2013 Medicare Part D Plan Formulary Information |
Advocare Vitality Rx (HMO-POS) (H5211-005-0)
Benefit Details
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The Advocare Vitality Rx (HMO-POS) (H5211-005-0) Formulary Drugs Starting with the Letter Z in TREMPEALEAU County, WI: CMS MA Region 14 which includes: WI
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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 WI cover ZAFIRLUKAST TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZAFIRLUKAST TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZAFIRLUKAST TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZALEPLON 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZALEPLON 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | Q:60 /30Days |
ZALEPLON 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZALEPLON 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | Q:60 /30Days |
ZANAFLEX 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZANAFLEX 4MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 4MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZANAFLEX 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZANAFLEX 6MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 6MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZANTAC 150MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZANTAC 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZANTAC 25 EFFERDOSE TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 25 EFFERDOSE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZANTAC 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZANTAC 300MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZARONTIN 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZARONTIN 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZARONTIN 250MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover ZARONTIN 250MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZAVESCA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZAVESCA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | N/A | None |
Zebeta 10mg/1 30 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover Zebeta 10mg/1 30 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZEBETA 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZEBETA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | 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 WI 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% | N/A | P |
ZEMAIRA 1000MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZEMAIRA 1000MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZEMPLAR 1 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZEMPLAR 1 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | 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 WI cover ZEMPLAR 2 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | 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 WI 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) |
2 |
Preferred Brand |
$45.00 | $135.00 | P |
ZEMPLAR 4 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZEMPLAR 4 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | 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 WI 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) |
2 |
Preferred Brand |
$45.00 | $135.00 | P |
ZENCHENT FE TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in WI cover ZENCHENT FE TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZENPEP 109000; 20000; 68000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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 | $135.00 | None |
ZENPEP 27000; 5000; 17000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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 | $135.00 | None |
ZENPEP 55000; 10000; 34000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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 | $135.00 | None |
ZENPEP 82000; 15000; 51000 DELAYED RELEASE 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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 | $135.00 | None |
ZENPEP DR 25,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENPEP DR 25,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZENPEP DR 3,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENPEP DR 3,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | 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 WI 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 |
$6.00 | $18.00 | None |
ZERIT 15MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 15MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZERIT 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZERIT 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZERIT 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZERIT 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZERIT 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZESTORETIC 12.5; 20mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in WI 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 | $270.00 | None |
ZESTORETIC TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZESTORETIC TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZESTORETIC TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZESTORETIC TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZESTRIL 10mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 10mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZESTRIL 2.5mg/1 ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 2.5mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | 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 WI cover ZESTRIL 5mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZESTRIL TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZESTRIL TABLETS 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL TABLETS 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZESTRIL TABLETS 40 MG ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL TABLETS 40 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZETIA 10MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZETIA 10MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZETONNA 37 MCG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in WI cover ZETONNA 37 MCG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZIAC 10-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIAC 10-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZIAC 2.5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIAC 2.5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZIAC 5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZIAC 5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZIAGEN 20mg/mL 240 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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 | $135.00 | None |
ZIAGEN 300mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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 | $135.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZIDOVUDINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZIDOVUDINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZIDOVUDINE 10MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover ZIDOVUDINE 10MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
Zidovudine 300mg/1 12 BOTTLE CASE / 60 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover Zidovudine 300mg/1 12 BOTTLE CASE / 60 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZINACEF 7.5GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF 7.5GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZINACEF 90mg/mL 10 VIAL in 1 TRAY / 16 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WI 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) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZINACEF 90mg/mL 10 VIAL in 1 TRAY / 8.3 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WI 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 | $270.00 | None |
ZIOPTAN 0.0015% EYE DROPS ![Compare how all Medicare Part D PDP plans in WI cover ZIOPTAN 0.0015% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZIPRASIDONE HCL 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZIPRASIDONE HCL 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZIPRASIDONE HCL 60 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 60 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZIPRASIDONE HCL 80 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 80 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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 WI 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) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZITHROMAX 1g/1 3 POWDER, FOR SUSPENSION in 1 BOX ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 1g/1 3 POWDER, FOR SUSPENSION in 1 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZITHROMAX 250MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZITHROMAX 250MG Z-PAK TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 250MG Z-PAK TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZITHROMAX 500MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZITHROMAX 600MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZITHROMAX IV 500MG VIAL 10 VIAL BOX ![Compare how all Medicare Part D PDP plans in WI 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 | $270.00 | None |
