A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu
  • Home
  • Contact
  • MAPD
  • PDP
  • 2024
  • 2025
  • FAQs
  • Articles
  • Search
  • Contact
  • 2024
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search

2014 Medicare Part D and Medicare Advantage Plan Formulary Browser

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select your search style and criteria below or use this example to get started

Search by:
State & Plan   ZIP & Plan   PlanID   FormularyID

Search Criteria
PDP     MAPD
Scroll down to see formulary results.

SilverScript Basic (PDP) (S5601-050-0)
Tier 1 (774)
Tier 2 (1159)
Tier 3 (772)
Tier 4 (368)

Requires Prior Authorization:
Yes No Show either
Uses Step Therapy:
Yes No Show either
Has Quantity Limits:
Yes No Show either
  *required
 
Cick on the first letter of your drug name to browse the formulary:

A B C D E F G H I J K L 
M N O P Q R S T U V W X Y Z 0-9 
2014 Medicare Part D Plan Formulary Information
SilverScript Basic (PDP) (S5601-050-0)
Benefit Details           
The SilverScript Basic (PDP) (S5601-050-0)
Formulary Drugs Starting with the Letter N

in CMS PDP Region 25 which includes: IA MN MT NE ND SD WY
Plan Monthly Premium: $31.50 Deductible: $310 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   1 Generic $2.00$5.00None
NABUMETONE 750MG TABLET   1 Generic $2.00$5.00None
NADOLOL 20MG TABLET   2 Preferred Brand 20%20%None
NADOLOL 40MG TABLETS   2 Preferred Brand 20%20%None
NADOLOL 80MG TABLETS   2 Preferred Brand 20%20%None
Nafcillin 10g/100mL   4 Specialty Tier 25%25%None
NAFCILLIN FOR INJECTION 1 GM/ML   3 Non-Preferred Brand 41%41%None
NAGLAZYME 5MG/5ML VIAL   4 Specialty Tier 25%25%P
naloxone 1 mg/ml syringe   2 Preferred Brand 20%20%None
NALTREXONE HCL 50MG TABLET 100 BLPK   2 Preferred Brand 20%20%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NAMENDA 10MG TABLET   2 Preferred Brand 20%20%None
NAMENDA 10MG/5ML SOLUTION   2 Preferred Brand 20%20%None
NAMENDA 5-10MG TITRATION PK   2 Preferred Brand 20%20%None
NAMENDA 5MG TABLET   2 Preferred Brand 20%20%Q:60
/30Days
NAMENDA XR 14 MG CAPSULE   2 Preferred Brand 20%20%None
NAMENDA XR 21 MG CAPSULE   2 Preferred Brand 20%20%None
NAMENDA XR 28 MG CAPSULE   2 Preferred Brand 20%20%None
NAMENDA XR 7 MG CAPSULE   2 Preferred Brand 20%20%None
NAMENDA XR TITRATION PACK   2 Preferred Brand 20%20%None
NAPROXEN 125 MG/5 ML SUSPEN   2 Preferred Brand 20%20%None
NAPROXEN 250 MG ORAL TABLET   1 Generic $2.00$5.00None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NAPROXEN 375MG TABLET EC   1 Generic $2.00$5.00None
NAPROXEN 500MG TABLET EC   1 Generic $2.00$5.00None
Naproxen 500mg/1 500 TABLET BOTTLE   1 Generic $2.00$5.00None
NAPROXEN SODIUM 275 MG ORAL TABLET   1 Generic $2.00$5.00None
Naproxen Sodium 550mg/1   1 Generic $2.00$5.00None
NAPROXEN TABLET 375MG (500 CT)   1 Generic $2.00$5.00None
NARATRIPTAN 1MG TABLETS   2 Preferred Brand 20%20%Q:9
/30Days
NARATRIPTAN 2.5MG TABLETS   2 Preferred Brand 20%20%Q:9
/30Days
NASONEX 50ug/1 120 SPRAY, METERED in 1 BOTTLE, PUMP   2 Preferred Brand 20%20%Q:34
/30Days
NATACYN EYE DROPS   3 Non-Preferred Brand 41%41%None
Nateglinide 120mg/1 90 TABLET BOTTLE   3 Non-Preferred Brand 41%41%Q:90
/30Days
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
Nateglinide 60mg/1 90 TABLET BOTTLE   3 Non-Preferred Brand 41%41%Q:90
/30Days
NEBUPENT 300MG INHAL POWDER   3 Non-Preferred Brand 41%41%P
NECON 0.5/35-28 TABLET   2 Preferred Brand 20%20%None
NECON 1/35-28 TABLET   2 Preferred Brand 20%20%None
NECON 10/11-28 TABLET   2 Preferred Brand 20%20%None
NECON 7 DAYS X 3 TABLET   2 Preferred Brand 20%20%None
NEFAZODONE HCL 150MG TABLET (60 CT)   2 Preferred Brand 20%20%None
NEFAZODONE HCL 250MG TABLET   2 Preferred Brand 20%20%None
NEFAZODONE HCL 50MG TABLET   2 Preferred Brand 20%20%None
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT   2 Preferred Brand 20%20%None
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT   2 Preferred Brand 20%20%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT   1 Generic $2.00$5.00None
Neomycin and Polymyxin B Sulfates and Dexamethasone 1; 3.5; 10000mg/g; mg/g; [USP'U]/g 1 TUBE in 1   1 Generic $2.00$5.00None
