2018 Medicare Part D Plan Formulary Information |
Blue Cross Medicare Advantage Flex (HMO-POS) (H3251-021-0)
Benefit Details
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The Blue Cross Medicare Advantage Flex (HMO-POS) (H3251-021-0) Formulary Drugs Starting with the Letter M in Torrance County, NM: CMS MA Region 20 which includes: NM Plan Monthly Premium: $151.00 Deductible: $405 |
Drugs Starting with Letter M
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML ![Compare how all Medicare Part D PDP plans in NM cover M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MAGNESIUM SULFATE 50% VIAL ![Compare how all Medicare Part D PDP plans in NM cover MAGNESIUM SULFATE 50% VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MAGNESIUM SULFATE INJECTION 5 GM/10ML ![Compare how all Medicare Part D PDP plans in NM cover MAGNESIUM SULFATE INJECTION 5 GM/10ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MALATHION 0.5% LOTION ![Compare how all Medicare Part D PDP plans in NM cover MALATHION 0.5% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MAPROTILINE 25MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MAPROTILINE 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:90 /30Days |
MAPROTILINE 50MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MAPROTILINE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:90 /30Days |
MAPROTILINE 75MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MAPROTILINE 75MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:90 /30Days |
MARLISSA-28 TABLET ![Compare how all Medicare Part D PDP plans in NM cover MARLISSA-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MARPLAN 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in NM cover MARPLAN 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MATULANE 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MATULANE 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MATZIM LA 180 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MATZIM LA 180 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MATZIM LA 240 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MATZIM LA 240 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MATZIM LA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MATZIM LA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MATZIM LA 360 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MATZIM LA 360 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MATZIM LA 420 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MATZIM LA 420 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MAVYRET 100-40 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MAVYRET 100-40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
MECLIZINE 12.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MECLIZINE 12.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MEDROXYPROGESTERONE 10 MG TABLET [Provera] ![Compare how all Medicare Part D PDP plans in NM cover MEDROXYPROGESTERONE 10 MG TABLET [Provera].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MEDROXYPROGESTERONE 150 MG/ML Syringe [Depo-Provera] ![Compare how all Medicare Part D PDP plans in NM cover MEDROXYPROGESTERONE 150 MG/ML Syringe [Depo-Provera].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MEDROXYPROGESTERONE 150 MG/ML VIAL [Depo-Provera] ![Compare how all Medicare Part D PDP plans in NM cover MEDROXYPROGESTERONE 150 MG/ML VIAL [Depo-Provera].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MEDROXYPROGESTERONE 2.5 MG TABLET [Provera] ![Compare how all Medicare Part D PDP plans in NM cover MEDROXYPROGESTERONE 2.5 MG TABLET [Provera].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MEDROXYPROGESTERONE 5 MG TABLET [Provera] ![Compare how all Medicare Part D PDP plans in NM cover MEDROXYPROGESTERONE 5 MG TABLET [Provera].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MEFLOQUINE HCL 250 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MEFLOQUINE HCL 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MEGESTROL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MEGESTROL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
MEGESTROL 40 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MEGESTROL 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
MEGESTROL ACET 40 MG/ML SUSP ![Compare how all Medicare Part D PDP plans in NM cover MEGESTROL ACET 40 MG/ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
MEKINIST 0.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MEKINIST 0.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P Q:90 /30Days |
MEKINIST 2 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MEKINIST 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P Q:30 /30Days |
MELOXICAM 15 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MELOXICAM 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | Q:30 /30Days |
MELOXICAM 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MELOXICAM 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | Q:60 /30Days |
MELPHALAN 5 MG/ML INJECTABLE SOLUTION ![Compare how all Medicare Part D PDP plans in NM cover MELPHALAN 5 MG/ML INJECTABLE SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
