2016 Medicare Part D Plan Formulary Information |
Medica Prime Solution Value w/Rx 2 (Cost) (H2450-023-0)
Benefit Details
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The Medica Prime Solution Value w/Rx 2 (Cost) (H2450-023-0) Formulary Drugs Starting with the Letter N in Shannon County, SD: CMS MA Region 19 which includes: SD Plan Monthly Premium: $149.30 Deductible: $0 |
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 SD cover NABUMETONE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NABUMETONE 750MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NABUMETONE 750MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NADOLOL 40MG TABLETS ![Compare how all Medicare Part D PDP plans in SD cover NADOLOL 40MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nadolol 80mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Nadolol 80mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nafcillin 1 gm vial ![Compare how all Medicare Part D PDP plans in SD cover Nafcillin 1 gm vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nafcillin 10g/100mL ![Compare how all Medicare Part D PDP plans in SD cover Nafcillin 10g/100mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NALOXONE 0.4 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover NALOXONE 0.4 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in SD cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in SD cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NAMENDA XR 14 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NAMENDA XR 14 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:30 /30Days |
NAMENDA XR 21 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NAMENDA XR 21 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:30 /30Days |
NAMENDA XR 28 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NAMENDA XR 28 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:30 /30Days |
NAMENDA XR 7 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NAMENDA XR 7 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:30 /30Days |
NAMENDA XR TITRATION PACK ![Compare how all Medicare Part D PDP plans in SD cover NAMENDA XR TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:28 /28Days |
NAMZARIC 14 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NAMZARIC 14 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NAMZARIC 28 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NAMZARIC 28 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Naproxen 125 mg/5 ml suspen ![Compare how all Medicare Part D PDP plans in SD cover Naproxen 125 mg/5 ml suspen.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in SD cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$10.00 | $20.00 | None |
Naproxen 500mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Naproxen 500mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN DR 375 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NAPROXEN DR 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NAPROXEN DR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NAPROXEN DR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NAPROXEN SODIUM 275 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in SD cover NAPROXEN SODIUM 275 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$10.00 | $20.00 | None |
NAPROXEN SODIUM 550 MG ![Compare how all Medicare Part D PDP plans in SD cover NAPROXEN SODIUM 550 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$10.00 | $20.00 | None |
NAPROXEN TABLET 375MG (500 CT) ![Compare how all Medicare Part D PDP plans in SD cover NAPROXEN TABLET 375MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$10.00 | $20.00 | None |
NARATRIPTAN 1MG TABLETS ![Compare how all Medicare Part D PDP plans in SD cover NARATRIPTAN 1MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:18 /28Days |
NARATRIPTAN 2.5MG TABLETS ![Compare how all Medicare Part D PDP plans in SD cover NARATRIPTAN 2.5MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:18 /28Days |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in SD cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | Q:4 /30Days |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in SD cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Nateglinide 120mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Nateglinide 120mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:90 /30Days |
Nateglinide 60mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Nateglinide 60mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SD cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:2 /28Days |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SD cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:2 /28Days |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SD cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:2 /28Days |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SD cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:2 /28Days |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in SD cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | P |
NECON 0.5/35-28 TABLET ![Compare how all Medicare Part D PDP plans in SD cover NECON 0.5/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NECON 1-50-28 TABLET ![Compare how all Medicare Part D PDP plans in SD cover NECON 1-50-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NECON 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in SD cover NECON 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NECON 10/11-28 TABLET ![Compare how all Medicare Part D PDP plans in SD cover NECON 10/11-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NECON 7-7-7-28 TABLET ![Compare how all Medicare Part D PDP plans in SD cover NECON 7-7-7-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in SD cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in SD cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in SD cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in SD cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | 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 SD 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) |
2 |
Generic |
$20.00 | $40.00 | 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 SD 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 |
Generic |
$20.00 | $40.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in SD cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in SD cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in SD cover NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in SD cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in SD cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in SD cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | P |
NESINA 12.5 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NESINA 12.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | Q:30 /30Days |
NESINA 25 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NESINA 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | Q:30 /30Days |
NESINA 6.25 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NESINA 6.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | Q:30 /30Days |
