANOSAR 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANTAC 150MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZANTAC 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANTAC 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WV cover ZANTAC 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANTAC 25 EFFERDOSE TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZANTAC 25 EFFERDOSE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANTAC 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZANTAC 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANTAC 300MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZANTAC 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZANTAC 50MG/50ML PLAST-BAG ![Compare how all Medicare Part D PDP plans in WV cover ZANTAC 50MG/50ML PLAST-BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZARONTIN 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZARONTIN 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZARONTIN 250MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in WV cover ZARONTIN 250MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZAVESCA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZAVESCA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in WV cover ZAZOLE 0.4% CREAM WITH APPLICATOR.](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 |
ZAZOLE 0.8% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in WV cover ZAZOLE 0.8% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Zebeta 10mg/1 30 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Zebeta 10mg/1 30 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZEBETA 5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZEBETA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZEGERID 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZEGERID 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZEGERID 20MG PACKET ![Compare how all Medicare Part D PDP plans in WV cover ZEGERID 20MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZEGERID 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZEGERID 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZEGERID 40MG PACKET ![Compare how all Medicare Part D PDP plans in WV cover ZEGERID 40MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZELAPAR 1.25MG ODT TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZELAPAR 1.25MG ODT TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZELBORAF 240mg/1 1 BOTTLE, PLASTIC in 1 CARTON / 120 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in WV cover ZELBORAF 240mg/1 1 BOTTLE, PLASTIC in 1 CARTON / 120 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZEMAIRA 1000MG VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZEMAIRA 1000MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZEMPLAR 1 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZEMPLAR 1 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZEMPLAR 2 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZEMPLAR 2 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
Zemplar 2ug/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in WV cover Zemplar 2ug/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
ZEMPLAR 4 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZEMPLAR 4 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
Zemplar 5ug/mL 25 VIAL, MULTI-DOSE in 1 TRAY / 2 mL in 1 VIAL, MULTI-DOSE ![Compare how all Medicare Part D PDP plans in WV cover Zemplar 5ug/mL 25 VIAL, MULTI-DOSE in 1 TRAY / 2 mL in 1 VIAL, MULTI-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
ZENCHENT FE TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in WV cover ZENCHENT FE TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZENPEP 109000; 20000; 68000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZENPEP 109000; 20000; 68000 DELAYED RELEASE 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZENPEP 27000; 5000; 17000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZENPEP 27000; 5000; 17000 DELAYED RELEASE 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZENPEP 55000; 10000; 34000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZENPEP 55000; 10000; 34000 DELAYED RELEASE 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZENPEP 82000; 15000; 51000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZENPEP 82000; 15000; 51000 DELAYED RELEASE 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZENPEP DR 25,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZENPEP DR 25,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZENPEP DR 3,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZENPEP DR 3,000 UNITS CAPSULE.](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 |
ZEOSA 3 POUCH in 1 CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in WV cover ZEOSA 3 POUCH in 1 CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZERIT 15MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZERIT 15MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZERIT 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WV cover ZERIT 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZERIT 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZERIT 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZERIT 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZERIT 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZERIT 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZERIT 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTORETIC 12.5; 20mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in WV cover ZESTORETIC 12.5; 20mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTORETIC TABLETS ![Compare how all Medicare Part D PDP plans in WV cover ZESTORETIC TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTORETIC TABLETS ![Compare how all Medicare Part D PDP plans in WV cover ZESTORETIC TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTRIL 10mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZESTRIL 10mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTRIL 2.5mg/1 ![Compare how all Medicare Part D PDP plans in WV cover ZESTRIL 2.5mg/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 |
ZESTRIL 5mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZESTRIL 5mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTRIL TABLETS ![Compare how all Medicare Part D PDP plans in WV cover ZESTRIL TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTRIL TABLETS 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in WV cover ZESTRIL TABLETS 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZESTRIL TABLETS 40 MG ![Compare how all Medicare Part D PDP plans in WV cover ZESTRIL TABLETS 40 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZETIA 10MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in WV cover ZETIA 10MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZETONNA 37 MCG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in WV cover ZETONNA 37 MCG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZIAC 10-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZIAC 10-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZIAC 2.5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZIAC 2.5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZIAC 5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZIAC 5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZIAGEN 20mg/mL 240 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZIAGEN 20mg/mL 240 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZIAGEN 300mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZIAGEN 300mg/1 60 FILM COATED TABLETS in BOTTLE.](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 |