MEMANTINE 5-10 MG TITRATION PK [Namenda Titration] ![Compare how all Medicare Part D PDP plans in NM cover MEMANTINE 5-10 MG TITRATION PK [Namenda Titration].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MEMANTINE HCL 10 MG TABLET [Namenda] ![Compare how all Medicare Part D PDP plans in NM cover MEMANTINE HCL 10 MG TABLET [Namenda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
MEMANTINE HCL 2 MG/ML SOLUTION [Namenda] ![Compare how all Medicare Part D PDP plans in NM cover MEMANTINE HCL 2 MG/ML SOLUTION [Namenda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
MEMANTINE HCL 5 MG TABLET [Namenda] ![Compare how all Medicare Part D PDP plans in NM cover MEMANTINE HCL 5 MG TABLET [Namenda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
Menactra 4; 4; 4; 4ug/0.5mL; ug/0.5mL; ug/0.5mL; ug/0.5mL 5 VIAL, SINGLE-DOSE in 1 PACKAGE / 0.5 mL ![Compare how all Medicare Part D PDP plans in NM cover Menactra 4; 4; 4; 4ug/0.5mL; ug/0.5mL; ug/0.5mL; ug/0.5mL 5 VIAL, SINGLE-DOSE in 1 PACKAGE / 0.5 mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MENVEO A-C-Y-W-135-DIP VIAL ![Compare how all Medicare Part D PDP plans in NM cover MENVEO A-C-Y-W-135-DIP VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MERCAPTOPURINE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MERCAPTOPURINE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MEROPENEM 500MG/VIAL FOR INJECTION ![Compare how all Medicare Part D PDP plans in NM cover MEROPENEM 500MG/VIAL FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MEROPENEM IV 1 GM VIAL ![Compare how all Medicare Part D PDP plans in NM cover MEROPENEM IV 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MESALAMINE 4 GM/60 ML ENEMA ![Compare how all Medicare Part D PDP plans in NM cover MESALAMINE 4 GM/60 ML ENEMA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MESALAMINE DR 1.2 GM TABLET ![Compare how all Medicare Part D PDP plans in NM cover MESALAMINE DR 1.2 GM TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MESNA 1 GRAM/10 ML VIAL ![Compare how all Medicare Part D PDP plans in NM cover MESNA 1 GRAM/10 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MESNEX 400MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MESNEX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MESTINON 60MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in NM cover MESTINON 60MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
Metadate er 20 mg tablet ![Compare how all Medicare Part D PDP plans in NM cover Metadate er 20 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:90 /30Days |
METFORMIN HCL 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METFORMIN HCL 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:75 /30Days |
METFORMIN HCL 500 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METFORMIN HCL 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:150 /30Days |
METFORMIN HCL 850 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METFORMIN HCL 850 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:90 /30Days |
METFORMIN HCL ER 500 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METFORMIN HCL ER 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:120 /30Days |
METFORMIN HCL ER 750 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METFORMIN HCL ER 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:60 /30Days |
METHADONE HCL 10 MG TABLET [Methadose] ![Compare how all Medicare Part D PDP plans in NM cover METHADONE HCL 10 MG TABLET [Methadose].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:360 /30Days |
METHADONE HCL 5 MG TABLET [Methadose] ![Compare how all Medicare Part D PDP plans in NM cover METHADONE HCL 5 MG TABLET [Methadose].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:180 /30Days |
Methazolamide 25 MG Oral Tablet ![Compare how all Medicare Part D PDP plans in NM cover Methazolamide 25 MG Oral Tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHAZOLAMIDE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHAZOLAMIDE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
Methenamine Hippurate 1g/1 ![Compare how all Medicare Part D PDP plans in NM cover Methenamine Hippurate 1g/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHIMAZOLE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHIMAZOLE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHIMAZOLE 5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHIMAZOLE 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHOCARBAMOL 500 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHOCARBAMOL 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
METHOCARBAMOL 750 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHOCARBAMOL 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
methotrexate 1 gm vial ![Compare how all Medicare Part D PDP plans in NM cover methotrexate 1 gm vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHOTREXATE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHOTREXATE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
METHOTREXATE 250 MG/10 ML VIAL ![Compare how all Medicare Part D PDP plans in NM cover METHOTREXATE 250 MG/10 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHOTREXATE 250 MG/10 ML VIAL ![Compare how all Medicare Part D PDP plans in NM cover METHOTREXATE 250 MG/10 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHOTREXATE 50 MG/2 ML VIAL ![Compare how all Medicare Part D PDP plans in NM cover METHOTREXATE 50 MG/2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Methoxsalen 10 mg Capsule [8-MOP] ![Compare how all Medicare Part D PDP plans in NM cover Methoxsalen 10 mg Capsule [8-MOP].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