NEOMYCIN SULFATE 500MG TABLET   2 Preferred Brand 20%20%None
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT   2 Preferred Brand 20%20%None
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS   2 Preferred Brand 20%20%None
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML   1 Generic $2.00$5.00None
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M   1 Generic $2.00$5.00None
NEOMYCIN/POLYMY/HYDRO OTIC SUS   1 Generic $2.00$5.00None
NEORAL 100MG GELATN CAPSULE   2 Preferred Brand 20%20%P
NEORAL 100MG/ML SOLUTION   2 Preferred Brand 20%20%P
NEORAL 25MG GELATIN CAPSULE   2 Preferred Brand 20%20%P
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NEPHRAMINE SOLUTION FOR INJECTION   3 Non-Preferred Brand 41%41%P
NEUPOGEN 300MCG/ML VIAL   4 Specialty Tier 25%25%P
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE   4 Specialty Tier 25%25%P
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR   4 Specialty Tier 25%25%P
NEUPRO 1 MG/24 HR PATCH   3 Non-Preferred Brand 41%41%None
NEUPRO 2 MG/24 HR PATCH   3 Non-Preferred Brand 41%41%None
NEUPRO 3 MG/24 HR PATCH   3 Non-Preferred Brand 41%41%None
NEUPRO 4 MG/24 HR PATCH   3 Non-Preferred Brand 41%41%None
NEUPRO 6 MG/24 HR PATCH   3 Non-Preferred Brand 41%41%None
NEUPRO 8 MG/24 HR PATCH   3 Non-Preferred Brand 41%41%None
NEVANAC 0.1% DROPTAINER   3 Non-Preferred Brand 41%41%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
nevirapine 200 mg tablet   2 Preferred Brand 20%20%None
nevirapine er 400 mg tablet   3 Non-Preferred Brand 41%41%None
NEXAVAR TABLETS 200MG 120 BOT   4 Specialty Tier 25%25%P
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON   2 Preferred Brand 20%20%None
NEXIUM 20MG CAPSULE   2 Preferred Brand 20%20%None
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET   2 Preferred Brand 20%20%None
NEXIUM 40MG CAPSULE   2 Preferred Brand 20%20%None
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET   2 Preferred Brand 20%20%None
NEXIUM DR 2.5 MG PACKET   2 Preferred Brand 20%20%None
NEXIUM DR 5 MG PACKET   2 Preferred Brand 20%20%None
NEXIUM IV 20MG VIAL   3 Non-Preferred Brand 41%41%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NEXIUM IV 40MG VIAL   3 Non-Preferred Brand 41%41%None
NIACIN ER 1,000 MG TABLET   3 Non-Preferred Brand 41%41%None
NIACIN ER 500 MG TABLET   3 Non-Preferred Brand 41%41%Q:90
/30Days
NIACIN ER 750 MG TABLET   3 Non-Preferred Brand 41%41%Q:60
/30Days
NICARDIPINE HYDROCHLORIDE 20MG CAPSULES   2 Preferred Brand 20%20%None
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT   2 Preferred Brand 20%20%None
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL   3 Non-Preferred Brand 41%41%Q:2688
/365Days
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL   3 Non-Preferred Brand 41%41%Q:360
/365Days
NIFEDIAC CC 90MG TABLET SA   2 Preferred Brand 20%20%None
NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR   2 Preferred Brand 20%20%Q:30
/30Days
NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR   2 Preferred Brand 20%20%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NIFEDIPINE 30MG TABLETS EXTENDED RELEASE   2 Preferred Brand 20%20%Q:30
/30Days
NIFEDIPINE 60MG TABLETS EXTENDED RELEASE   2 Preferred Brand 20%20%None
NIFEDIPINE 90MG TABLETS EXTENDED RELEASE   2 Preferred Brand 20%20%None
NILANDRON 150 MG TABLET   4 Specialty Tier 25%25%None
nimodipine 30 mg capsule   3 Non-Preferred Brand 41%41%None
NIPENT FOR INJECTION 10MG VIALS   4 Specialty Tier 25%25%P
NITRO-BID 20mg/g 48 PACKET in 1 BOX / 1 g in 1 PACKET   2 Preferred Brand 20%20%None
NITRO-DUR 0.3 MG/HR PATCH   3 Non-Preferred Brand 41%41%None
NITRO-DUR 0.8 MG/HR PATCH   3 Non-Preferred Brand 41%41%None
NITROFURANTOIN MCR 50MG CAP   2 Preferred Brand 20%20%None
Nitrofurantoin Monohydrate/Macrocrystals 25; 75mg 100 CAPSULE BOTTLE   2 Preferred Brand 20%20%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NITROGLYCERIN .2MG/HR PATCH   2 Preferred Brand 20%20%None
NITROGLYCERIN .4MG/HR PATCH   2 Preferred Brand 20%20%None
NITROGLYCERIN .6MG/HR PATCH   2 Preferred Brand 20%20%None
