2015 Medicare Part D Plan Formulary Information |
Network PlatinumPlus Pharmacy (PPO) (H5215-002-0)
Benefit Details
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The Network PlatinumPlus Pharmacy (PPO) (H5215-002-0) Formulary Drugs Starting with the Letter Z in MARQUETTE County, WI: CMS MA Region 14 which includes: WI Plan Monthly Premium: $97.00 Deductible: $0 |
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 10MG TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZAFIRLUKAST 10MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZAFIRLUKAST 20MG TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZAFIRLUKAST 20MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | 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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZALTRAP 100 MG/4 ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZALTRAP 100 MG/4 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
Zamicet 10-325 mg/15 ml soln ![Compare how all Medicare Part D PDP plans in WI cover Zamicet 10-325 mg/15 ml soln.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | Q:5735 /31Days |
ZANAFLEX 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZANAFLEX 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZANAFLEX 4 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZANAFLEX 6 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZANAFLEX 6 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZANOSAR 1 GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZANOSAR 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $100.00 | None |
ZANTAC 150 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZANTAC 25 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 25 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZANTAC 300 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZANTAC 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZARONTIN 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZARONTIN 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZARONTIN 250 MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover ZARONTIN 250 MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZAVESCA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZAVESCA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
ZAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in WI cover ZAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZAZOLE 0.8% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in WI cover ZAZOLE 0.8% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZEGERID 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZEGERID 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZEGERID 20MG PACKET ![Compare how all Medicare Part D PDP plans in WI cover ZEGERID 20MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZEGERID 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZEGERID 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZEGERID 40MG PACKET ![Compare how all Medicare Part D PDP plans in WI cover ZEGERID 40MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZELAPAR 1.25MG ODT TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZELAPAR 1.25MG ODT TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZELBORAF 240mg/1 1 BOTTLE, PLASTIC per 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 per CARTON / 120 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
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) |
5 |
Specialty Tier |
33% | N/A | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZENATANE 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENATANE 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZENATANE 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENATANE 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZENATANE 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENATANE 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZENATANE 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENATANE 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
Zenchent 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in WI cover Zenchent 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 |
$8.00 | $20.00 | None |
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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZENPEP DR 10,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENPEP DR 10,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENPEP DR 15,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENPEP DR 15,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENPEP DR 20,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENPEP DR 20,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZENPEP DR 40,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENPEP DR 40,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENPEP DR 5,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZENPEP DR 5,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENZEDI 10 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZENZEDI 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZENZEDI 15 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZENZEDI 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENZEDI 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZENZEDI 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENZEDI 20 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZENZEDI 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENZEDI 30 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZENZEDI 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZENZEDI 5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZENZEDI 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZENZEDI 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZENZEDI 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZERBAXA 1-0.5 GRAM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZERBAXA 1-0.5 GRAM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTORETIC 10-12.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTORETIC 10-12.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTORETIC 20-12.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTORETIC 20-12.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTORETIC 20-25 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTORETIC 20-25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTRIL 10 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTRIL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTRIL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTRIL 30 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZESTRIL 40 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZESTRIL 5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZESTRIL 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
3 |
Preferred Brand |
$42.00 | $100.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S Q:12 /31Days |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZIANA 1.2-0.025% GEL TOPICAL ![Compare how all Medicare Part D PDP plans in WI cover ZIANA 1.2-0.025% GEL TOPICAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | 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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZINACEF 1.5 GM ADD-VANT VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF 1.5 GM ADD-VANT VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZINACEF 7.5 GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF 7.5 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZINACEF 750 MG ADD-VANT VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINACEF 750 MG ADD-VANT VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZINECARD 250 MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZINECARD 250 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 20 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 40 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 60 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in WI cover ZIPRASIDONE HCL 80 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZIPSOR 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZIPSOR 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR per 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 per CARTON / 5 g in 1 TUBE, WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $100.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
ZOFRAN 8 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZOFRAN 8 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
ZOHYDRO ER 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOHYDRO ER 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
ZOHYDRO ER 15 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOHYDRO ER 15 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
ZOHYDRO ER 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOHYDRO ER 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
ZOHYDRO ER 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOHYDRO ER 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