ZITHROMAX ORAL SUSP 100MG/5ML ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX ORAL SUSP 100MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZITHROMAX ORAL SUSP 200MG/5ML ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX ORAL SUSP 200MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZITHROMAX TRI-PAK 500MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZITHROMAX TRI-PAK 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZMAX 2g/60mL 60 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover ZMAX 2g/60mL 60 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOCOR 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOCOR 20MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 20MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOCOR 40MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOCOR 80MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOCOR TABLETS 5 MG ![Compare how all Medicare Part D PDP plans in WI cover ZOCOR TABLETS 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOFRAN 2MG/ML MDV VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 2MG/ML MDV VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | P |
ZOFRAN 4mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 4mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | P Q:90 /30Days |
ZOFRAN 4MG/5ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 4MG/5ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | P Q:450 /30Days |
ZOFRAN 8MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | P Q:90 /30Days |
ZOFRAN ODT 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN ODT 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | P Q:90 /30Days |
ZOFRAN ODT 8mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN ODT 8mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | P Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Zoledronic Acid 4 mg/5 ml vial ![Compare how all Medicare Part D PDP plans in WI cover Zoledronic Acid 4 mg/5 ml vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
zoledronic acid 5 mg/100 ml ![Compare how all Medicare Part D PDP plans in WI cover zoledronic acid 5 mg/100 ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | P |
ZOLINZA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOLINZA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | N/A | P |
ZOLOFT 100MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 100MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOLOFT 20MG/ML ORAL CONC ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 20MG/ML ORAL CONC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOLOFT 25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOLOFT 50MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOLOFT 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
Zolpidem Tartrate 5mg/1 100 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover Zolpidem Tartrate 5mg/1 100 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | Q:60 /30Days |
ZOLPIDEM TARTRATE TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | Q:30 /30Days |
ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | Q:30 /30Days |
ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Zometa 4mg/100mL 1 BOTTLE in 1 CARTON / 100 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOMETA 4MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOMETA 4MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOMIG 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | Q:12 /30Days |
ZOMIG 5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | Q:12 /30Days |
ZOMIG ZMT 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG ZMT 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | Q:12 /30Days |
ZOMIG ZMT 5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG ZMT 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | Q:12 /30Days |
ZONALON 5% CREAM ![Compare how all Medicare Part D PDP plans in WI cover ZONALON 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZONEGRAN 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZONEGRAN 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZONEGRAN 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZONEGRAN 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZONISAMIDE 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZONISAMIDE 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
Zonisamide 25mg 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover Zonisamide 25mg 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZONISAMIDE 50MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover ZONISAMIDE 50MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
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 WI 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) |
2 |
Preferred Brand |
$45.00 | $135.00 | 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 WI 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) |
2 |
Preferred Brand |
$45.00 | $135.00 | P |
ZORTRESS TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZORTRESS TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | P |
ZOSTAVAX VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOSTAVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | 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 WI 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 | $270.00 | None |
ZOVIA 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIA 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZOVIA 1/50-28 TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIA 1/50-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Generic |
$6.00 | $18.00 | None |
ZOVIRAX 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOVIRAX 200MG/5ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 200MG/5ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZOVIRAX 400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOVIRAX 5% CREAM ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZOVIRAX 5% OINTMENT ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 5% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$45.00 | $135.00 | None |
ZOVIRAX 800MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYBAN 150MG TABLET SA ![Compare how all Medicare Part D PDP plans in WI cover ZYBAN 150MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | Q:60 /30Days |
ZYFLO 600 MG FILMTAB (120 TABLETS) ![Compare how all Medicare Part D PDP plans in WI cover ZYFLO 600 MG FILMTAB (120 TABLETS).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYLET 0.3%-0.5% SUSPENSION DROPS(FINAL DOSAGE FORM)(ML) ![Compare how all Medicare Part D PDP plans in WI 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 | $270.00 | None |
ZYLOPRIM 100MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYLOPRIM 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYLOPRIM 300 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYLOPRIM 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | 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 WI 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) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA 10MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYPREXA 15MG TABLET (1000 BOT) ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 15MG TABLET (1000 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
Zyprexa 2.5mg/1 30 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WI 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 | $270.00 | None |
ZYPREXA 20MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA 5MG TABLET (30 BOT) ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 5MG TABLET (30 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA ZYDIS 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA ZYDIS 15MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA ZYDIS 20MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
ZYPREXA ZYDIS 5MG TABLET (30 BLPK) ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA ZYDIS 5MG TABLET (30 BLPK).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $270.00 | None |
Zytiga 250mg/1 120 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover Zytiga 250mg/1 120 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | N/A | P |
ZYVOX 100MG/5ML SUSPENSION ![Compare how all Medicare Part D PDP plans in WI cover ZYVOX 100MG/5ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYVOX 600MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYVOX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | N/A | P |
ZYVOX 600MG/300ML IV SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover ZYVOX 600MG/300ML IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty Tier |
33% | N/A | P |