ZIANA 1.2-0.025% GEL TOPICAL ![Compare how all Medicare Part D PDP plans in WV cover ZIANA 1.2-0.025% GEL TOPICAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZIDOVUDINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZIDOVUDINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZIDOVUDINE 10MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WV cover ZIDOVUDINE 10MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Zidovudine 300mg/1 12 BOTTLE CASE / 60 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Zidovudine 300mg/1 12 BOTTLE CASE / 60 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZINACEF 7.5GM VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZINACEF 7.5GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZINACEF 90mg/mL 10 VIAL in 1 TRAY / 16 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZINACEF 90mg/mL 10 VIAL in 1 TRAY / 16 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZINACEF 90mg/mL 10 VIAL in 1 TRAY / 8.3 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZINACEF 90mg/mL 10 VIAL in 1 TRAY / 8.3 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZINACEF/DEXTROSE 750MG/50ML ![Compare how all Medicare Part D PDP plans in WV cover ZINACEF/DEXTROSE 750MG/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZINACEF/WATER 1.5GM/50ML ![Compare how all Medicare Part D PDP plans in WV cover ZINACEF/WATER 1.5GM/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZINECARD 250 MG VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZINECARD 250 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZIOPTAN 0.0015% EYE DROPS ![Compare how all Medicare Part D PDP plans in WV cover ZIOPTAN 0.0015% EYE DROPS.](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 |
ZIPRASIDONE HCL 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZIPRASIDONE HCL 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZIPRASIDONE HCL 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZIPRASIDONE HCL 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZIPRASIDONE HCL 60 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZIPRASIDONE HCL 60 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZIPRASIDONE HCL 80 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZIPRASIDONE HCL 80 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR in 1 CARTON / 5 g in 1 TUBE, WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in WV cover ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR in 1 CARTON / 5 g in 1 TUBE, WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX 1g/1 3 POWDER, FOR SUSPENSION in 1 BOX ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX 1g/1 3 POWDER, FOR SUSPENSION in 1 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX 250MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX 250MG Z-PAK TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX 250MG Z-PAK TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX 500MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX 600MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX IV 500MG VIAL 10 VIAL BOX ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX IV 500MG VIAL 10 VIAL BOX.](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 |
ZITHROMAX ORAL SUSP 100MG/5ML ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX ORAL SUSP 100MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX ORAL SUSP 200MG/5ML ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX ORAL SUSP 200MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZITHROMAX TRI-PAK 500MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZITHROMAX TRI-PAK 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZMAX 2g/60mL 60 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZMAX 2g/60mL 60 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOCOR 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOCOR 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOCOR 20MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in WV cover ZOCOR 20MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOCOR 40MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOCOR 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOCOR 80MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOCOR 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOCOR TABLETS 5 MG ![Compare how all Medicare Part D PDP plans in WV cover ZOCOR TABLETS 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOFRAN 2MG/ML MDV VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZOFRAN 2MG/ML MDV VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOFRAN 4mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover ZOFRAN 4mg/1 30 FILM COATED TABLETS in BOTTLE.](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 |
ZOFRAN 4MG/5ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in WV cover ZOFRAN 4MG/5ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOFRAN 8MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOFRAN 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOFRAN ODT 4MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOFRAN ODT 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOFRAN ODT 8mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK ![Compare how all Medicare Part D PDP plans in WV cover ZOFRAN ODT 8mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
Zoledronic Acid 4 mg/5 ml vial ![Compare how all Medicare Part D PDP plans in WV cover Zoledronic Acid 4 mg/5 ml vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
zoledronic acid 5 mg/100 ml ![Compare how all Medicare Part D PDP plans in WV cover zoledronic acid 5 mg/100 ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZOLINZA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZOLINZA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZOLOFT 100MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in WV cover ZOLOFT 100MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOLOFT 20MG/ML ORAL CONC ![Compare how all Medicare Part D PDP plans in WV cover ZOLOFT 20MG/ML ORAL CONC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOLOFT 25MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOLOFT 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOLOFT 50MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOLOFT 50MG 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 |
Zolpidem Tartrate 5mg/1 100 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Zolpidem Tartrate 5mg/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 |
ZOLPIDEM TARTRATE TABLETS ![Compare how all Medicare Part D PDP plans in WV cover ZOLPIDEM TARTRATE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in WV cover ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in WV cover ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Zolpimist 5mg/1 1 CONTAINER in 1 CARTON / 60 SPRAY, METERED in 1 CONTAINER ![Compare how all Medicare Part D PDP plans in WV cover Zolpimist 5mg/1 1 CONTAINER in 1 CARTON / 60 SPRAY, METERED in 1 CONTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Zometa 4mg/100mL 1 BOTTLE in 1 CARTON / 100 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Zometa 4mg/100mL 1 BOTTLE in 1 CARTON / 100 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOMETA 4MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZOMETA 4MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZOMIG 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOMIG 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:8 /25Days |