METHSCOPOLAMINE BROMIDE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHSCOPOLAMINE BROMIDE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHSCOPOLAMINE BROMIDE 5 MG TAB ![Compare how all Medicare Part D PDP plans in NM cover METHSCOPOLAMINE BROMIDE 5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHYLPHENIDATE 10 MG TABLET [Ritalin] ![Compare how all Medicare Part D PDP plans in NM cover METHYLPHENIDATE 10 MG TABLET [Ritalin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:90 /30Days |
METHYLPHENIDATE 20 MG TABLET [Ritalin] ![Compare how all Medicare Part D PDP plans in NM cover METHYLPHENIDATE 20 MG TABLET [Ritalin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:90 /30Days |
METHYLPHENIDATE 5 MG TABLET [Ritalin] ![Compare how all Medicare Part D PDP plans in NM cover METHYLPHENIDATE 5 MG TABLET [Ritalin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:90 /30Days |
METHYLPHENIDATE ER 20 MG TABLET [Ritalin SR] ![Compare how all Medicare Part D PDP plans in NM cover METHYLPHENIDATE ER 20 MG TABLET [Ritalin SR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:90 /30Days |
methylprednisolone 125 mg vial ![Compare how all Medicare Part D PDP plans in NM cover methylprednisolone 125 mg vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
Methylprednisolone 125 mg vial ![Compare how all Medicare Part D PDP plans in NM cover Methylprednisolone 125 mg vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
METHYLPREDNISOLONE 16MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHYLPREDNISOLONE 16MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHYLPREDNISOLONE 32MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHYLPREDNISOLONE 32MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHYLPREDNISOLONE 4 MG DOSEPK ![Compare how all Medicare Part D PDP plans in NM cover METHYLPREDNISOLONE 4 MG DOSEPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHYLPREDNISOLONE 4 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHYLPREDNISOLONE 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
methylprednisolone 40 mg vial ![Compare how all Medicare Part D PDP plans in NM cover methylprednisolone 40 mg vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
METHYLPREDNISOLONE 8 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in NM cover METHYLPREDNISOLONE 8 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METHYLTESTOSTERONE 10 MG CAP ![Compare how all Medicare Part D PDP plans in NM cover METHYLTESTOSTERONE 10 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
Metoclopramide 10mg/1 500 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in NM cover Metoclopramide 10mg/1 500 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOCLOPRAMIDE 5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METOCLOPRAMIDE 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOCLOPRAMIDE 5 MG/5 ML SOLN ![Compare how all Medicare Part D PDP plans in NM cover METOCLOPRAMIDE 5 MG/5 ML SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
Metoclopramide 5mg/mL 25 VIAL in 1 TRAY / 2 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in NM cover Metoclopramide 5mg/mL 25 VIAL in 1 TRAY / 2 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
METOLAZONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METOLAZONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOLAZONE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METOLAZONE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METOLAZONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METOLAZONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOPROLOL SUCC ER 100 MG TAB ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL SUCC ER 100 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOPROLOL SUCC ER 200 MG TAB ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL SUCC ER 200 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOPROLOL SUCC ER 25 MG TAB ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL SUCC ER 25 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOPROLOL SUCC ER 50 MG TAB ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL SUCC ER 50 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOPROLOL TARTRATE 100 MG TAB ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL TARTRATE 100 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
METOPROLOL TARTRATE 25 MG TAB ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL TARTRATE 25 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT) ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