ZOHYDRO ER 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOHYDRO ER 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
ZOHYDRO ER 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOHYDRO ER 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | 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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
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) |
5 |
Specialty Tier |
33% | N/A | None |
ZOLMITRIPTAN 2.5 MG ODT [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in WI cover ZOLMITRIPTAN 2.5 MG ODT [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | Q:9 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOLMITRIPTAN 2.5 MG TABLET [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in WI cover ZOLMITRIPTAN 2.5 MG TABLET [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | Q:9 /31Days |
ZOLMITRIPTAN 5 MG ODT [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in WI cover ZOLMITRIPTAN 5 MG ODT [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | Q:9 /31Days |
ZOLMITRIPTAN 5 MG TABLET [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in WI cover ZOLMITRIPTAN 5 MG TABLET [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | Q:9 /31Days |
Zoloft 100mg/1 100 FILM COATED TABLETS in DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover Zoloft 100mg/1 100 FILM COATED TABLETS in DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Zoloft 50mg/1 100 FILM COATED TABLETS in DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover Zoloft 50mg/1 100 FILM COATED TABLETS in DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZOLPIDEM TARTRATE 10MG TABLETS [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE 10MG TABLETS [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | S |
ZOLPIDEM TARTRATE 5mg/1 100 FILM COATED TABLETS in BOTTLE [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE 5mg/1 100 FILM COATED TABLETS in BOTTLE [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | S |
ZOLPIDEM TARTRATE ER 12.5 MG TAB [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE ER 12.5 MG TAB [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | S |
ZOLPIDEM TARTRATE ER 6.25MG TABLETS [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in WI cover ZOLPIDEM TARTRATE ER 6.25MG TABLETS [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | S |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Zolpimist 5mg/1 1 CONTAINER per CARTON / 60 SPRAY, METERED in 1 CONTAINER ![Compare how all Medicare Part D PDP plans in WI cover Zolpimist 5mg/1 1 CONTAINER per CARTON / 60 SPRAY, METERED in 1 CONTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZOMACTON 10 MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOMACTON 10 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
ZOMACTON 5 MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ZOMACTON 5 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Zometa 4mg/100mL 1 BOTTLE per CARTON / 100 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover Zometa 4mg/100mL 1 BOTTLE per CARTON / 100 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | 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) |
5 |
Specialty Tier |
33% | N/A | None |
ZOMIG 2.5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG 2.5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S Q:18 /28Days |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S Q:9 /31Days |
ZOMIG 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in WI cover ZOMIG 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S Q:18 /28Days |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S Q:9 /31Days |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S Q:9 /31Days |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S Q:9 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | 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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZONTIVITY 2.08 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZONTIVITY 2.08 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Zorbtive 8.8mg/mL 1 INJECTION, POWDER, FOR SOLUTION per CARTON ![Compare how all Medicare Part D PDP plans in WI cover Zorbtive 8.8mg/mL 1 INJECTION, POWDER, FOR SOLUTION per CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
ZORTRESS 0.25MG TABLETS ![Compare how all Medicare Part D PDP plans in WI cover ZORTRESS 0.25MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
Zortress 0.5mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per 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 per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Zortress 0.75mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per 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 per BLISTER PACK.](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 |
ZORVOLEX 18 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZORVOLEX 18 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZORVOLEX 35 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZORVOLEX 35 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
3 |
Preferred Brand |
$42.00 | $100.00 | None |
ZOSYN 2/0.25GM PRE-MIX BAG ![Compare how all Medicare Part D PDP plans in WI cover ZOSYN 2/0.25GM PRE-MIX BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
Zosyn 3.0; 0.375g/15mL; g/15mL 10 VIAL, SINGLE-USE per 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 per CARTON / 3.375 mL in 1 VIAL, SINGLE-USE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZOSYN 3/0.375GRAM 24 BAGS PKG ![Compare how all Medicare Part D PDP plans in WI cover ZOSYN 3/0.375GRAM 24 BAGS PKG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | 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) |
2 |
Non-Preferred Generic |
$8.00 | $20.00 | None |
ZOVIRAX 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZOVIRAX 200 MG/5 ML SUSP ![Compare how all Medicare Part D PDP plans in WI cover ZOVIRAX 200 MG/5 ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
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) |
3 |
Preferred Brand |
$42.00 | $100.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZUBSOLV 1.4-0.36 MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover ZUBSOLV 1.4-0.36 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
ZUBSOLV 5.7-1.4 MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover ZUBSOLV 5.7-1.4 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:93 /31Days |
ZUBSOLV 8.6-2.1 MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover ZUBSOLV 8.6-2.1 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | Q:62 /31Days |
ZUPLENZ 4 MG SOLUBLE FILM ![Compare how all Medicare Part D PDP plans in WI cover ZUPLENZ 4 MG SOLUBLE FILM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
ZUPLENZ 8 MG SOLUBLE FILM ![Compare how all Medicare Part D PDP plans in WI cover ZUPLENZ 8 MG SOLUBLE FILM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | P |
ZYBAN 150mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover ZYBAN 150mg/1 60 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZYCLARA 2.5% CREAM PUMP ![Compare how all Medicare Part D PDP plans in WI cover ZYCLARA 2.5% CREAM PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZYCLARA 3.75% CREAM ![Compare how all Medicare Part D PDP plans in WI cover ZYCLARA 3.75% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZYDELIG 100 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYDELIG 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
ZYDELIG 150 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYDELIG 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZYFLO CR 600 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYFLO CR 600 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZYKADIA 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ZYKADIA 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | 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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per 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 per CARTON / 2.5 mL in 1 BOTTLE, DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | None |
ZYPREXA 10 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZYPREXA 15 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZYPREXA 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
ZYPREXA Relprevv 1 KIT in 1 CARTON ![Compare how all Medicare Part D PDP plans in WI cover ZYPREXA Relprevv 1 KIT in 1 CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
4 |
Non-Preferred Brand |
$85.00 | $200.00 | S |
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) |
5 |
Specialty Tier |
33% | N/A | None |
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) |
5 |
Specialty Tier |
33% | N/A | None |
ZYVOX 600mg/1 30 FILM COATED TABLETS in BOTTLE, UNIT-DOSE ![Compare how all Medicare Part D PDP plans in WI cover ZYVOX 600mg/1 30 FILM COATED TABLETS in BOTTLE, UNIT-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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) |
5 |
Specialty Tier |
33% | N/A | None |