2014 Medicare Part D Plan Formulary Information |
WellCare Classic (PDP) (S5967-155-0)
Benefit Details
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The WellCare Classic (PDP) (S5967-155-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 18 which includes: MO Plan Monthly Premium: $19.10 Deductible: $0 Qualifies for LIS: Yes |
Drugs Starting with Letter N
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
NABUMETONE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NABUMETONE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NABUMETONE 750MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NABUMETONE 750MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NADOLOL 40MG TABLETS ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 40MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NADOLOL 80MG TABLETS ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 80MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NAFTIN 1% CREAM ![Compare how all Medicare Part D PDP plans in MO cover NAFTIN 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NAFTIN 2% CREAM ![Compare how all Medicare Part D PDP plans in MO cover NAFTIN 2% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NAFTIN 2% GEL ![Compare how all Medicare Part D PDP plans in MO cover NAFTIN 2% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NAFTIN HCL GEL 1% 60GM TUBE ![Compare how all Medicare Part D PDP plans in MO cover NAFTIN HCL GEL 1% 60GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in MO cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in MO cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NAMENDA 10MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | Q:62 /31Days |
NAMENDA 10MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA 10MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NAMENDA 5-10MG TITRATION PK ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA 5-10MG TITRATION PK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NAMENDA 5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | Q:62 /31Days |
NAMENDA XR 14 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 14 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | Q:31 /31Days |
NAMENDA XR 21 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 21 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | Q:31 /31Days |
NAMENDA XR 28 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 28 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | Q:31 /31Days |
NAMENDA XR 7 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 7 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | Q:31 /31Days |
NAMENDA XR TITRATION PACK ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN 125 MG/5 ML SUSPEN ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 125 MG/5 ML SUSPEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NAPROXEN 375MG TABLET EC ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 375MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NAPROXEN 500MG TABLET EC ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 500MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Naproxen 500mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Naproxen 500mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NAPROXEN SODIUM 275 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN SODIUM 275 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Naproxen Sodium 550mg/1 ![Compare how all Medicare Part D PDP plans in MO cover Naproxen Sodium 550mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NAPROXEN TABLET 375MG (500 CT) ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN TABLET 375MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NARATRIPTAN 1MG TABLETS ![Compare how all Medicare Part D PDP plans in MO cover NARATRIPTAN 1MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:9 /31Days |
NARATRIPTAN 2.5MG TABLETS ![Compare how all Medicare Part D PDP plans in MO cover NARATRIPTAN 2.5MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:9 /31Days |
NASONEX 50ug/1 120 SPRAY, METERED in 1 BOTTLE, PUMP ![Compare how all Medicare Part D PDP plans in MO cover NASONEX 50ug/1 120 SPRAY, METERED in 1 BOTTLE, PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
Nateglinide 120mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nateglinide 120mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
Nateglinide 60mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nateglinide 60mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in MO cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | P |
NECON 0.5/35-28 TABLET ![Compare how all Medicare Part D PDP plans in MO cover NECON 0.5/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NECON 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in MO cover NECON 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NECON 10/11-28 TABLET ![Compare how all Medicare Part D PDP plans in MO cover NECON 10/11-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NECON 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in MO cover NECON 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in MO cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Neomycin and Polymyxin B Sulfates 40; 200000mg/mL; 1/mL 10 AMPULE per CARTON / 1 mL in 1 AMPULE ![Compare how all Medicare Part D PDP plans in MO cover Neomycin and Polymyxin B Sulfates 40; 200000mg/mL; 1/mL 10 AMPULE per CARTON / 1 mL in 1 AMPULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
Neomycin and Polymyxin B Sulfates and Dexamethasone 1; 3.5; 10000mg/g; mg/g; [USP'U]/g 1 TUBE in 1 ![Compare how all Medicare Part D PDP plans in MO cover Neomycin and Polymyxin B Sulfates and Dexamethasone 1; 3.5; 10000mg/g; mg/g; [USP'U]/g 1 TUBE in 1 .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in MO cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in MO cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
nevirapine 200 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover nevirapine 200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
nevirapine er 400 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover nevirapine er 400 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in MO cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:124 /31Days |
