2017 Medicare Part D Plan Formulary Information |
SCAN Classic II (HMO) (H5425-064-0)
Benefit Details
![Email Prescription and/or Health Benefit details for SCAN Classic II (HMO). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The SCAN Classic II (HMO) (H5425-064-0) Formulary Drugs Starting with the Letter N in Los Angeles County, CA: CMS MA Region 24 which includes: CA Plan Monthly Premium: $0.00 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 500 mg tablet ![Compare how all Medicare Part D PDP plans in CA cover Nabumetone 500 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nabumetone 750 mg tablet ![Compare how all Medicare Part D PDP plans in CA cover Nabumetone 750 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NADOLOL 40MG TABLETS ![Compare how all Medicare Part D PDP plans in CA cover NADOLOL 40MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nadolol 80mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Nadolol 80mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NADOLOL-BENDROFLU 40-5 MG TAB ![Compare how all Medicare Part D PDP plans in CA cover NADOLOL-BENDROFLU 40-5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NADOLOL-BENDROFLU 80-5 MG TAB ![Compare how all Medicare Part D PDP plans in CA cover NADOLOL-BENDROFLU 80-5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nafcillin 1 gm vial ![Compare how all Medicare Part D PDP plans in CA cover Nafcillin 1 gm vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nafcillin 10g/100mL ![Compare how all Medicare Part D PDP plans in CA cover Nafcillin 10g/100mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NALOXONE 0.4 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NALOXONE 0.4 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in CA cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in CA cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Naproxen 125 mg/5 ml suspen ![Compare how all Medicare Part D PDP plans in CA cover Naproxen 125 mg/5 ml suspen.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
Naproxen 375 mg tablet ![Compare how all Medicare Part D PDP plans in CA cover Naproxen 375 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
Naproxen 500mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Naproxen 500mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
NAPROXEN DR 375 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN DR 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
NAPROXEN DR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN DR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
NAPROXEN SODIUM 275 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN SODIUM 275 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
NAPROXEN SODIUM 550 MG ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN SODIUM 550 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NARATRIPTAN 2.5MG TABLETS ![Compare how all Medicare Part D PDP plans in CA cover NARATRIPTAN 2.5MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | Q:9 /30Days |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | Q:9 /30Days |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in CA cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
Nateglinide 120mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Nateglinide 120mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nateglinide 60mg/1 90 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Nateglinide 60mg/1 90 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in CA cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | P |
Necon 0.5-35-28 tablet ![Compare how all Medicare Part D PDP plans in CA cover Necon 0.5-35-28 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NECON 1-50-28 TABLET ![Compare how all Medicare Part D PDP plans in CA cover NECON 1-50-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NECON 10/11-28 TABLET ![Compare how all Medicare Part D PDP plans in CA cover NECON 10/11-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NECON 7-7-7-28 TABLET ![Compare how all Medicare Part D PDP plans in CA cover NECON 7-7-7-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in CA cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | 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 CA 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 |
$5.00 | N/A | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in CA 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 |
$5.00 | N/A | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEORAL 100MG GELATN CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NEORAL 100MG GELATN CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | P |
NEORAL 100MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in CA cover NEORAL 100MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | P |
NEORAL 25MG GELATIN CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NEORAL 25MG GELATIN CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | P |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | Q:30 /30Days |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | Q:30 /30Days |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | Q:30 /30Days |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | Q:30 /30Days |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | Q:30 /30Days |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | Q:30 /30Days |
nevirapine 200 mg tablet ![Compare how all Medicare Part D PDP plans in CA cover nevirapine 200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEVIRAPINE 50 MG/5 ML SUSP ![Compare how all Medicare Part D PDP plans in CA cover NEVIRAPINE 50 MG/5 ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEVIRAPINE ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEVIRAPINE ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEVIRAPINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEVIRAPINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in CA cover NEXAVAR TABLETS 200MG 120 BOT.](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 |
NIACIN ER 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIACIN ER 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | Q:60 /30Days |
NIACIN ER 500 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIACIN ER 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | Q:90 /30Days |
NIACIN ER 750 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIACIN ER 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | Q:60 /30Days |
NICARDIPINE HYDROCHLORIDE 20MG CAPSULES ![Compare how all Medicare Part D PDP plans in CA cover NICARDIPINE HYDROCHLORIDE 20MG CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT ![Compare how all Medicare Part D PDP plans in CA cover NICARDIPINE HYDROCHLORIDE CAPSULES 30MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in CA cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in CA cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
Nifedipine 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Nifedipine 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | P |
NIFEDIPINE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | P |
NIFEDIPINE 90MG TABLETS EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE 90MG TABLETS EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nilutamide 150 mg tablet [Nilandron] ![Compare how all Medicare Part D PDP plans in CA cover Nilutamide 150 mg tablet [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
