2018 Medicare Part D Plan Formulary Information |
Blue Medicare Advantage Access (PPO) (H6502-001-0)
Benefit Details
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The Blue Medicare Advantage Access (PPO) (H6502-001-0) Formulary Drugs Starting with the Letter T in Ray County, MO: CMS MA Region 15 which includes: MO Plan Monthly Premium: $65.00 Deductible: $0 |
Drugs Starting with Letter T
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
TABLOID 40 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TABLOID 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
Tacrolimus 0.03% ointment ![Compare how all Medicare Part D PDP plans in MO cover Tacrolimus 0.03% ointment.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
Tacrolimus 0.1% ointment ![Compare how all Medicare Part D PDP plans in MO cover Tacrolimus 0.1% ointment.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TACROLIMUS 0.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TACROLIMUS 0.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TACROLIMUS 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TACROLIMUS 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TACROLIMUS 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TACROLIMUS 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TAFINLAR 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TAFINLAR 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
TAFINLAR 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TAFINLAR 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
TAGRISSO 40 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TAGRISSO 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:30 /30Days |
TAGRISSO 80 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TAGRISSO 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAMOXIFEN 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TAMOXIFEN 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TAMOXIFEN CITRATE 20MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in MO cover TAMOXIFEN CITRATE 20MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TAMSULOSIN HCL 0.4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TAMSULOSIN HCL 0.4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TARCEVA 100MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TARCEVA 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TARCEVA 150MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TARCEVA 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:90 /30Days |
TARCEVA 25MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TARCEVA 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TARGRETIN 1% GEL ![Compare how all Medicare Part D PDP plans in MO cover TARGRETIN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /28Days |
Tarina Fe 1-20 tablet ![Compare how all Medicare Part D PDP plans in MO cover Tarina Fe 1-20 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO cover Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:112 /28Days |
TASIGNA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TASIGNA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:112 /28Days |
TASIGNA 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TASIGNA 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAVALISSE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TAVALISSE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TAVALISSE 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TAVALISSE 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TAZAROTENE 0.1% CREAM [Tazorac] ![Compare how all Medicare Part D PDP plans in MO cover TAZAROTENE 0.1% CREAM [Tazorac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TAZICEF 1GM VIAL ![Compare how all Medicare Part D PDP plans in MO cover TAZICEF 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TAZICEF 2 GRAM VIAL ![Compare how all Medicare Part D PDP plans in MO cover TAZICEF 2 GRAM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TAZICEF 6 GRAM VIAL ![Compare how all Medicare Part D PDP plans in MO cover TAZICEF 6 GRAM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TAZORAC 0.05% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TAZORAC 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
TAZTIA DILTIAZEM HYDROCHLORIDE 120MG ER CAPSULES ![Compare how all Medicare Part D PDP plans in MO cover TAZTIA DILTIAZEM HYDROCHLORIDE 120MG ER CAPSULES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TAZTIA XT 180 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TAZTIA XT 180 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TAZTIA XT 240MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in MO cover TAZTIA XT 240MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TAZTIA XT 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TAZTIA XT 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAZTIA XT 360MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in MO cover TAZTIA XT 360MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TECENTRIQ 1,200 MG/20 ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover TECENTRIQ 1,200 MG/20 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:20 /21Days |
TECFIDERA DR 120 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TECFIDERA DR 120 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:14 /30Days |
TECFIDERA DR 240 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TECFIDERA DR 240 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TECFIDERA STARTER PACK ![Compare how all Medicare Part D PDP plans in MO cover TECFIDERA STARTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TECHNIVIE DOSE PACK ![Compare how all Medicare Part D PDP plans in MO cover TECHNIVIE DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:56 /28Days |
Teflaro 400mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in MO cover Teflaro 400mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
Teflaro 600mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in MO cover Teflaro 600mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
TEKTURNA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TEKTURNA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | S |
TEKTURNA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TEKTURNA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | S |
TEKTURNA HCT 300-25 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TEKTURNA HCT 300-25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | S |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Telmisartan 20 MG Tablet [Micardis] ![Compare how all Medicare Part D PDP plans in MO cover Telmisartan 20 MG Tablet [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Telmisartan 40 MG Tablet [Micardis] ![Compare how all Medicare Part D PDP plans in MO cover Telmisartan 40 MG Tablet [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Telmisartan 80 MG Tablet [Micardis] ![Compare how all Medicare Part D PDP plans in MO cover Telmisartan 80 MG Tablet [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TEMAZEPAM 15 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TEMAZEPAM 15 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P Q:30 /30Days |