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON ![Compare how all Medicare Part D PDP plans in MO cover NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NEXIUM 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NEXIUM 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in MO cover NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEXIUM 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NEXIUM 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in MO cover NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NEXIUM DR 2.5 MG PACKET ![Compare how all Medicare Part D PDP plans in MO cover NEXIUM DR 2.5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NEXIUM DR 5 MG PACKET ![Compare how all Medicare Part D PDP plans in MO cover NEXIUM DR 5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NIACIN ER 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NIACIN ER 500 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NIACIN ER 750 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NIACOR 500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACOR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NICARDIPINE HYDROCHLORIDE 20MG CAPSULES ![Compare how all Medicare Part D PDP plans in MO cover NICARDIPINE HYDROCHLORIDE 20MG CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT ![Compare how all Medicare Part D PDP plans in MO cover NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in MO cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIAC CC 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIAC CC 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:62 /31Days |
NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in MO cover NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:62 /31Days |
NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in MO cover NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:62 /31Days |
Nifedipine 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nifedipine 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | P |
NIFEDIPINE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | P |
NIFEDIPINE 30MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE 30MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:62 /31Days |
NIFEDIPINE 60MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE 60MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:62 /31Days |
NIFEDIPINE 90MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE 90MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | Q:62 /31Days |
NILANDRON 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NILANDRON 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
nimodipine 30 mg capsule ![Compare how all Medicare Part D PDP plans in MO cover nimodipine 30 mg capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NITRO-BID 20mg/g 48 PACKET in 1 BOX / 1 g in 1 PACKET ![Compare how all Medicare Part D PDP plans in MO cover NITRO-BID 20mg/g 48 PACKET in 1 BOX / 1 g in 1 PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROFURANTOIN MCR 50MG CAP ![Compare how all Medicare Part D PDP plans in MO cover NITROFURANTOIN MCR 50MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | P Q:90 /365Days |
Nitrofurantoin Monohydrate/Macrocrystals 25; 75mg 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nitrofurantoin Monohydrate/Macrocrystals 25; 75mg 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | P Q:90 /365Days |
NITROGLYCERIN .2MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN .2MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NITROGLYCERIN .4MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN .4MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NITROGLYCERIN .6MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN .6MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Nitroglycerin 5mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 10 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in MO cover Nitroglycerin 5mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 10 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NITROSTAT 0.4MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.4MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Norethindrone 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover Norethindrone 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NORINYL 1+35-28 TABLET 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO cover NORINYL 1+35-28 TABLET 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NORMOSOL -R INJ /D5W ![Compare how all Medicare Part D PDP plans in MO cover NORMOSOL -R INJ /D5W.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in MO cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$39.00 | $78.00 | None |
NORPACE CR 100MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in MO cover NORPACE CR 100MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NORPACE CR 150MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in MO cover NORPACE CR 150MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO cover Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO cover Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in MO cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER ![Compare how all Medicare Part D PDP plans in MO cover Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NORTRIPTYLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NORVIR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NORVIR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NORVIR 100mg/1 30 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover NORVIR 100mg/1 30 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | None |
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in MO cover Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | S Q:60 /30Days |
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in MO cover Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | S Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in MO cover Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | S Q:60 /30Days |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | S Q:60 /30Days |
NOVOLOG FLEXPEN SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG FLEXPEN SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | S Q:60 /30Days |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | S Q:60 /30Days |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | S Q:60 /30Days |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in MO cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | P |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in MO cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$89.00 | $178.00 | P |
NULOJIX 250mg/1 1 VIAL, SINGLE-USE per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in ![Compare how all Medicare Part D PDP plans in MO cover NULOJIX 250mg/1 1 VIAL, SINGLE-USE per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NYAMYC 100000 U/G POWDER ![Compare how all Medicare Part D PDP plans in MO cover NYAMYC 100000 U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Nystatin 100000[USP'U]/g ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/g.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |
NYSTOP 100000U/GM POWDER ![Compare how all Medicare Part D PDP plans in MO cover NYSTOP 100000U/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$13.00 | $26.00 | None |