METOPROLOL-HYDROCHLOROTHIAZIDE 100MG-25MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL-HYDROCHLOROTHIAZIDE 100MG-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METOPROLOL-HYDROCHLOROTHIAZIDE 50MG-25MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover METOPROLOL-HYDROCHLOROTHIAZIDE 50MG-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METRONIDAZOLE 0.75% CREAM Cream (g) [Vitazol] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE 0.75% CREAM Cream (g) [Vitazol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METRONIDAZOLE 0.75% LOTION [MetroLotion] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE 0.75% LOTION [MetroLotion].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METRONIDAZOLE 250 MG TABLET [Flagyl] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE 250 MG TABLET [Flagyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METRONIDAZOLE 375 MG CAPSULE [Flagyl] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE 375 MG CAPSULE [Flagyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METRONIDAZOLE 500 MG TABLET [Flagyl] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE 500 MG TABLET [Flagyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METRONIDAZOLE 500 MG/100 ML PIGGYBACK [Flagyl RTU] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE 500 MG/100 ML PIGGYBACK [Flagyl RTU].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
METRONIDAZOLE TOPICAL 0.75% GL Gel [Nydamax] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE TOPICAL 0.75% GL Gel [Nydamax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METRONIDAZOLE TOPICAL 1% GEL [MetroGel] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE TOPICAL 1% GEL [MetroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
METRONIDAZOLE VAGINAL 0.75% GL GEL W/APPL [Vandazole] ![Compare how all Medicare Part D PDP plans in NM cover METRONIDAZOLE VAGINAL 0.75% GL GEL W/APPL [Vandazole].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MEXILETINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MEXILETINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MEXILETINE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MEXILETINE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MEXILETINE 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MEXILETINE 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MIACALCIN 400 UNIT/2 ML VIAL ![Compare how all Medicare Part D PDP plans in NM cover MIACALCIN 400 UNIT/2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
Microgestin 21 1-20 tablet ![Compare how all Medicare Part D PDP plans in NM cover Microgestin 21 1-20 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MICROGESTIN 21 1.5-30 TAB ![Compare how all Medicare Part D PDP plans in NM cover MICROGESTIN 21 1.5-30 TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Microgestin fe 1-20 tablet ![Compare how all Medicare Part D PDP plans in NM cover Microgestin fe 1-20 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MICROGESTIN FE 1.5-30 TAB ![Compare how all Medicare Part D PDP plans in NM cover MICROGESTIN FE 1.5-30 TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MIDODRINE HCL 10 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIDODRINE HCL 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MIDODRINE HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIDODRINE HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MIDODRINE HCL 5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIDODRINE HCL 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Migergot suppository ![Compare how all Medicare Part D PDP plans in NM cover Migergot suppository.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
MIGLUSTAT 100 MG CAPSULE [Zavesca] ![Compare how all Medicare Part D PDP plans in NM cover MIGLUSTAT 100 MG CAPSULE [Zavesca].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P Q:90 /30Days |
MIGRANAL 0.5MG/SPRY AEROSOL SPRAY W/PUMP ![Compare how all Medicare Part D PDP plans in NM cover MIGRANAL 0.5MG/SPRY AEROSOL SPRAY W/PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | Q:8 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MILI 0.25-0.035 MG TABLET [VyLibra] ![Compare how all Medicare Part D PDP plans in NM cover MILI 0.25-0.035 MG TABLET [VyLibra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MIMVEY 1-0.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIMVEY 1-0.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
MIMVEY LO 0.5-0.1 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIMVEY LO 0.5-0.1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P |
MINITRAN 0.1 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in NM cover MINITRAN 0.1 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MINITRAN 0.2 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in NM cover MINITRAN 0.2 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MINITRAN 0.4 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in NM cover MINITRAN 0.4 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MINITRAN 0.6 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in NM cover MINITRAN 0.6 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MINOCYCLINE 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MINOCYCLINE 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MINOCYCLINE 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MINOCYCLINE 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MINOCYCLINE 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MINOCYCLINE 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MINOCYCLINE HCL 100 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MINOCYCLINE HCL 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MINOCYCLINE HCL 75 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MINOCYCLINE HCL 75 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MINOCYCLINE HYDROCHLORIDE TABLETS 50MG ![Compare how all Medicare Part D PDP plans in NM cover MINOCYCLINE HYDROCHLORIDE TABLETS 50MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MINOXIDIL 10MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MINOXIDIL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MINOXIDIL 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MINOXIDIL 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MIRTAZAPINE 15 MG ODT ![Compare how all Medicare Part D PDP plans in NM cover MIRTAZAPINE 15 MG ODT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | Q:30 /30Days |
MIRTAZAPINE 15 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIRTAZAPINE 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:45 /30Days |
MIRTAZAPINE 30 MG ODT ![Compare how all Medicare Part D PDP plans in NM cover MIRTAZAPINE 30 MG ODT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | Q:30 /30Days |
MIRTAZAPINE 30 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIRTAZAPINE 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
Mirtazapine 45 mg odt ![Compare how all Medicare Part D PDP plans in NM cover Mirtazapine 45 mg odt.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | Q:30 /30Days |
MIRTAZAPINE 45 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIRTAZAPINE 45 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
MIRTAZAPINE 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MIRTAZAPINE 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
misoprostol 100 mcg tablet ![Compare how all Medicare Part D PDP plans in NM cover misoprostol 100 mcg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
misoprostol 200 mcg tablet ![Compare how all Medicare Part D PDP plans in NM cover misoprostol 200 mcg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MITOMYCIN 20 MG VIAL ![Compare how all Medicare Part D PDP plans in NM cover MITOMYCIN 20 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MITOMYCIN 40 MG VIAL ![Compare how all Medicare Part D PDP plans in NM cover MITOMYCIN 40 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
MITOMYCIN 5 MG VIAL ![Compare how all Medicare Part D PDP plans in NM cover MITOMYCIN 5 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MITOXANTRONE INJECTION 2MG 125ML VIAL ![Compare how all Medicare Part D PDP plans in NM cover MITOXANTRONE INJECTION 2MG 125ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MODAFINIL 100 MG TABLET [Provigil] ![Compare how all Medicare Part D PDP plans in NM cover MODAFINIL 100 MG TABLET [Provigil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
MODAFINIL 200 MG TABLET [Provigil] ![Compare how all Medicare Part D PDP plans in NM cover MODAFINIL 200 MG TABLET [Provigil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
Moderiba 200 mg tablet ![Compare how all Medicare Part D PDP plans in NM cover Moderiba 200 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Moexipril hcl 15 mg tablet ![Compare how all Medicare Part D PDP plans in NM cover Moexipril hcl 15 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOEXIPRIL HCL 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MOEXIPRIL HCL 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-12.5MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-25MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 15-25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOEXIPRIL-HYDROCHLOROTHIAZIDE 7.5-12.5MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MOEXIPRIL-HYDROCHLOROTHIAZIDE 7.5-12.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOMETASONE FUROATE 0.1% CREAM ![Compare how all Medicare Part D PDP plans in NM cover MOMETASONE FUROATE 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOMETASONE FUROATE 0.1% OINT ![Compare how all Medicare Part D PDP plans in NM cover MOMETASONE FUROATE 0.1% OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOMETASONE FUROATE 0.1% SOLN ![Compare how all Medicare Part D PDP plans in NM cover MOMETASONE FUROATE 0.1% SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOMETASONE FUROATE 50 MCG SPRY ![Compare how all Medicare Part D PDP plans in NM cover MOMETASONE FUROATE 50 MCG SPRY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | Q:34 /30Days |
MONONESSA TABLETS .250;.035MG; MG 6 X 28 CRTN ![Compare how all Medicare Part D PDP plans in NM cover MONONESSA TABLETS .250;.035MG; MG 6 X 28 CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MONTELUKAST SOD 10 MG TABLET [Singulair] ![Compare how all Medicare Part D PDP plans in NM cover MONTELUKAST SOD 10 MG TABLET [Singulair].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MONTELUKAST SOD 4 MG GRANULES [Singulair] ![Compare how all Medicare Part D PDP plans in NM cover MONTELUKAST SOD 4 MG GRANULES [Singulair].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MONTELUKAST SOD 4 MG TAB CHEW [Singulair] ![Compare how all Medicare Part D PDP plans in NM cover MONTELUKAST SOD 4 MG TAB CHEW [Singulair].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MONTELUKAST SOD 5 MG TAB CHEW [Singulair] ![Compare how all Medicare Part D PDP plans in NM cover MONTELUKAST SOD 5 MG TAB CHEW [Singulair].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MORGIDOX 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MORGIDOX 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MORPHINE SULF 20 MG/5 ML SOLN ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULF 20 MG/5 ML SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:1350 /30Days |
MORPHINE SULF ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULF ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:90 /30Days |
MORPHINE SULF ER 15 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULF ER 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | P Q:90 /30Days |
MORPHINE SULF ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULF ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:90 /30Days |
MORPHINE SULF ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULF ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | P Q:90 /30Days |
MORPHINE SULF ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULF ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:90 /30Days |
MORPHINE SULFATE 100 mg/5 ml soln ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULFATE 100 mg/5 ml soln.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:270 /30Days |
MORPHINE SULFATE 10MG/5ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULFATE 10MG/5ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:2700 /30Days |
MORPHINE SULFATE 15MG TABLETS ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULFATE 15MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:240 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MORPHINE SULFATE 30MG TABLETS ![Compare how all Medicare Part D PDP plans in NM cover MORPHINE SULFATE 30MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:180 /30Days |
MOVIPREP 7.5-2.691G POWDER IN PACKET ![Compare how all Medicare Part D PDP plans in NM cover MOVIPREP 7.5-2.691G POWDER IN PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MOXEZA 5.45mg/mL 3 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in NM cover MOXEZA 5.45mg/mL 3 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MOXIFLOXACIN 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in NM cover MOXIFLOXACIN 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOXIFLOXACIN 400 MG/250 ML BAG PIGGYBACK [Avelox I.V.] ![Compare how all Medicare Part D PDP plans in NM cover MOXIFLOXACIN 400 MG/250 ML BAG PIGGYBACK [Avelox I.V.].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MOXIFLOXACIN HCL 400 MG TABLET [Avelox] ![Compare how all Medicare Part D PDP plans in NM cover MOXIFLOXACIN HCL 400 MG TABLET [Avelox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MOZOBIL 20 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in NM cover MOZOBIL 20 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
Multaq 400mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in NM cover Multaq 400mg/1 60 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MUPIROCIN 2% OINTMENT ![Compare how all Medicare Part D PDP plans in NM cover MUPIROCIN 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | None |
MUSTARGEN 10 MG VIAL ![Compare how all Medicare Part D PDP plans in NM cover MUSTARGEN 10 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
MYALEPT 11.3 MG (5 MG/ML) VIAL ![Compare how all Medicare Part D PDP plans in NM cover MYALEPT 11.3 MG (5 MG/ML) VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MYCAMINE 100MG/VIAL FOR INJECTION SOLUTION ![Compare how all Medicare Part D PDP plans in NM cover MYCAMINE 100MG/VIAL FOR INJECTION SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
MYCAMINE 50MG VIAL ![Compare how all Medicare Part D PDP plans in NM cover MYCAMINE 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
MYCOPHENOLATE 200 MG/ML SUSP ![Compare how all Medicare Part D PDP plans in NM cover MYCOPHENOLATE 200 MG/ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | P |
MYCOPHENOLATE 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MYCOPHENOLATE 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
MYCOPHENOLATE 500 MG TABLET [CellCept] ![Compare how all Medicare Part D PDP plans in NM cover MYCOPHENOLATE 500 MG TABLET [CellCept].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
Mycophenolate 500 mg vial ![Compare how all Medicare Part D PDP plans in NM cover Mycophenolate 500 mg vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
MYCOPHENOLIC ACID DR 180 MG TB ![Compare how all Medicare Part D PDP plans in NM cover MYCOPHENOLIC ACID DR 180 MG TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
MYCOPHENOLIC ACID DR 360 MG TB ![Compare how all Medicare Part D PDP plans in NM cover MYCOPHENOLIC ACID DR 360 MG TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$14.00 | $42.00 | P |
Mylotarg 5 mg/5mL 5 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in NM cover Mylotarg 5 mg/5mL 5 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | 25% | None |
MYORISAN 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MYORISAN 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MYORISAN 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MYORISAN 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Myorisan 30 mg capsule ![Compare how all Medicare Part D PDP plans in NM cover Myorisan 30 mg capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |
MYORISAN 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NM cover MYORISAN 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$42.00 | $126.00 | None |