ZOMIG 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in WV cover ZOMIG 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:8 /25Days |
ZOMIG 5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOMIG 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:8 /25Days |
ZOMIG ZMT 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOMIG ZMT 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:8 /25Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOMIG ZMT 5 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOMIG ZMT 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:8 /25Days |
ZONALON 5% CREAM ![Compare how all Medicare Part D PDP plans in WV cover ZONALON 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZONEGRAN 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZONEGRAN 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZONEGRAN 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZONEGRAN 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZONISAMIDE 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover ZONISAMIDE 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Zonisamide 25mg 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Zonisamide 25mg 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZONISAMIDE 50MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WV cover ZONISAMIDE 50MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
Zorbtive 8.8mg/mL 1 INJECTION, POWDER, FOR SOLUTION in 1 CARTON ![Compare how all Medicare Part D PDP plans in WV cover Zorbtive 8.8mg/mL 1 INJECTION, POWDER, FOR SOLUTION in 1 CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
Zortress 0.5mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in WV cover Zortress 0.5mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
Zortress 0.75mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in WV cover Zortress 0.75mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZORTRESS TABLETS ![Compare how all Medicare Part D PDP plans in WV cover ZORTRESS TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOSTAVAX VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZOSTAVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOSYN 2/0.25GM PRE-MIX BAG ![Compare how all Medicare Part D PDP plans in WV cover ZOSYN 2/0.25GM PRE-MIX BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
Zosyn 3.0; 0.375g/15mL; g/15mL 10 VIAL, SINGLE-USE in 1 CARTON / 3.375 mL in 1 VIAL, SINGLE-USE ![Compare how all Medicare Part D PDP plans in WV cover Zosyn 3.0; 0.375g/15mL; g/15mL 10 VIAL, SINGLE-USE in 1 CARTON / 3.375 mL in 1 VIAL, SINGLE-USE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOSYN 3/0.375GRAM 24 BAGS PKG ![Compare how all Medicare Part D PDP plans in WV cover ZOSYN 3/0.375GRAM 24 BAGS PKG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOVIA 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOVIA 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZOVIA 1/50-28 TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOVIA 1/50-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$10.00 | $25.00 | None |
ZOVIRAX 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WV cover ZOVIRAX 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOVIRAX 200MG/5ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in WV cover ZOVIRAX 200MG/5ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOVIRAX 400MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOVIRAX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZOVIRAX 5% CREAM ![Compare how all Medicare Part D PDP plans in WV cover ZOVIRAX 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $112.50 | None |
ZOVIRAX 5% OINTMENT ![Compare how all Medicare Part D PDP plans in WV cover ZOVIRAX 5% OINTMENT.](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 |
ZOVIRAX 800MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZOVIRAX 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYBAN 150MG TABLET SA ![Compare how all Medicare Part D PDP plans in WV cover ZYBAN 150MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYDONE 10/400MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYDONE 10/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:300 /25Days |
ZYDONE 5/400MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYDONE 5/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:300 /25Days |
ZYDONE 7.5/400MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYDONE 7.5/400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:300 /25Days |
ZYFLO 600 MG FILMTAB (120 TABLETS) ![Compare how all Medicare Part D PDP plans in WV cover ZYFLO 600 MG FILMTAB (120 TABLETS).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYFLO CR 600 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYFLO CR 600 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYLET 0.3%-0.5% SUSPENSION DROPS(FINAL DOSAGE FORM)(ML) ![Compare how all Medicare Part D PDP plans in WV cover ZYLET 0.3%-0.5% SUSPENSION DROPS(FINAL DOSAGE FORM)(ML).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYLOPRIM 100MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYLOPRIM 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYLOPRIM 300 MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYLOPRIM 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER in 1 CARTON / 2.5 mL in 1 BOTTLE, DROPPER ![Compare how all Medicare Part D PDP plans in WV cover ZYMAXID 5mg/mL 1 BOTTLE, DROPPER in 1 CARTON / 2.5 mL in 1 BOTTLE, DROPPER.](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 |
ZYPREXA 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA 10MG VIAL ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA 15MG TABLET (1000 BOT) ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA 15MG TABLET (1000 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
Zyprexa 2.5mg/1 30 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Zyprexa 2.5mg/1 30 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA 20MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA 5MG TABLET (30 BOT) ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA 5MG TABLET (30 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA ZYDIS 10MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA ZYDIS 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA ZYDIS 15MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA ZYDIS 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA ZYDIS 20MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA ZYDIS 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ZYPREXA ZYDIS 5MG TABLET (30 BLPK) ![Compare how all Medicare Part D PDP plans in WV cover ZYPREXA ZYDIS 5MG TABLET (30 BLPK).](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 |
Zytiga 250mg/1 120 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WV cover Zytiga 250mg/1 120 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | P |
ZYVOX 100MG/5ML SUSPENSION ![Compare how all Medicare Part D PDP plans in WV cover ZYVOX 100MG/5ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZYVOX 600MG TABLET ![Compare how all Medicare Part D PDP plans in WV cover ZYVOX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |
ZYVOX 600MG/300ML IV SOLUTION ![Compare how all Medicare Part D PDP plans in WV cover ZYVOX 600MG/300ML IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | 33% | None |