2018 Medicare Part D Plan Formulary Information |
UnitedHealthcare Dual Complete LP1 (HMO SNP) (H3794-002-0)
Benefit Details
![Email Prescription and/or Health Benefit details for UnitedHealthcare Dual Complete LP1 (HMO SNP). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The UnitedHealthcare Dual Complete LP1 (HMO SNP) (H3794-002-0) Formulary Drugs Starting with the Letter N in Iowa County, WI: CMS MA Region 14 which includes: WI Plan Monthly Premium: $28.10 Deductible: $405 |
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 WI cover NABUMETONE 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NABUMETONE 750 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NABUMETONE 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NADOLOL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NADOLOL 40MG TABLETS ![Compare how all Medicare Part D PDP plans in WI cover NADOLOL 40MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NADOLOL-BENDROFLU 40-5 MG TAB ![Compare how all Medicare Part D PDP plans in WI cover NADOLOL-BENDROFLU 40-5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NADOLOL-BENDROFLU 80-5 MG TAB ![Compare how all Medicare Part D PDP plans in WI cover NADOLOL-BENDROFLU 80-5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
Nafcillin 1 gm vial ![Compare how all Medicare Part D PDP plans in WI cover Nafcillin 1 gm vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in WI cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NAFTIFINE HCL 1% CREAM (g) [Naftin-MP] ![Compare how all Medicare Part D PDP plans in WI cover NAFTIFINE HCL 1% CREAM (g) [Naftin-MP].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAFTIFINE HCL 2% CREAM [Naftin] ![Compare how all Medicare Part D PDP plans in WI cover NAFTIFINE HCL 2% CREAM [Naftin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NAFTIN 1% GEL ![Compare how all Medicare Part D PDP plans in WI cover NAFTIN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NAFTIN 2% GEL ![Compare how all Medicare Part D PDP plans in WI cover NAFTIN 2% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
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 WI 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 |
Tier 4 |
$0.00 | N/A | None |
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 WI 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 |
Tier 4 |
$0.00 | N/A | None |
NALOXONE 0.4 MG/ML CARPUJECT ![Compare how all Medicare Part D PDP plans in WI cover NALOXONE 0.4 MG/ML CARPUJECT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NALOXONE 0.4 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover NALOXONE 0.4 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in WI cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NALTREXONE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NALTREXONE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NAMENDA XR 14 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMENDA XR 14 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAMENDA XR 21 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMENDA XR 21 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMENDA XR 28 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMENDA XR 28 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMENDA XR 7 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMENDA XR 7 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMENDA XR TITRATION PACK ![Compare how all Medicare Part D PDP plans in WI cover NAMENDA XR TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMZARIC 14 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMZARIC 14 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMZARIC 21 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMZARIC 21 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMZARIC 28 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMZARIC 28 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMZARIC 7 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NAMZARIC 7 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:30 /30Days |
NAMZARIC TITRATION PACK ![Compare how all Medicare Part D PDP plans in WI cover NAMZARIC TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | P Q:28 /28Days |
Naproxen 125 mg/5 ml suspen ![Compare how all Medicare Part D PDP plans in WI cover Naproxen 125 mg/5 ml suspen.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NAPROXEN DR 375 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN DR 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NAPROXEN DR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN DR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:12 /30Days |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:12 /30Days |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in WI cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in WI cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NATEGLINIDE 120 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NATEGLINIDE 120 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | Q:90 /30Days |
NATEGLINIDE 60 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NATEGLINIDE 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | Q:180 /30Days |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in WI cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in WI cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in WI cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in WI cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in WI cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P Q:1 /28Days |
NECON 0.5-35-28 TABLET ![Compare how all Medicare Part D PDP plans in WI cover NECON 0.5-35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NECON 7-7-7-28 TABLET ![Compare how all Medicare Part D PDP plans in WI cover NECON 7-7-7-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in WI cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in WI cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in WI cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in WI cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEOMYC-POLYM-DEXAMET EYE OINTM [Poly-Dex] ![Compare how all Medicare Part D PDP plans in WI cover NEOMYC-POLYM-DEXAMET EYE OINTM [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NEOMYC-POLYM-DEXAMETH EYE DROP ![Compare how all Medicare Part D PDP plans in WI cover NEOMYC-POLYM-DEXAMETH EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in WI cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in WI cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NEOMYCIN/POLY AMP 10X1 ML ![Compare how all Medicare Part D PDP plans in WI cover NEOMYCIN/POLY AMP 10X1 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in WI cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in WI cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in WI cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:180 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in WI cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | S |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | S |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in WI 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 |