TEMAZEPAM 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TEMAZEPAM 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P Q:30 /30Days |
Tencon 50-325 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover Tencon 50-325 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P Q:180 /30Days |
TENIVAC SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover TENIVAC SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
TENOFOVIR DISOP FUM 300 MG TB [Viread] ![Compare how all Medicare Part D PDP plans in MO cover TENOFOVIR DISOP FUM 300 MG TB [Viread].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TERAZOSIN 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TERAZOSIN 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TERAZOSIN 10 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in MO cover TERAZOSIN 10 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TERAZOSIN 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TERAZOSIN 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TERAZOSIN 5 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in MO cover TERAZOSIN 5 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TERBINAFINE HCL 250 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TERBINAFINE HCL 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TERBUTALINE SULF 1MG/ML VL ![Compare how all Medicare Part D PDP plans in MO cover TERBUTALINE SULF 1MG/ML VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TERBUTALINE SULFATE 2.5 MG TAB ![Compare how all Medicare Part D PDP plans in MO cover TERBUTALINE SULFATE 2.5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TERBUTALINE SULFATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TERBUTALINE SULFATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TERCONAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in MO cover TERCONAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TERCONAZOLE 0.8% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TERCONAZOLE 0.8% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TERCONAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in MO cover TERCONAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
Testosterone 2500 MG 0.01 MG/MG Topical Gel ![Compare how all Medicare Part D PDP plans in MO cover Testosterone 2500 MG 0.01 MG/MG Topical Gel.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P Q:300 /30Days |
Testosterone 5000 MG 0.01 MG/MG Topical Gel ![Compare how all Medicare Part D PDP plans in MO cover Testosterone 5000 MG 0.01 MG/MG Topical Gel.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P Q:300 /30Days |
Testosterone cyp 100 mg/ml ![Compare how all Medicare Part D PDP plans in MO cover Testosterone cyp 100 mg/ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TESTOSTERONE CYP 200 MG/ML ![Compare how all Medicare Part D PDP plans in MO cover TESTOSTERONE CYP 200 MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P |
TESTOSTERONE ENANTHATE 200MG/ML INJECTION ![Compare how all Medicare Part D PDP plans in MO cover TESTOSTERONE ENANTHATE 200MG/ML INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P Q:5 /28Days |
TETRABENAZINE 12.5 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in MO cover TETRABENAZINE 12.5 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:112 /28Days |
TETRABENAZINE 25 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in MO cover TETRABENAZINE 25 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:112 /28Days |
THALOMID 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THALOMID 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
THALOMID 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THALOMID 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
THALOMID 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THALOMID 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
THALOMID 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THALOMID 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
THEOPHYLLINE 80 MG/15 ML SOLN ![Compare how all Medicare Part D PDP plans in MO cover THEOPHYLLINE 80 MG/15 ML SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
THEOPHYLLINE ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THEOPHYLLINE ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THEOPHYLLINE ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THEOPHYLLINE ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THEOPHYLLINE ER 300 MG TAB ![Compare how all Medicare Part D PDP plans in MO cover THEOPHYLLINE ER 300 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
THEOPHYLLINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THEOPHYLLINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THEOPHYLLINE ER 600 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THEOPHYLLINE ER 600 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THIOLA 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THIOLA 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
THIORIDAZINE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THIORIDAZINE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THIORIDAZINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THIORIDAZINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THIORIDAZINE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THIORIDAZINE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THIORIDAZINE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover THIORIDAZINE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THIOTEPA 15 MG VIAL ![Compare how all Medicare Part D PDP plans in MO cover THIOTEPA 15 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
THIOTHIXENE 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THIOTHIXENE 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
THIOTHIXENE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THIOTHIXENE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THIOTHIXENE 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THIOTHIXENE 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
THIOTHIXENE 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover THIOTHIXENE 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIAGABINE HCL 12 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in MO cover TIAGABINE HCL 12 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIAGABINE HCL 16 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in MO cover TIAGABINE HCL 16 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
tiagabine hcl 2 mg tablet [Gabitril] ![Compare how all Medicare Part D PDP plans in MO cover tiagabine hcl 2 mg tablet [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
tiagabine hcl 4 mg tablet [Gabitril] ![Compare how all Medicare Part D PDP plans in MO cover tiagabine hcl 4 mg tablet [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIGECYCLINE 50 MG VIAL [Tygacil] ![Compare how all Medicare Part D PDP plans in MO cover TIGECYCLINE 50 MG VIAL [Tygacil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TIMOLOL 0.25% EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL 0.25% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TIMOLOL 0.25% GFS GEL-SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL 0.25% GFS GEL-SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIMOLOL 0.5% GFS GEL-SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL 0.5% GFS GEL-SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIMOLOL MALEATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL MALEATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIMOLOL MALEATE 20MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL MALEATE 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIMOLOL MALEATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIMOLOL MALEATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TIVICAY 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIVICAY 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
TIVICAY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIVICAY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TIVICAY 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIVICAY 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TIZANIDINE HCL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIZANIDINE HCL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TIZANIDINE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TIZANIDINE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOBI PODHALER 28 MG INHALE CAP ![Compare how all Medicare Part D PDP plans in MO cover TOBI PODHALER 28 MG INHALE CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | Q:224 /28Days |
TOBRADEX EYE OINTMENT ![Compare how all Medicare Part D PDP plans in MO cover TOBRADEX EYE OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOBRADEX ST 0.5; 3mg/mL; mg/mL 5 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover TOBRADEX ST 0.5; 3mg/mL; mg/mL 5 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
TOBRAMYCIN 0.3% EYE DROPS [Tobrex] ![Compare how all Medicare Part D PDP plans in MO cover TOBRAMYCIN 0.3% EYE DROPS [Tobrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in MO cover TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in MO cover TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in MO cover TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOBRAMYCIN-DEXAMETH OPTH SUSP ![Compare how all Medicare Part D PDP plans in MO cover TOBRAMYCIN-DEXAMETH OPTH SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOLAK 4% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TOLAK 4% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
TOLAZAMIDE TABLETS 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover TOLAZAMIDE TABLETS 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | Q:120 /30Days |
TOLAZAMIDE TABLETS 500MG 100 BOT ![Compare how all Medicare Part D PDP plans in MO cover TOLAZAMIDE TABLETS 500MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | Q:60 /30Days |
TOLBUTAMIDE 500 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TOLBUTAMIDE 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | Q:180 /30Days |
TOLTERODINE TARTRATE 1 MG TAB [Detrol LA] ![Compare how all Medicare Part D PDP plans in MO cover TOLTERODINE TARTRATE 1 MG TAB [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOLTERODINE TARTRATE 2 MG TAB [Detrol LA] ![Compare how all Medicare Part D PDP plans in MO cover TOLTERODINE TARTRATE 2 MG TAB [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
Tolterodine Tartrate ER 2 MG CAPSULE [Detrol LA] ![Compare how all Medicare Part D PDP plans in MO cover Tolterodine Tartrate ER 2 MG CAPSULE [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOPIRAMATE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOPIRAMATE 15 MG SPRINKLE CAP ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE 15 MG SPRINKLE CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOPIRAMATE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOPIRAMATE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Topiramate 25mg/1 ![Compare how all Medicare Part D PDP plans in MO cover Topiramate 25mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOPIRAMATE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOPIRAMATE ER 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE ER 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOPIRAMATE ER 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE ER 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOPIRAMATE ER 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE ER 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOPIRAMATE ER 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE ER 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOPIRAMATE ER 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TOPIRAMATE ER 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TOPOSAR INJECTION 20MG/ML 50ML VIAL MD CRTN ![Compare how all Medicare Part D PDP plans in MO cover TOPOSAR INJECTION 20MG/ML 50ML VIAL MD CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TORSEMIDE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TORSEMIDE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TORSEMIDE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TORSEMIDE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TORSEMIDE 20 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TORSEMIDE 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TORSEMIDE 5 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TORSEMIDE 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN ![Compare how all Medicare Part D PDP plans in MO cover TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | Q:18 /28Days |
TOUJEO SOLOSTAR 300 UNITS/ML ![Compare how all Medicare Part D PDP plans in MO cover TOUJEO SOLOSTAR 300 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | Q:14 /28Days |
TOVIAZ TABLETS 4MG EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover TOVIAZ TABLETS 4MG EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
TOVIAZ TABLETS 8MG EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MO cover TOVIAZ TABLETS 8MG EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TPN ELECTROLYTES16.5/25.4 VIAL ![Compare how all Medicare Part D PDP plans in MO cover TPN ELECTROLYTES16.5/25.4 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
TRACLEER 125MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRACLEER 125MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TRACLEER 32 MG TABLET FOR SUSP ![Compare how all Medicare Part D PDP plans in MO cover TRACLEER 32 MG TABLET FOR SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:112 /28Days |
TRACLEER 62.5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRACLEER 62.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
TRADJENTA 5 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRADJENTA 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | Q:30 /30Days |
TRAMADOL HCL 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRAMADOL HCL 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | Q:240 /30Days |
TRAMADOL-ACETAMINOPHN 37.5-325 ![Compare how all Medicare Part D PDP plans in MO cover TRAMADOL-ACETAMINOPHN 37.5-325.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | Q:240 /30Days |
TRANDOLAPRIL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRANDOLAPRIL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRANDOLAPRIL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRANDOLAPRIL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRANDOLAPRIL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRANDOLAPRIL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRANEXAMIC ACID 1,000 MG/10 ML ![Compare how all Medicare Part D PDP plans in MO cover TRANEXAMIC ACID 1,000 MG/10 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
tranexamic acid 650 mg tablet ![Compare how all Medicare Part D PDP plans in MO cover tranexamic acid 650 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | Q:30 /30Days |
TRANSDERM-SCOP 1.5 MG/3 DAY ![Compare how all Medicare Part D PDP plans in MO cover TRANSDERM-SCOP 1.5 MG/3 DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | Q:10 /30Days |
TRANYLCYPROMINE SULFATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRANYLCYPROMINE SULFATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRAVASOL 10% SOLUTION VIAFLEX ![Compare how all Medicare Part D PDP plans in MO cover TRAVASOL 10% SOLUTION VIAFLEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | P |
TRAVATAN Z 0.04MG DROPS 2.5ML BOT ![Compare how all Medicare Part D PDP plans in MO cover TRAVATAN Z 0.04MG DROPS 2.5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | Q:3 /25Days |
TRAZODONE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRAZODONE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRAZODONE 300 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRAZODONE 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRAZODONE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRAZODONE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRAZODONE HCL TABLET USP 150MG (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover TRAZODONE HCL TABLET USP 150MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TREANDA 25 MG VIAL ![Compare how all Medicare Part D PDP plans in MO cover TREANDA 25 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TREANDA FOR INJECTION 100MG/VIAL ![Compare how all Medicare Part D PDP plans in MO cover TREANDA FOR INJECTION 100MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRECATOR 250MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRECATOR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | None |
TRELEGY ELLIPTA 100-62.5-25 ![Compare how all Medicare Part D PDP plans in MO cover TRELEGY ELLIPTA 100-62.5-25.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
TRELSTAR 11.25 MG SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover TRELSTAR 11.25 MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | Q:1 /84Days |
TRELSTAR 3.75 MG SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover TRELSTAR 3.75 MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TREMFYA 100 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover TREMFYA 100 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
TRETINOIN 0.01% GEL ![Compare how all Medicare Part D PDP plans in MO cover TRETINOIN 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRETINOIN 0.025% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TRETINOIN 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRETINOIN 0.025% GEL ![Compare how all Medicare Part D PDP plans in MO cover TRETINOIN 0.025% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRETINOIN 0.05% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TRETINOIN 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRETINOIN 0.1% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TRETINOIN 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRETINOIN 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TRETINOIN 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TREXALL 10MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TREXALL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | P S |
TREXALL 15MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TREXALL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | P S |
TREXALL 5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TREXALL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | P S |
TREXALL 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TREXALL 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | P S |
TRI PREVIFEM TABLETS ![Compare how all Medicare Part D PDP plans in MO cover TRI PREVIFEM TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRI-LEGEST FE 5-7-9-7 TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRI-LEGEST FE 5-7-9-7 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRI-LO-ESTARYLLA TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in MO cover TRI-LO-ESTARYLLA TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRI-LO-SPRINTEC TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRI-LO-SPRINTEC TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRI-MILI 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in MO cover TRI-MILI 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRI-SPRINTEC 7DAYSX3 28 TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRI-SPRINTEC 7DAYSX3 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRI-VYLIBRA 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in MO cover TRI-VYLIBRA 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMCINOLONE 0.025% LOTION ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 0.025% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMCINOLONE 0.025% OINT ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 0.025% OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMCINOLONE 0.1% CREAM ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMCINOLONE 0.1% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 0.1% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRIAMCINOLONE 0.1% OINTMENT ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 0.1% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMCINOLONE 0.1% PASTE ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 0.1% PASTE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRIAMCINOLONE 200 MG/5 ML VIAL [Triesence] ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE 200 MG/5 ML VIAL [Triesence].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE ![Compare how all Medicare Part D PDP plans in MO cover TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in MO cover Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMTERENE-HCTZ 37.5-25 MG CP ![Compare how all Medicare Part D PDP plans in MO cover TRIAMTERENE-HCTZ 37.5-25 MG CP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMTERENE-HCTZ 37.5-25 MG TB ![Compare how all Medicare Part D PDP plans in MO cover TRIAMTERENE-HCTZ 37.5-25 MG TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIAMTERENE-HCTZ 75-50 MG TAB ![Compare how all Medicare Part D PDP plans in MO cover TRIAMTERENE-HCTZ 75-50 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIENTINE HCL 250 MG CAPSULE [Syprine] ![Compare how all Medicare Part D PDP plans in MO cover TRIENTINE HCL 250 MG CAPSULE [Syprine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:240 /30Days |
TRIFLUOPERAZINE 1MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRIFLUOPERAZINE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIFLUOPERAZINE HCL 2MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRIFLUOPERAZINE HCL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIFLUOPERAZINE HCL 5MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRIFLUOPERAZINE HCL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MO cover TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT ![Compare how all Medicare Part D PDP plans in MO cover TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRIHEXYPHENIDYL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRIHEXYPHENIDYL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P |
TRIHEXYPHENIDYL 5 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRIHEXYPHENIDYL 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P |
Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRILYTE WITH FLAVOR PACKETS ![Compare how all Medicare Part D PDP plans in MO cover TRILYTE WITH FLAVOR PACKETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIMETHOPRIM 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRIMETHOPRIM 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRIMIPRAMINE MALEATE 100 MG CP ![Compare how all Medicare Part D PDP plans in MO cover TRIMIPRAMINE MALEATE 100 MG CP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRIMIPRAMINE MALEATE 25 MG CAP ![Compare how all Medicare Part D PDP plans in MO cover TRIMIPRAMINE MALEATE 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRIMIPRAMINE MALEATE 50 MG CAP ![Compare how all Medicare Part D PDP plans in MO cover TRIMIPRAMINE MALEATE 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | P |
TRINESSA TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRINESSA TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TRINTELLIX 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRINTELLIX 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | S Q:30 /30Days |
TRINTELLIX 20 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRINTELLIX 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | S Q:30 /30Days |
TRINTELLIX 5 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRINTELLIX 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | S Q:30 /30Days |
Triptorelin 11.3 MG/ML Injectable Suspension [Trelstar] ![Compare how all Medicare Part D PDP plans in MO cover Triptorelin 11.3 MG/ML Injectable Suspension [Trelstar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | Q:1 /168Days |
TRIUMEQ TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRIUMEQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Trivora-28 tablet ![Compare how all Medicare Part D PDP plans in MO cover Trivora-28 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$3.00 | N/A | None |
TROKENDI XR 100 MG CAPSULE ER 24H ![Compare how all Medicare Part D PDP plans in MO cover TROKENDI XR 100 MG CAPSULE ER 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | S Q:30 /30Days |
TROKENDI XR 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TROKENDI XR 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | S Q:60 /30Days |
TROKENDI XR 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TROKENDI XR 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | S Q:30 /30Days |
TROKENDI XR 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover TROKENDI XR 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | S Q:30 /30Days |
TROPHAMINE INJECTION SOLUTION ![Compare how all Medicare Part D PDP plans in MO cover TROPHAMINE INJECTION SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | P |
TROPHAMINE INJECTION SOLUTION 6% ![Compare how all Medicare Part D PDP plans in MO cover TROPHAMINE INJECTION SOLUTION 6%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | N/A | P |
TROSPIUM CHLORIDE 20 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TROSPIUM CHLORIDE 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TROSPIUM CHLORIDE ER 60 MG CAP ![Compare how all Medicare Part D PDP plans in MO cover TROSPIUM CHLORIDE ER 60 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$8.00 | N/A | None |
TRULICITY 0.75 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in MO cover TRULICITY 0.75 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | Q:2 /28Days |
TRULICITY 1.5 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in MO cover TRULICITY 1.5 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | Q:2 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRUMENBA 120 MCG/0.5 ML VACCIN Syringe ![Compare how all Medicare Part D PDP plans in MO cover TRUMENBA 120 MCG/0.5 ML VACCIN Syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
TRUVADA 100 MG-150 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRUVADA 100 MG-150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TRUVADA 133 MG-200 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRUVADA 133 MG-200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TRUVADA 167 MG-250 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRUVADA 167 MG-250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TRUVADA 200/300MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TRUVADA 200/300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TWINRIX VACCINE SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover TWINRIX VACCINE SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
TYBOST 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TYBOST 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | Q:30 /30Days |
TYKERB 250 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover TYKERB 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
TYMLOS 80 MCG DOSE PEN INJECTR ![Compare how all Medicare Part D PDP plans in MO cover TYMLOS 80 MCG DOSE PEN INJECTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | P Q:2 /30Days |
TYPHIM VI 25 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover TYPHIM VI 25 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
TYPHIM VI 25MCG/0.5ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover TYPHIM VI 25MCG/0.5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TYSABRI 300 MG/15 ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover TYSABRI 300 MG/15 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:15 /28Days |