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX   2 Preferred Brand 20%20%None
Nitrolingual Pumpspray 400ug/1 200 SPRAY, METERED in 1 BOTTLE   3 Non-Preferred Brand 41%41%None
NITROSTAT 0.3MG TABLET SL   2 Preferred Brand 20%20%None
NITROSTAT 0.4MG TABLET SL   2 Preferred Brand 20%20%None
NITROSTAT 0.6MG TABLET SL   2 Preferred Brand 20%20%None
NORA-BE 0.35MG TABLET   2 Preferred Brand 20%20%None
Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC   4 Specialty Tier 25%25%P
Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC   4 Specialty Tier 25%25%P
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC   4 Specialty Tier 25%25%P
NORDITROPIN NORDIFLEX 30MG/3ML INJECTION   4 Specialty Tier 25%25%P
Norethindrone 0.35 mg tablet   2 Preferred Brand 20%20%None
NORETHINDRONE 5MG TABLET   2 Preferred Brand 20%20%None
NORMOSOL -R INJ /D5W   3 Non-Preferred Brand 41%41%None
NORMOSOL-M AND DEXTROSE 5%   3 Non-Preferred Brand 41%41%None
NORMOSOL-R PH 7.4 IV SOLUTION   3 Non-Preferred Brand 41%41%None
NORPACE CR 100MG CAPSULE SA   3 Non-Preferred Brand 41%41%None
NORPACE CR 150MG CAPSULE SA   3 Non-Preferred Brand 41%41%None
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK   2 Preferred Brand 20%20%None
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK   2 Preferred Brand 20%20%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NORTREL 1-0.035MG TABLET 28DAY   2 Preferred Brand 20%20%None
Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER   2 Preferred Brand 20%20%None
NORTRIPTYLINE 10 MG/5 ML SOL   3 Non-Preferred Brand 41%41%None
NORTRIPTYLINE HCL 25MG CAP   1 Generic $2.00$5.00None
NORTRIPTYLINE HCL 75MG CAPSULE   1 Generic $2.00$5.00None
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE   1 Generic $2.00$5.00None
Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE   1 Generic $2.00$5.00None
NORVIR 100 MG TABLET   2 Preferred Brand 20%20%None
NORVIR 100mg/1 30 CAPSULE BOTTLE   2 Preferred Brand 20%20%None
NORVIR 80MG/ML ORAL SOLUTION   2 Preferred Brand 20%20%None
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL   2 Preferred Brand 20%20%None
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL   2 Preferred Brand 20%20%None
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL   2 Preferred Brand 20%20%None
NOVOLOG 100U/ML VIAL   2 Preferred Brand 20%20%None
NOVOLOG FLEXPEN SYRINGE   2 Preferred Brand 20%20%None
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML   2 Preferred Brand 20%20%None
NOVOLOG MIX 70/30 VIAL   2 Preferred Brand 20%20%None
NOXAFIL 200MG/5ML SUSPENSION ORAL   4 Specialty Tier 25%25%None
NOXAFIL DR 100 MG TABLET   4 Specialty Tier 25%25%None
NUCYNTA ER 100mg/1 60 TABLET, FILM COATED   2 Preferred Brand 20%20%Q:120
/30Days
NUCYNTA ER 150mg/1 60 TABLET, FILM COATED   2 Preferred Brand 20%20%Q:60
/30Days
NUCYNTA ER 200mg/1 60 TABLET, FILM COATED   2 Preferred Brand 20%20%Q:60
/30Days
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
NUCYNTA ER 250mg/1 60 TABLET, FILM COATED   2 Preferred Brand 20%20%Q:60
/30Days
NUCYNTA ER 50mg/1 60 TABLET, FILM COATED   2 Preferred Brand 20%20%Q:120
/30Days
NUEDEXTA 20; 10mg/1; mg/1   2 Preferred Brand 20%20%P Q:60
/30Days
NULOJIX 250mg/1 1 VIAL, SINGLE-USE per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in   4 Specialty Tier 25%25%P
NULYTELY WITH FLAVOR PACKS POWDER FOR SOLUTION 420;1.48;MG;MG;GM; 4 L BOT   2 Preferred Brand 20%20%None
NUVARING 0.12-0.015 RING VAGINAL   3 Non-Preferred Brand 41%41%None
NUVIGIL 150 MG TABLET   3 Non-Preferred Brand 41%41%P Q:60
/30Days
NUVIGIL 250 MG TABLET   3 Non-Preferred Brand 41%41%P Q:30
/30Days
NUVIGIL 50 MG TABLET   3 Non-Preferred Brand 41%41%P Q:150
/30Days
NYAMYC 100000 U/G POWDER   2 Preferred Brand 20%20%None
Nystatin 100000[USP'U]/g   2 Preferred Brand 20%20%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   2 Preferred Brand 20%20%None
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE   2 Preferred Brand 20%20%None
Nystatin 100000[USP'U]/mL   2 Preferred Brand 20%20%None
NYSTATIN TABLET 500000U (100 CT)   2 Preferred Brand 20%20%None
NYSTOP 100000U/GM POWDER   2 Preferred Brand 20%20%None