Tier 5 |
$0.00 | N/A | S |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in WI cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | S |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in WI cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:90 /30Days |
NEVIRAPINE ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NEVIRAPINE ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:90 /30Days |
NEVIRAPINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NEVIRAPINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in WI cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON ![Compare how all Medicare Part D PDP plans in WI cover NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in WI cover NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in WI cover NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEXIUM DR 2.5 MG PACKET ![Compare how all Medicare Part D PDP plans in WI cover NEXIUM DR 2.5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NEXIUM DR 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NEXIUM DR 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:90 /30Days |
NEXIUM DR 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NEXIUM DR 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEXIUM DR 5 MG PACKET ![Compare how all Medicare Part D PDP plans in WI cover NEXIUM DR 5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NIACIN ER 1,000 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in WI cover NIACIN ER 1,000 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NIACIN ER 500 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in WI cover NIACIN ER 500 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in WI cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NIACOR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NIACOR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NICARDIPINE 25 MG/10 ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover NICARDIPINE 25 MG/10 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Nicardipine hydrochloride 20 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in WI cover Nicardipine hydrochloride 20 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
Nicardipine hydrochloride 30 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in WI cover Nicardipine hydrochloride 30 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in WI cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in WI cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:60 /30Days |
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 WI cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:60 /30Days |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:60 /30Days |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:60 /30Days |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:60 /30Days |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:60 /30Days |
NIKKI 3 MG-0.02 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NIKKI 3 MG-0.02 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NILANDRON 150 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NILANDRON 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in WI cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
NIMODIPINE 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NIMODIPINE 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:3 /28Days |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:3 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:3 /28Days |
NIPENT FOR INJECTION 10MG VIALS ![Compare how all Medicare Part D PDP plans in WI cover NIPENT FOR INJECTION 10MG VIALS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
NITRO-BID 2% OINTMENT ![Compare how all Medicare Part D PDP plans in WI cover NITRO-BID 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Nitrofurantoin 25mg/5mL ![Compare how all Medicare Part D PDP plans in WI cover Nitrofurantoin 25mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NITROFURANTOIN MACROCRYSTALLINE 50 mg cap ![Compare how all Medicare Part D PDP plans in WI cover NITROFURANTOIN MACROCRYSTALLINE 50 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
Nitrofurantoin mcr 100 mg cap ![Compare how all Medicare Part D PDP plans in WI cover Nitrofurantoin mcr 100 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NITROFURANTOIN MONO-MCR 100 MG ![Compare how all Medicare Part D PDP plans in WI cover NITROFURANTOIN MONO-MCR 100 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NITROGLYCERIN 0.2 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.2 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NITROGLYCERIN 0.4 MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.4 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NITROGLYCERIN 0.4 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.4 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.6 MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.6 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NITROGLYCERIN 0.6 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.6 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | 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 WI 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) |
4 |
Tier 4 |
$0.00 | N/A | None |
NITROGLYCERIN LINGUAL 0.4 MG ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN LINGUAL 0.4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NITROSTAT 0.4 MG TABLET SL [Nitrotab] ![Compare how all Medicare Part D PDP plans in WI cover NITROSTAT 0.4 MG TABLET SL [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in WI cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in WI cover Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in WI cover Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in WI cover Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NORDITROPIN FLEXPRO 30 MG/3 ML ![Compare how all Medicare Part D PDP plans in WI cover NORDITROPIN FLEXPRO 30 MG/3 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