Neuac gel ![Compare how all Medicare Part D PDP plans in SD cover Neuac gel.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in SD cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in SD 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% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in SD 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% | 33% | None |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in SD cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
nevirapine 200 mg tablet ![Compare how all Medicare Part D PDP plans in SD cover nevirapine 200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEVIRAPINE 50 MG/5 ML SUSP ![Compare how all Medicare Part D PDP plans in SD cover NEVIRAPINE 50 MG/5 ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEVIRAPINE ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NEVIRAPINE ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVIRAPINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NEVIRAPINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in SD cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:120 /30Days |
NIACIN ER 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NIACIN ER 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIACIN ER 500 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NIACIN ER 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIACIN ER 750 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NIACIN ER 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIACOR 500MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NIACOR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NICARDIPINE HYDROCHLORIDE 20MG CAPSULES ![Compare how all Medicare Part D PDP plans in SD cover NICARDIPINE HYDROCHLORIDE 20MG CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT ![Compare how all Medicare Part D PDP plans in SD cover NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in SD cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | Q:1008 /90Days |
NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in SD cover NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in SD cover NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE 30MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in SD cover NIFEDIPINE 30MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIFEDIPINE 60MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in SD cover NIFEDIPINE 60MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIFEDIPINE 90MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in SD cover NIFEDIPINE 90MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nikki 3 mg-0.02 mg tablet ![Compare how all Medicare Part D PDP plans in SD cover Nikki 3 mg-0.02 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NILANDRON 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NILANDRON 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:3 /28Days |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:3 /28Days |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:3 /28Days |
NITRO-BID 20mg/g 48 PACKET in 1 BOX / 1 g in 1 PACKET ![Compare how all Medicare Part D PDP plans in SD 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) |
2 |
Generic |
$20.00 | $40.00 | None |
Nitrofurantoin 25mg/5mL ![Compare how all Medicare Part D PDP plans in SD cover Nitrofurantoin 25mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | P Q:2400 /30Days |
Nitrofurantoin Macrocrystals 50mg/1 100 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Nitrofurantoin Macrocrystals 50mg/1 100 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | P Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nitrofurantoin mcr 100 mg cap ![Compare how all Medicare Part D PDP plans in SD cover Nitrofurantoin mcr 100 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | P Q:120 /30Days |
NITROFURANTOIN MCR 25 MG CAP ![Compare how all Medicare Part D PDP plans in SD cover NITROFURANTOIN MCR 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | P Q:120 /30Days |
NITROFURANTOIN MONO-MCR 100 MG ![Compare how all Medicare Part D PDP plans in SD cover NITROFURANTOIN MONO-MCR 100 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | P Q:120 /30Days |
NITROFURANTOIN MONO-MCR 25; 75mg 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover NITROFURANTOIN MONO-MCR 25; 75mg 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | P Q:120 /30Days |
NITROGLYCERIN .2MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NITROGLYCERIN .2MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:30 /30Days |
NITROGLYCERIN .4MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NITROGLYCERIN .4MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:60 /30Days |
NITROGLYCERIN .6MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover NITROGLYCERIN .6MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:30 /30Days |
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 SD 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) |
2 |
Generic |
$20.00 | $40.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in SD cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | Q:30 /30Days |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in SD cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NITROSTAT 0.4MG TABLET SL ![Compare how all Medicare Part D PDP plans in SD cover NITROSTAT 0.4MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in SD cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Nizatidine 150mg/1 60 CAPSULE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Nizatidine 150mg/1 60 CAPSULE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIZATIDINE 300 MG CAPSULE (100 CAPS) ![Compare how all Medicare Part D PDP plans in SD cover NIZATIDINE 300 MG CAPSULE (100 CAPS).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NIZATIDINE ORAL SOLUTION 15MG/ML ![Compare how all Medicare Part D PDP plans in SD cover NIZATIDINE ORAL SOLUTION 15MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in SD cover Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in SD cover Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in SD cover Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NORDITROPIN FLEXPRO 30 MG/3 ML ![Compare how all Medicare Part D PDP plans in SD cover NORDITROPIN FLEXPRO 30 MG/3 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Norethin-Estrad-Ferr 1-0.02 mg ![Compare how all Medicare Part D PDP plans in SD cover Norethin-Estrad-Ferr 1-0.02 mg.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORETHIN-ETH ESTRAD 1 MG-5 MCG ![Compare how all Medicare Part D PDP plans in SD cover NORETHIN-ETH ESTRAD 1 MG-5 MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | P |
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 SD cover Norethindrone 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORG-EE 0.18-0.215-0.25/0.025 ![Compare how all Medicare Part D PDP plans in SD cover NORG-EE 0.18-0.215-0.25/0.025.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Norlyroc 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in SD cover Norlyroc 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in SD cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | None |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in SD cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | None |
NORTHERA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NORTHERA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:180 /30Days |