Chart Legend:

Below are a few notes to help you understand the above 2014 Medicare Part D SilverScript Basic (PDP) Plan Formulary.
  • Plan Name: This is the official Medicare Part D prescription drug plan name from the Centers for Medicare and Medicaid Services (CMS). The same Medicare Part D plan name generally has a different Plan ID in each state (or CMS Region).

  • Monthly Premium: This is the amount you must pay each month for this prescription drug plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase.

  • Deductible: If your Part D plan has an initial deductible, you are 100% responsible for your drug costs until your expenses exceed this value and you begin your Initial Coverage Phase. Many Medicare Part D plans use the standard $310 deductible as provided by CMS in their Standard plan design. Some Part D plan providers offer an initial deductible lower than the Standard deductible. Many prescription drug plans do not have a deductible (also called first dollar coverage or a $0 deductible), however the monthly premium for a plan with a $0 deductible may be slightly higher.

  • Qualifies for LIS: The Extra Help or Low Income Subsidy (LIS) Program.
    • Yes - This plan qualifies for the $0 Premium for those persons with a full LIS or Extra Help benefit. Persons on the LIS program who select a qualifying plan will also pay a $0 deductible, pay lower cost-sharing payments and have coverage through the Coverage Gap or Doughnut Hole.

    • No - This plan does not qualify for the $0 Premium for persons with the full LIS benefit.

  • Plan ID: This is the Medicare Part D prescription drug plan's unique ID.
  • Drug Tier Information - Drug Tiers are the logical grouping of prescription drugs on a Part D plan formulary. These fields represent the Tier (or drug list group) - for this particular medication - on this particular plan’s Formulary or Drug List.
    • Tier Number - This is the actual numerical tier level from the formulary. Most Part D plans have four (4) tiers 1=Preferred Generics, 2=Preferred Brands, 3=Non-preferred Brands and Generics, 4=Specialty Drugs.
    • Drug Description - This is the Medicare Part D plan’s description of this particular drug tier.
  • Cost Sharing - Copay / Coinsurance - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown under this "Cost Sharing" category:
    • Preferred Network Pharmacy - (Preferred Pharm) - This is the cost-share amount you would pay during the intial coverage phase for a 30-Day supply (until your total retail prescription drug costs reach $2850) at a "Preferred" network pharmacy. In most cases, the "Preferred" network and network pharmacy pricing are the same. However, for example on the 2014 Humana Walmart-Preferred Rx Plan the cost-sharing is much higher at a network pharmacy over a "Preferred" network pharmacy. "Preferred" network pharmacies for this plan include only Walmart, Sam’s Club and RightSource.
    • Mail Order - This is the cost-share amount you would pay during the initial coverage phase for a 90-Day supply if you purchased your medication through your plan’s preferred mail order partner(s).
  • Drug Utilization Management or Coverage Rules - (Drug Usage Mgmt) - This shows the plan requires drug utilization management controls for this particular medication.
    • None - This drug does not fall under any drug utilization management controls.
    • P - Prior Authorization -This drug is subject to prior authorization.
    • S - Step Therapy -This drug is subject to step therapy.
    • Q - Quantity Limits -This drug is subject to quantity limits. The actual quantity limit is shown as Q:Amount/Days. For Example: Q:6/28Days means the quantity limit is a quantity of 6 pills per 28 days. Q:90/365Days would mean that the plan limits this drug to 90 pills for the entire year.




(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2014 )

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Part D plan provider.







Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.