noret-estr-fe 0.4-0.035(21)-75 ![Compare how all Medicare Part D PDP plans in WI cover noret-estr-fe 0.4-0.035(21)-75.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORETH-ESTRAD-FE 1-0.02(24)-75 Chewable Tablet [Minastrin] ![Compare how all Medicare Part D PDP plans in WI cover NORETH-ESTRAD-FE 1-0.02(24)-75 Chewable Tablet [Minastrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Norethin-Estrad-Ferr 0.8-0.025 MG ![Compare how all Medicare Part D PDP plans in WI cover Norethin-Estrad-Ferr 0.8-0.025 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Norethin-Estrad-Ferr 1-0.02 mg ![Compare how all Medicare Part D PDP plans in WI cover Norethin-Estrad-Ferr 1-0.02 mg.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORETHIN-ETH ESTRAD 1 MG-5 MCG ![Compare how all Medicare Part D PDP plans in WI cover NORETHIN-ETH ESTRAD 1 MG-5 MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORETHIND-ETH ESTRAD 1-0.02 MG ![Compare how all Medicare Part D PDP plans in WI cover NORETHIND-ETH ESTRAD 1-0.02 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORETHINDRONE 0.35 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NORETHINDRONE 0.35 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NORG-EE 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in WI cover NORG-EE 0.18-0.215-0.25/0.035.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORG-ETHIN ESTRA 0.18-0.215-0.25/0.025 ![Compare how all Medicare Part D PDP plans in WI cover NORG-ETHIN ESTRA 0.18-0.215-0.25/0.025.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORG-ETHIN ESTRA 0.25-0.035 MG ![Compare how all Medicare Part D PDP plans in WI cover NORG-ETHIN ESTRA 0.25-0.035 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Norlyroc 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in WI cover Norlyroc 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
NORMOSOL -R INJ /D5W ![Compare how all Medicare Part D PDP plans in WI cover NORMOSOL -R INJ /D5W.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in WI cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NORTHERA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NORTHERA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:90 /30Days |
NORTHERA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NORTHERA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:180 /30Days |
NORTHERA 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover NORTHERA 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | 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 WI 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 |
Tier 4 |
$0.00 | N/A | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in WI 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 |
Tier 4 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in WI cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | 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 WI 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 |
Tier 4 |
$0.00 | N/A | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in WI cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in WI cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NORTRIPTYLINE HCL 50 MG CAP ![Compare how all Medicare Part D PDP plans in WI cover NORTRIPTYLINE HCL 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NORTRIPTYLINE HCL 75 MG CAP ![Compare how all Medicare Part D PDP plans in WI cover NORTRIPTYLINE HCL 75 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NORVIR 100 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in WI cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:540 /30Days |
NORVIR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NORVIR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:540 /30Days |
NORVIR 100mg/1 30 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in WI cover NORVIR 100mg/1 30 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:540 /30Days |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:720 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
novarel 10,000 units vial ![Compare how all Medicare Part D PDP plans in WI cover novarel 10,000 units vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
NOVAREL 5,000 UNIT VIAL ![Compare how all Medicare Part D PDP plans in WI cover NOVAREL 5,000 UNIT VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in WI cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:600 /30Days |
NOXAFIL DR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NOXAFIL DR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:240 /30Days |
NUCALA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover NUCALA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:3 /28Days |
NUCYNTA ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NUCYNTA ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
NUCYNTA ER 150 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NUCYNTA ER 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
NUCYNTA ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NUCYNTA ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
NUCYNTA ER 250 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NUCYNTA ER 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
NUCYNTA ER 50 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NUCYNTA ER 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in WI cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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 WI 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 |
Tier 5 |
$0.00 | N/A | P |
NUPLAZID 17 MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover NUPLAZID 17 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:60 /30Days |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in WI cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
NUTROPIN AQ NUSPIN 10 INJECTOR ![Compare how all Medicare Part D PDP plans in WI cover NUTROPIN AQ NUSPIN 10 INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NUTROPIN AQ NUSPIN 10MG/2ML SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover NUTROPIN AQ NUSPIN 10MG/2ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NUTROPIN AQ NUSPIN 20 INJECTOR ![Compare how all Medicare Part D PDP plans in WI cover NUTROPIN AQ NUSPIN 20 INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
NUVARING 0.12-0.015 RING VAGINAL ![Compare how all Medicare Part D PDP plans in WI cover NUVARING 0.12-0.015 RING VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
NYAMYC 100,000 UNITS/GM POWDER ![Compare how all Medicare Part D PDP plans in WI cover NYAMYC 100,000 UNITS/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NYMALIZE 30 MG/10 ML SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover NYMALIZE 30 MG/10 ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
NYSTATIN 100,000 UNIT/GM CREAM ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 100,000 UNIT/GM CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NYSTATIN 100,000 UNIT/GM POWD ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 100,000 UNIT/GM POWD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN 100,000 UNITS/GM OINT ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 100,000 UNITS/GM OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in WI cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NYSTATIN 500,000 UNIT ORAL TAB ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 500,000 UNIT ORAL TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
NYSTOP 100,000 UNITS/GM POWDER ![Compare how all Medicare Part D PDP plans in WI cover NYSTOP 100,000 UNITS/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |