2017 Medicare Part D Plan Formulary Information |
Humana Walmart Rx Plan (PDP) (S5884-164-0)
Benefit Details
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The Humana Walmart Rx Plan (PDP) (S5884-164-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 18 which includes: MO Plan Monthly Premium: $17.00 Deductible: $400 Qualifies for LIS: No |
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 500 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover Nabumetone 500 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
Nabumetone 750 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover Nabumetone 750 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NADOLOL 40MG TABLETS ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 40MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Nadolol 80mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nadolol 80mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NADOLOL-BENDROFLU 40-5 MG TAB ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL-BENDROFLU 40-5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NADOLOL-BENDROFLU 80-5 MG TAB ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL-BENDROFLU 80-5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Nafcillin 1 gm vial ![Compare how all Medicare Part D PDP plans in MO cover Nafcillin 1 gm vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Nafcillin 10g/100mL ![Compare how all Medicare Part D PDP plans in MO cover Nafcillin 10g/100mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nalbuphine Hydrochloride 10mg/mL 1 VIAL, MULTI-DOSE per CARTON / 10 mL in 1 VIAL, MULTI-DOSE ![Compare how all Medicare Part D PDP plans in MO cover Nalbuphine Hydrochloride 10mg/mL 1 VIAL, MULTI-DOSE per CARTON / 10 mL in 1 VIAL, MULTI-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:240 /30Days |
Nalbuphine Hydrochloride 20mg/mL 25 VIAL, MULTI-DOSE per CARTON / 10 mL in 1 VIAL, MULTI-DOSE ![Compare how all Medicare Part D PDP plans in MO cover Nalbuphine Hydrochloride 20mg/mL 25 VIAL, MULTI-DOSE per CARTON / 10 mL in 1 VIAL, MULTI-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:120 /30Days |
NALOXONE 0.4 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NALOXONE 0.4 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in MO cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in MO cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NAMENDA XR 14 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 14 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | P Q:30 /30Days |
NAMENDA XR 21 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 21 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | P Q:30 /30Days |
NAMENDA XR 28 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 28 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | P Q:30 /30Days |
NAMENDA XR 7 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR 7 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | P Q:30 /30Days |
NAMENDA XR TITRATION PACK ![Compare how all Medicare Part D PDP plans in MO cover NAMENDA XR TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | P Q:28 /28Days |
NAMZARIC 14 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 14 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAMZARIC 21 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 21 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:30 /30Days |
NAMZARIC 28 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 28 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:30 /30Days |
NAMZARIC 7 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 7 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:30 /30Days |
NAMZARIC TITRATION PACK ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:28 /28Days |
Naproxen 125 mg/5 ml suspen ![Compare how all Medicare Part D PDP plans in MO cover Naproxen 125 mg/5 ml suspen.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
Naproxen 375 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover Naproxen 375 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $0.00 | None |
Naproxen 500mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Naproxen 500mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $0.00 | None |
NAPROXEN DR 375 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN DR 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NAPROXEN DR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN DR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NAPROXEN SODIUM 275 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN SODIUM 275 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN SODIUM 550 MG ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN SODIUM 550 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NARATRIPTAN 2.5MG TABLETS ![Compare how all Medicare Part D PDP plans in MO cover NARATRIPTAN 2.5MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:9 /30Days |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:9 /30Days |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in MO cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:2 /30Days |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Natazia 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO cover Natazia 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Nateglinide 120mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nateglinide 120mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Nateglinide 60mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nateglinide 60mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:2 /28Days |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:2 /28Days |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:2 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:2 /28Days |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in MO cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | P |
Necon 0.5-35-28 tablet ![Compare how all Medicare Part D PDP plans in MO cover Necon 0.5-35-28 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NECON 1-50-28 TABLET ![Compare how all Medicare Part D PDP plans in MO cover NECON 1-50-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NECON 10/11-28 TABLET ![Compare how all Medicare Part D PDP plans in MO cover NECON 10/11-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in MO cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Neomycin and Polymyxin B Sulfates 40; 200000mg/mL; 1/mL 10 AMPULE per CARTON / 1 mL in 1 AMPULE ![Compare how all Medicare Part D PDP plans in MO cover Neomycin and Polymyxin B Sulfates 40; 200000mg/mL; 1/mL 10 AMPULE per CARTON / 1 mL in 1 AMPULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Neomycin and Polymyxin B Sulfates and Dexamethasone 1; 3.5; 10000mg/g; mg/g; [USP'U]/g 1 TUBE in 1 ![Compare how all Medicare Part D PDP plans in MO cover Neomycin and Polymyxin B Sulfates and Dexamethasone 1; 3.5; 10000mg/g; mg/g; [USP'U]/g 1 TUBE in 1 .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NEOSPORIN EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover NEOSPORIN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in MO cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | P |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:1 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:14 /30Days |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:22 /30Days |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:7 /30Days |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:11 /30Days |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:30 /30Days |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:30 /30Days |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:30 /30Days |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:30 /30Days |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:30 /30Days |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:30 /30Days |
nevirapine 200 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover nevirapine 200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVIRAPINE 50 MG/5 ML SUSP ![Compare how all Medicare Part D PDP plans in MO cover NEVIRAPINE 50 MG/5 ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:1200 /30Days |
NEVIRAPINE ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEVIRAPINE ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:120 /30Days |
NEVIRAPINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEVIRAPINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:30 /30Days |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in MO cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
Nexterone 150mg/100mL 100 mL in 1 BAG ![Compare how all Medicare Part D PDP plans in MO cover Nexterone 150mg/100mL 100 mL in 1 BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Nexterone 360mg/200mL 200 mL in 1 BAG ![Compare how all Medicare Part D PDP plans in MO cover Nexterone 360mg/200mL 200 mL in 1 BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NIACIN ER 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NIACIN ER 500 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NIACIN ER 750 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NIACOR 500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACOR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
Nicardipine 25 mg/10 ml vial ![Compare how all Medicare Part D PDP plans in MO cover Nicardipine 25 mg/10 ml vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NICARDIPINE HYDROCHLORIDE 20MG CAPSULES ![Compare how all Medicare Part D PDP plans in MO cover NICARDIPINE HYDROCHLORIDE 20MG CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT ![Compare how all Medicare Part D PDP plans in MO cover NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in MO cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NIFEDIPINE 90MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE 90MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:60 /30Days |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:60 /30Days |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:60 /30Days |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:60 /30Days |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:60 /30Days |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | Q:60 /30Days |
Nikki 3 mg-0.02 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover Nikki 3 mg-0.02 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NILANDRON 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NILANDRON 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nilutamide 150 mg tablet [Nilandron] ![Compare how all Medicare Part D PDP plans in MO cover Nilutamide 150 mg tablet [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:60 /30Days |
Nimodipine 30mg/1 25 BLISTER PACK in 1 CARTON / 4 CAPSULE in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO cover Nimodipine 30mg/1 25 BLISTER PACK in 1 CARTON / 4 CAPSULE in 1 BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
NIPENT FOR INJECTION 10MG VIALS ![Compare how all Medicare Part D PDP plans in MO cover NIPENT FOR INJECTION 10MG VIALS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
Nitrofurantoin 25mg/5mL ![Compare how all Medicare Part D PDP plans in MO cover Nitrofurantoin 25mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NITROFURANTOIN MACROCRYSTALLINE 50 mg cap ![Compare how all Medicare Part D PDP plans in MO cover NITROFURANTOIN MACROCRYSTALLINE 50 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Nitrofurantoin mcr 100 mg cap ![Compare how all Medicare Part D PDP plans in MO cover Nitrofurantoin mcr 100 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NITROFURANTOIN MONO-MCR 100 MG ![Compare how all Medicare Part D PDP plans in MO cover NITROFURANTOIN MONO-MCR 100 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NITROGLYCERIN .2MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN .2MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN .4MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN .4MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | Q:60 /30Days |
NITROGLYCERIN .6MG/HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN .6MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | Q:30 /30Days |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NITROGLYCERIN 0.4 MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.4 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NITROGLYCERIN 0.6 MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.6 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Nitroglycerin 5mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 10 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in MO cover Nitroglycerin 5mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 10 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NITROGLYCERIN LINGUAL 0.4 MG ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN LINGUAL 0.4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | Q:30 /30Days |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NITROSTAT 0.4MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.4MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
noret-estr-fe 0.4-0.035(21)-75 ![Compare how all Medicare Part D PDP plans in MO cover noret-estr-fe 0.4-0.035(21)-75.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Norethin-Estrad-Ferr 1-0.02 mg ![Compare how all Medicare Part D PDP plans in MO cover Norethin-Estrad-Ferr 1-0.02 mg.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
norethind-eth estrad 1-0.02 mg ![Compare how all Medicare Part D PDP plans in MO cover norethind-eth estrad 1-0.02 mg.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Norethindrone 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover Norethindrone 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NORG-EE 0.18-0.215-0.25/0.025 ![Compare how all Medicare Part D PDP plans in MO cover NORG-EE 0.18-0.215-0.25/0.025.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
norg-ee 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in MO cover norg-ee 0.18-0.215-0.25/0.035.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Norg-ethin estra 0.25-0.035 mg ![Compare how all Medicare Part D PDP plans in MO cover Norg-ethin estra 0.25-0.035 mg.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Norlyroc 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover Norlyroc 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NORMOSOL -R INJ /D5W ![Compare how all Medicare Part D PDP plans in MO cover NORMOSOL -R INJ /D5W.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in MO cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NORTHERA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NORTHERA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:90 /30Days |
NORTHERA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NORTHERA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:90 /30Days |
NORTHERA 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NORTHERA 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | 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 MO cover Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO cover Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in MO cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | 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 MO cover Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $0.00 | None |
NORTRIPTYLINE HCL 75 MG CAP ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 75 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $0.00 | None |
Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NORVIR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NORVIR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:360 /30Days |
NORVIR 100mg/1 30 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover NORVIR 100mg/1 30 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:360 /30Days |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | Q:480 /30Days |
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in MO cover Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in MO cover Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in MO cover Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NOVOLOG 100 UNIT/ML CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG 100 UNIT/ML CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NOVOLOG FLEXPEN SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG FLEXPEN SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in MO cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in MO cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:840 /28Days |
NOXAFIL DR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NOXAFIL DR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:93 /30Days |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in MO cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | 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 MO cover NULOJIX 250mg/1 1 VIAL, SINGLE-USE per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:20 /30Days |
NUPLAZID 17 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NUPLAZID 17 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in MO cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | P |
NYAMYC 100000 U/G POWDER ![Compare how all Medicare Part D PDP plans in MO cover NYAMYC 100000 U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Nyata 100,000 unit/gm powder ![Compare how all Medicare Part D PDP plans in MO cover Nyata 100,000 unit/gm powder.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Nystatin 100000[USP'U]/g ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/g.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $0.00 | None |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in MO cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $8.00 | None |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
35% | 35% | None |
NYSTOP 100000U/GM POWDER ![Compare how all Medicare Part D PDP plans in MO cover NYSTOP 100000U/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
20% | 20% | None |