NORTHERA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NORTHERA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:180 /30Days |
NORTHERA 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NORTHERA 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:180 /30Days |
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 SD 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 |
Generic |
$20.00 | $40.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in SD 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 |
Generic |
$20.00 | $40.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in SD cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
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 SD 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 |
Generic |
$20.00 | $40.00 | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in SD cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in SD cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORTRIPTYLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover NORTRIPTYLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NORVIR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NORVIR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NORVIR 100mg/1 30 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover NORVIR 100mg/1 30 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in SD cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in SD 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) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:40 /28Days |
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 ![Compare how all Medicare Part D PDP plans in SD 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) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:40 /28Days |
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in SD 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) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:40 /28Days |
NOVOLOG 100 UNIT/ML CARTRIDGE ![Compare how all Medicare Part D PDP plans in SD cover NOVOLOG 100 UNIT/ML CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:30 /28Days |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:40 /28Days |
NOVOLOG FLEXPEN SYRINGE ![Compare how all Medicare Part D PDP plans in SD cover NOVOLOG FLEXPEN SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:30 /28Days |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in SD cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:30 /28Days |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in SD cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:40 /28Days |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in SD cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NOXAFIL DR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NOXAFIL DR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUCALA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in SD cover NUCALA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:1 /28Days |
NUCYNTA 100mg/1 10 BLISTER PACK in 1 BOX, UNIT-DOSE / 10 FILM COATED TABLETS in BLISTER PACK ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA 100mg/1 10 BLISTER PACK in 1 BOX, UNIT-DOSE / 10 FILM COATED TABLETS in BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:181 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUCYNTA 50mg/1 10 BLISTER PACK in 1 BOX, UNIT-DOSE / 10 FILM COATED TABLETS in BLISTER PACK ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA 50mg/1 10 BLISTER PACK in 1 BOX, UNIT-DOSE / 10 FILM COATED TABLETS in BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:181 /30Days |
NUCYNTA 75mg/1 10 BLISTER PACK in 1 BOX, UNIT-DOSE / 10 FILM COATED TABLETS in BLISTER PACK ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA 75mg/1 10 BLISTER PACK in 1 BOX, UNIT-DOSE / 10 FILM COATED TABLETS in BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:181 /30Days |
NUCYNTA ER 100mg/1 60 TABLET, FILM COATED ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA ER 100mg/1 60 TABLET, FILM COATED.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:60 /30Days |
NUCYNTA ER 150mg/1 60 TABLET, FILM COATED ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA ER 150mg/1 60 TABLET, FILM COATED.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:60 /30Days |
NUCYNTA ER 200mg/1 60 TABLET, FILM COATED ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA ER 200mg/1 60 TABLET, FILM COATED.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:60 /30Days |
NUCYNTA ER 250mg/1 60 TABLET, FILM COATED ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA ER 250mg/1 60 TABLET, FILM COATED.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:60 /30Days |
NUCYNTA ER 50mg/1 60 TABLET, FILM COATED ![Compare how all Medicare Part D PDP plans in SD cover NUCYNTA ER 50mg/1 60 TABLET, FILM COATED.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:60 /30Days |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in SD cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:60 /30Days |
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 SD 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% | 33% | P |
NUPLAZID 17 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NUPLAZID 17 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P Q:60 /30Days |
NutreStore 5g/1 84 PACKET in 1 BOX / 1 POWDER, FOR SOLUTION in 1 PACKET ![Compare how all Medicare Part D PDP plans in SD cover NutreStore 5g/1 84 PACKET in 1 BOX / 1 POWDER, FOR SOLUTION in 1 PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in SD cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$85.00 | $170.00 | P |
NUVARING 0.12-0.015 RING VAGINAL ![Compare how all Medicare Part D PDP plans in SD cover NUVARING 0.12-0.015 RING VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | Q:1 /28Days |
NUVIGIL 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NUVIGIL 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | P |
NUVIGIL 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NUVIGIL 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | P |
NUVIGIL 250 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NUVIGIL 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | P |
NUVIGIL 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover NUVIGIL 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | P |
NYAMYC 100000 U/G POWDER ![Compare how all Medicare Part D PDP plans in SD cover NYAMYC 100000 U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nystatin 100000[USP'U]/g ![Compare how all Medicare Part D PDP plans in SD cover Nystatin 100000[USP'U]/g.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in SD 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 |
Generic |
$20.00 | $40.00 | None |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in SD 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 |
Generic |
$20.00 | $40.00 | None |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in SD cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in SD cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in SD cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in SD cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |
NYSTOP 100000U/GM POWDER ![Compare how all Medicare Part D PDP plans in SD cover NYSTOP 100000U/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$20.00 | $40.00 | None |