Nimodipine 30mg/1 25 BLISTER PACK in 1 CARTON / 4 CAPSULE in 1 BLISTER PACK ![Compare how all Medicare Part D PDP plans in CA 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) |
2 |
Generic |
$5.00 | N/A | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Nisoldipine 17mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Nisoldipine 17mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NISOLDIPINE 20MG TB24 ![Compare how all Medicare Part D PDP plans in CA cover NISOLDIPINE 20MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nisoldipine 25.5mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Nisoldipine 25.5mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NISOLDIPINE 30MG TB24 ![Compare how all Medicare Part D PDP plans in CA cover NISOLDIPINE 30MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nisoldipine 34mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Nisoldipine 34mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NISOLDIPINE 40MG TB24 ![Compare how all Medicare Part D PDP plans in CA cover NISOLDIPINE 40MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nisoldipine 8.5mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Nisoldipine 8.5mg/1 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITRO-BID 20mg/g 48 PACKET in 1 BOX / 1 g in 1 PACKET ![Compare how all Medicare Part D PDP plans in CA 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 |
$5.00 | N/A | None |
NITRO-DUR 0.1 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.1 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
NITRO-DUR 0.2 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.2 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
NITRO-DUR 0.3 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.3 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
NITRO-DUR 0.4 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.4 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
NITRO-DUR 0.6 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.6 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITRO-DUR 0.8 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.8 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
NITROFURANTOIN MACROCRYSTALLINE 50 mg cap ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN MACROCRYSTALLINE 50 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nitrofurantoin mcr 100 mg cap ![Compare how all Medicare Part D PDP plans in CA cover Nitrofurantoin mcr 100 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROFURANTOIN MCR 25 MG CAP ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN MCR 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROFURANTOIN MONO-MCR 100 MG ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN MONO-MCR 100 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROGLYCERIN .2MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN .2MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROGLYCERIN .4MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN .4MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROGLYCERIN .6MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN .6MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROGLYCERIN 0.4 MG TABLET SL ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.4 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROGLYCERIN 0.6 MG TABLET SL ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.6 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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 CA 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 |
$5.00 | N/A | None |
NITROGLYCERIN LINGUAL 0.4 MG ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN LINGUAL 0.4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
noret-estr-fe 0.4-0.035(21)-75 ![Compare how all Medicare Part D PDP plans in CA cover noret-estr-fe 0.4-0.035(21)-75.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NORETHIN-ETH ESTRAD 0.5-2.5 ![Compare how all Medicare Part D PDP plans in CA cover NORETHIN-ETH ESTRAD 0.5-2.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | P |
NORETHIN-ETH ESTRAD 1 MG-5 MCG ![Compare how all Medicare Part D PDP plans in CA cover NORETHIN-ETH ESTRAD 1 MG-5 MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | P |
Norethindrone 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in CA cover Norethindrone 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NORG-EE 0.18-0.215-0.25/0.025 ![Compare how all Medicare Part D PDP plans in CA cover NORG-EE 0.18-0.215-0.25/0.025.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
norg-ee 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in CA cover norg-ee 0.18-0.215-0.25/0.035.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Norg-ethin estra 0.25-0.035 mg ![Compare how all Medicare Part D PDP plans in CA cover Norg-ethin estra 0.25-0.035 mg.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Norlyroc 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in CA cover Norlyroc 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NORTHERA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NORTHERA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NORTHERA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NORTHERA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NORTHERA 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NORTHERA 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NORTRIPTYLINE HCL 75 MG CAP ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE HCL 75 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Nortriptyline Hydrochloride 50mg/1 500 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NORVIR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NORVIR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | None |
NORVIR 100mg/1 30 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover NORVIR 100mg/1 30 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in CA cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | N/A | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in CA cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NOXAFIL DR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NOXAFIL DR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in CA cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
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 CA cover NULOJIX 250mg/1 1 VIAL, SINGLE-USE per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NUPLAZID 17 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NUPLAZID 17 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NYAMYC 100000 U/G POWDER ![Compare how all Medicare Part D PDP plans in CA cover NYAMYC 100000 U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nyata 100,000 unit/gm powder ![Compare how all Medicare Part D PDP plans in CA cover Nyata 100,000 unit/gm powder.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nystatin 100000[USP'U]/g ![Compare how all Medicare Part D PDP plans in CA cover Nystatin 100000[USP'U]/g.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in CA 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 |
$5.00 | N/A | None |
Nystatin 100000[USP'U]/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in CA 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 |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in CA cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$5.00 | N/A | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | N/A | None |