2018 Medicare Part D Plan Formulary Information |
EON DELUXE (HMO SNP) (H6672-001-0)
Benefit Details
![Email Prescription and/or Health Benefit details for EON DELUXE (HMO SNP). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The EON DELUXE (HMO SNP) (H6672-001-0) Formulary Drugs Starting with the Letter F in Hancock County, GA: CMS MA Region 8 which includes: GA Plan Monthly Premium: $24.50 Deductible: $405 |
Drugs Starting with Letter F
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
FABRAZYME 35MG VIAL ![Compare how all Medicare Part D PDP plans in GA cover FABRAZYME 35MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FABRAZYME 5 MG VIAL ![Compare how all Medicare Part D PDP plans in GA cover FABRAZYME 5 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FALMINA-28 TABLET ![Compare how all Medicare Part D PDP plans in GA cover FALMINA-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FAMCICLOVIR 125 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FAMCICLOVIR 125 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FAMCICLOVIR 250 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FAMCICLOVIR 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FAMCICLOVIR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FAMCICLOVIR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Famotidine 20 MG in 2 ML Injection ![Compare how all Medicare Part D PDP plans in GA cover Famotidine 20 MG in 2 ML Injection.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FAMOTIDINE 20 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FAMOTIDINE 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FAMOTIDINE 20MG PIGGYBACK ![Compare how all Medicare Part D PDP plans in GA cover FAMOTIDINE 20MG PIGGYBACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FAMOTIDINE 40 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FAMOTIDINE 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FAMOTIDINE 50 MG/5MLFOR ORAL SUSPENSION ![Compare how all Medicare Part D PDP plans in GA cover FAMOTIDINE 50 MG/5MLFOR ORAL SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FANAPT 1 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FANAPT 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:60 /30Days |
FANAPT 10 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FANAPT 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | S Q:60 /30Days |
FANAPT 12 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FANAPT 12 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | S Q:60 /30Days |
FANAPT 2 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FANAPT 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:60 /30Days |
FANAPT 4 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FANAPT 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:60 /30Days |
FANAPT 6 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FANAPT 6 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | S Q:60 /30Days |
FANAPT 8 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FANAPT 8 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | S Q:60 /30Days |
FANAPT TITR TABLETS ![Compare how all Medicare Part D PDP plans in GA cover FANAPT TITR TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:8 /180Days |
FARESTON 60 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FARESTON 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FARYDAK 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FARYDAK 10 MG CAPSULE.](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 |
FARYDAK 15 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FARYDAK 15 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FARYDAK 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FARYDAK 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FASENRA 30 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FASENRA 30 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FASLODEX 50MG/ML INJECTION ![Compare how all Medicare Part D PDP plans in GA cover FASLODEX 50MG/ML INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FAYOSIM TABLET TBDSPK 3MO [Quartette] ![Compare how all Medicare Part D PDP plans in GA cover FAYOSIM TABLET TBDSPK 3MO [Quartette].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:91 /91Days |
FELBAMATE 400 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FELBAMATE 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FELBAMATE 600 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FELBAMATE 600 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FELBAMATE 600 MG/5 ML SUSP ![Compare how all Medicare Part D PDP plans in GA cover FELBAMATE 600 MG/5 ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FELODIPINE ER 10 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FELODIPINE ER 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FELODIPINE ER 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FELODIPINE ER 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FELODIPINE ER 5 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FELODIPINE ER 5 MG 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 |
FEMRING 0.05MG VAGINAL RING ![Compare how all Medicare Part D PDP plans in GA cover FEMRING 0.05MG VAGINAL RING.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:1 /90Days |
FEMRING 0.10MG VAGINAL RING ![Compare how all Medicare Part D PDP plans in GA cover FEMRING 0.10MG VAGINAL RING.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:1 /90Days |
Femynor 28 tablet ![Compare how all Medicare Part D PDP plans in GA cover Femynor 28 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 120 MG TABLET [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 120 MG TABLET [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 130 MG CAPSULE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 130 MG CAPSULE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 134MG CAPSULE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 134MG CAPSULE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 145 MG TABLET [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 145 MG TABLET [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 150 MG CAPSULE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 150 MG CAPSULE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 160 MG TABLET [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 160 MG TABLET [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 200 MG CAPSULE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 200 MG CAPSULE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 40 MG TABLET [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 40 MG TABLET [LIPOFEN].](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 |
FENOFIBRATE 43 MG CAPSULE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 43 MG CAPSULE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 48 MG TABLET [Tricor] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 48 MG TABLET [Tricor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 50 MG CAPSULE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 50 MG CAPSULE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 54 MG 90 TABLET BOTTLE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 54 MG 90 TABLET BOTTLE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRATE 67MG CAPSULE [LIPOFEN] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRATE 67MG CAPSULE [LIPOFEN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRIC ACID 105 MG TABLET [TRILIPIX] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRIC ACID 105 MG TABLET [TRILIPIX].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRIC ACID 35 MG TABLET [TRILIPIX] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRIC ACID 35 MG TABLET [TRILIPIX].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOFIBRIC ACID DR 135 MG CAP [TRILIPIX] ![Compare how all Medicare Part D PDP plans in GA cover FENOFIBRIC ACID DR 135 MG CAP [TRILIPIX].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fenofibric acid dr 45 mg capsule [TRILIPIX] ![Compare how all Medicare Part D PDP plans in GA cover Fenofibric acid dr 45 mg capsule [TRILIPIX].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FENOPROFEN 600MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FENOPROFEN 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENOPROFEN CALCIUM 400 MG CAP ![Compare how all Medicare Part D PDP plans in GA cover FENOPROFEN CALCIUM 400 MG CAP.](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 |
FENTANYL 100 MCG/HR PATCH TD72 [Duragesic] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 100 MCG/HR PATCH TD72 [Duragesic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENTANYL 12 MCG/HR PATCH TD72 [Duragesic] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 12 MCG/HR PATCH TD72 [Duragesic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENTANYL 25 MCG/HR PATCH TD72 [Duragesic] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 25 MCG/HR PATCH TD72 [Duragesic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENTANYL 37.5 MCG/HR PATCH TD72 ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 37.5 MCG/HR PATCH TD72.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENTANYL 50 MCG/HR PATCH TD72 [Duragesic] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 50 MCG/HR PATCH TD72 [Duragesic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENTANYL 62.5 MCG/HR PATCH TD72 ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 62.5 MCG/HR PATCH TD72.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENTANYL 75 MCG/HR PATCH TD72 [Duragesic] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 75 MCG/HR PATCH TD72 [Duragesic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FENTANYL 87.5 MCG/HR PATCH TD72 ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL 87.5 MCG/HR PATCH TD72.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FENTANYL CITRATE OTFC 1,200 MCG [Actiq] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL CITRATE OTFC 1,200 MCG [Actiq].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTANYL CITRATE OTFC 1,600 MCG [Actiq] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL CITRATE OTFC 1,600 MCG [Actiq].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTANYL CITRATE OTFC 200 MCG [Actiq] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL CITRATE OTFC 200 MCG [Actiq].](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 |
FENTANYL CITRATE OTFC 400 MCG [Actiq] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL CITRATE OTFC 400 MCG [Actiq].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
FENTANYL CITRATE OTFC 600 MCG [Actiq] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL CITRATE OTFC 600 MCG [Actiq].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTANYL CITRATE OTFC 800 MCG [Actiq] ![Compare how all Medicare Part D PDP plans in GA cover FENTANYL CITRATE OTFC 800 MCG [Actiq].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTORA TABLET 100MCG ![Compare how all Medicare Part D PDP plans in GA cover FENTORA TABLET 100MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTORA TABLET 200MCG ![Compare how all Medicare Part D PDP plans in GA cover FENTORA TABLET 200MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTORA TABLET 400MCG ![Compare how all Medicare Part D PDP plans in GA cover FENTORA TABLET 400MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTORA TABLET 600MCG ![Compare how all Medicare Part D PDP plans in GA cover FENTORA TABLET 600MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FENTORA TABLET 800MCG ![Compare how all Medicare Part D PDP plans in GA cover FENTORA TABLET 800MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FERRIPROX 100 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover FERRIPROX 100 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FERRIPROX 500 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FERRIPROX 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FETZIMA 20-40 MG TITRATION PAK ![Compare how all Medicare Part D PDP plans in GA cover FETZIMA 20-40 MG TITRATION PAK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:56 /365Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FETZIMA ER 120 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FETZIMA ER 120 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:30 /30Days |
FETZIMA ER 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FETZIMA ER 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:30 /30Days |
FETZIMA ER 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FETZIMA ER 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:30 /30Days |
FETZIMA ER 80 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FETZIMA ER 80 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:30 /30Days |
FINACEA 15% FOAM ![Compare how all Medicare Part D PDP plans in GA cover FINACEA 15% FOAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
FINACEA 15% GEL ![Compare how all Medicare Part D PDP plans in GA cover FINACEA 15% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
FINASTERIDE 5 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FINASTERIDE 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FIRAZYR 30 MG/3 ML SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FIRAZYR 30 MG/3 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FIRMAGON 2 X 120 MG KIT ![Compare how all Medicare Part D PDP plans in GA cover FIRMAGON 2 X 120 MG KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P Q:4 /365Days |
FIRMAGON 80 MG KIT ![Compare how all Medicare Part D PDP plans in GA cover FIRMAGON 80 MG KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P Q:1 /28Days |
FLAREX 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in GA cover FLAREX 0.1% EYE DROPS.](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 |
FLAVOXATE 100 MG TAB 100 ![Compare how all Medicare Part D PDP plans in GA cover FLAVOXATE 100 MG TAB 100.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLEBOGAMMA DIF INJECTION ![Compare how all Medicare Part D PDP plans in GA cover FLEBOGAMMA DIF INJECTION .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FLECAINIDE ACETATE 100 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FLECAINIDE ACETATE 100 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLECAINIDE ACETATE 150 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FLECAINIDE ACETATE 150 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLECAINIDE ACETATE 50 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FLECAINIDE ACETATE 50 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLOVENT DISKUS 100ug/1 60 POWDER, METERED in 1 INHALER ![Compare how all Medicare Part D PDP plans in GA cover FLOVENT DISKUS 100ug/1 60 POWDER, METERED in 1 INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
FLOVENT DISKUS 250ug/1 60 POWDER, METERED in 1 INHALER ![Compare how all Medicare Part D PDP plans in GA cover FLOVENT DISKUS 250ug/1 60 POWDER, METERED in 1 INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:240 /30Days |
FLOVENT DISKUS POWDER 50MCG 60 CTR ![Compare how all Medicare Part D PDP plans in GA cover FLOVENT DISKUS POWDER 50MCG 60 CTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:60 /30Days |
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER ![Compare how all Medicare Part D PDP plans in GA cover FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:24 /30Days |
FLOVENT HFA 220ug/1 120 AEROSOL, METERED in 1 INHALER ![Compare how all Medicare Part D PDP plans in GA cover FLOVENT HFA 220ug/1 120 AEROSOL, METERED in 1 INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:24 /30Days |
FLOVENT HFA 44ug/1 120 AEROSOL, METERED in 1 INHALER ![Compare how all Medicare Part D PDP plans in GA cover FLOVENT HFA 44ug/1 120 AEROSOL, METERED in 1 INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | Q:21 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUCONAZOLE 10 MG/ML SUSP ![Compare how all Medicare Part D PDP plans in GA cover FLUCONAZOLE 10 MG/ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUCONAZOLE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUCONAZOLE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUCONAZOLE 150 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUCONAZOLE 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUCONAZOLE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUCONAZOLE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUCONAZOLE 40 MG/ML SUSP ![Compare how all Medicare Part D PDP plans in GA cover FLUCONAZOLE 40 MG/ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluconazole 50mg/1 30 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in GA cover Fluconazole 50mg/1 30 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUCONAZOLE-NACL 200 MG/100 ML ![Compare how all Medicare Part D PDP plans in GA cover FLUCONAZOLE-NACL 200 MG/100 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUCONAZOLE-NACL 400 MG/200 ML ![Compare how all Medicare Part D PDP plans in GA cover FLUCONAZOLE-NACL 400 MG/200 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUCYTOSINE 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FLUCYTOSINE 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
Flucytosine 500mg/1 ![Compare how all Medicare Part D PDP plans in GA cover Flucytosine 500mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
Fludarabine phosphate 50 MG Injection ![Compare how all Medicare Part D PDP plans in GA cover Fludarabine phosphate 50 MG Injection.](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 |
FLUDROCORTISONE 0.1 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUDROCORTISONE 0.1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL ![Compare how all Medicare Part D PDP plans in GA cover FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:50 /30Days |
Fluocinolone 0.01% cream ![Compare how all Medicare Part D PDP plans in GA cover Fluocinolone 0.01% cream.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINOLONE 0.01% SCALP OIL ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINOLONE 0.01% SCALP OIL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINOLONE 0.01% SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINOLONE 0.01% SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINOLONE 0.025% OINTMENT ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINOLONE 0.025% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINOLONE OIL 0.01% EAR DRP ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINOLONE OIL 0.01% EAR DRP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINONIDE 0.05% GEL ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINONIDE 0.05% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINONIDE 0.05% OINTMENT ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINONIDE 0.05% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOCINONIDE 0.05% SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINONIDE 0.05% SOLUTION.](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 |
FLUOCINONIDE 0.1% CREAM ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINONIDE 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FLUOCINONIDE-E 0.05% CREAM ![Compare how all Medicare Part D PDP plans in GA cover FLUOCINONIDE-E 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluorometholone 0.1% drops ![Compare how all Medicare Part D PDP plans in GA cover Fluorometholone 0.1% drops.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOROURACIL 0.5% CREAM ![Compare how all Medicare Part D PDP plans in GA cover FLUOROURACIL 0.5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FLUOROURACIL 2% TOPICAL SOLN ![Compare how all Medicare Part D PDP plans in GA cover FLUOROURACIL 2% TOPICAL SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOROURACIL 5,000 MG/100 ML ![Compare how all Medicare Part D PDP plans in GA cover FLUOROURACIL 5,000 MG/100 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | P |
FLUOROURACIL 5% TOP SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover FLUOROURACIL 5% TOP SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOROURACIL CREA 5% ![Compare how all Medicare Part D PDP plans in GA cover FLUOROURACIL CREA 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluoxetine 10mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in GA cover Fluoxetine 10mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluoxetine 20mg/5mL 120 mL in 1 BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in GA cover Fluoxetine 20mg/5mL 120 mL in 1 BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOXETINE CAPSULES 10MG (100 CT) ![Compare how all Medicare Part D PDP plans in GA cover FLUOXETINE CAPSULES 10MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUOXETINE DR 90 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FLUOXETINE DR 90 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | Q:4 /28Days |
FLUOXETINE HCL 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FLUOXETINE HCL 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUOXETINE HCL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUOXETINE HCL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUOXETINE HCL 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FLUOXETINE HCL 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUOXETINE HCL 60 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUOXETINE HCL 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUPHENAZINE 1 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUPHENAZINE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUPHENAZINE 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUPHENAZINE 2.5 MG/5 ML ELIX ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE 2.5 MG/5 ML ELIX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUPHENAZINE 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUPHENAZINE 5 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUPHENAZINE 5MG/ML CONC ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE 5MG/ML CONC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUPHENAZINE DEC 125 MG/5 ML ![Compare how all Medicare Part D PDP plans in GA cover FLUPHENAZINE DEC 125 MG/5 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Flurandrenolide 0.05% Cream [Cordran] ![Compare how all Medicare Part D PDP plans in GA cover Flurandrenolide 0.05% Cream [Cordran].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
Flurandrenolide 0.05% ointment [Cordran] ![Compare how all Medicare Part D PDP plans in GA cover Flurandrenolide 0.05% ointment [Cordran].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FLURBIPROFEN 0.03% EYE DROP ![Compare how all Medicare Part D PDP plans in GA cover FLURBIPROFEN 0.03% EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
Flurbiprofen 100mg/1 100 BOTTLE in 1 BOTTLE / 100 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in GA cover Flurbiprofen 100mg/1 100 BOTTLE in 1 BOTTLE / 100 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLURBIPROFEN 50MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLURBIPROFEN 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUTAMIDE 125 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FLUTAMIDE 125 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUTICASONE PROP 0.05% LOTION ![Compare how all Medicare Part D PDP plans in GA cover FLUTICASONE PROP 0.05% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluticasone Propionate 0.05mg/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in GA cover Fluticasone Propionate 0.05mg/g 1 TUBE per CARTON / 30 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluticasone Propionate 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in GA cover Fluticasone Propionate 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE.](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 |
FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION ![Compare how all Medicare Part D PDP plans in GA cover FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUVASTATIN ER 80 MG TABLET [Lescol] ![Compare how all Medicare Part D PDP plans in GA cover FLUVASTATIN ER 80 MG TABLET [Lescol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FLUVASTATIN SODIUM 20 MG CAP [Lescol] ![Compare how all Medicare Part D PDP plans in GA cover FLUVASTATIN SODIUM 20 MG CAP [Lescol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUVASTATIN SODIUM 40 MG CAPSULE [Lescol] ![Compare how all Medicare Part D PDP plans in GA cover FLUVASTATIN SODIUM 40 MG CAPSULE [Lescol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FLUVOXAMINE ER 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FLUVOXAMINE ER 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:60 /30Days |
FLUVOXAMINE ER 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in GA cover FLUVOXAMINE ER 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:60 /30Days |
FLUVOXAMINE MALEATE 100MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FLUVOXAMINE MALEATE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluvoxamine Maleate 25mg/1 100 BOTTLE, PLASTIC in 1 BOTTLE, PLASTIC / 100 FILM COATED TABLETS in ![Compare how all Medicare Part D PDP plans in GA cover Fluvoxamine Maleate 25mg/1 100 BOTTLE, PLASTIC in 1 BOTTLE, PLASTIC / 100 FILM COATED TABLETS in .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Fluvoxamine maleate 50mg/1 100 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in GA cover Fluvoxamine maleate 50mg/1 100 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FML FORTE 0.25% EYE DROPS ![Compare how all Medicare Part D PDP plans in GA cover FML FORTE 0.25% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$0.00 | N/A | None |
FML S.O.P. 0.1% OINTMENT ![Compare how all Medicare Part D PDP plans in GA cover FML S.O.P. 0.1% OINTMENT.](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 |
FOLOTYN 20mg/mL 1 VIAL, SINGLE-USE per CARTON / 2 mL in 1 VIAL, SINGLE-USE ![Compare how all Medicare Part D PDP plans in GA cover FOLOTYN 20mg/mL 1 VIAL, SINGLE-USE per CARTON / 2 mL in 1 VIAL, SINGLE-USE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
Fondaparinux Sodium 10mg/0.8mL 2 SYRINGES per CARTON / 0.8 mL in 1 SYRINGE [Arixtra] ![Compare how all Medicare Part D PDP plans in GA cover Fondaparinux Sodium 10mg/0.8mL 2 SYRINGES per CARTON / 0.8 mL in 1 SYRINGE [Arixtra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:28 /90Days |
Fondaparinux Sodium 2.5mg/0.5mL 2 SYRINGES per CARTON / 0.5 mL in 1 SYRINGE [Arixtra] ![Compare how all Medicare Part D PDP plans in GA cover Fondaparinux Sodium 2.5mg/0.5mL 2 SYRINGES per CARTON / 0.5 mL in 1 SYRINGE [Arixtra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:18 /90Days |
Fondaparinux Sodium 5mg/4mL 2 SYRINGES per CARTON / 0.4 mL in 1 SYRINGE [Arixtra] ![Compare how all Medicare Part D PDP plans in GA cover Fondaparinux Sodium 5mg/4mL 2 SYRINGES per CARTON / 0.4 mL in 1 SYRINGE [Arixtra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:14 /90Days |
Fondaparinux Sodium 7.5mg/0.6mL 2 SYRINGES per CARTON / 0.6 mL in 1 SYRINGE [Arixtra] ![Compare how all Medicare Part D PDP plans in GA cover Fondaparinux Sodium 7.5mg/0.6mL 2 SYRINGES per CARTON / 0.6 mL in 1 SYRINGE [Arixtra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:21 /90Days |
Forteo 250ug/mL 1 SYRINGE per CARTON / 2.4 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover Forteo 250ug/mL 1 SYRINGE per CARTON / 2.4 mL in 1 SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | P |
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in GA cover FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:4 /28Days |
FOSAMAX PLUS D 70MG/2800 IU ![Compare how all Medicare Part D PDP plans in GA cover FOSAMAX PLUS D 70MG/2800 IU.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | S Q:4 /28Days |
FOSAMPRENAVIR 700 MG TABLET [Lexiva] ![Compare how all Medicare Part D PDP plans in GA cover FOSAMPRENAVIR 700 MG TABLET [Lexiva].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FOSINOPRIL SODIUM 10 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FOSINOPRIL SODIUM 10 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FOSINOPRIL SODIUM 20 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FOSINOPRIL SODIUM 20 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FOSINOPRIL SODIUM 40 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FOSINOPRIL SODIUM 40 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FOSINOPRIL-HCTZ 10-12.5 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FOSINOPRIL-HCTZ 10-12.5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FOSINOPRIL-HCTZ 20-12.5 MG TAB ![Compare how all Medicare Part D PDP plans in GA cover FOSINOPRIL-HCTZ 20-12.5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FOSPHENYTOIN 100 MG PE/2 ML VL ![Compare how all Medicare Part D PDP plans in GA cover FOSPHENYTOIN 100 MG PE/2 ML VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FOSRENOL 1,000 MG POWDER PACK ![Compare how all Medicare Part D PDP plans in GA cover FOSRENOL 1,000 MG POWDER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FOSRENOL 1000MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in GA cover FOSRENOL 1000MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FOSRENOL 500MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in GA cover FOSRENOL 500MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FOSRENOL 750 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in GA cover FOSRENOL 750 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FOSRENOL 750MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in GA cover FOSRENOL 750MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | None |
FRAGMIN 10,000 UNITS SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 10,000 UNITS SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:35 /90Days |
FRAGMIN 12,500 UNITS SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 12,500 UNITS SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:18 /90Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FRAGMIN 15,000 UNITS SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 15,000 UNITS SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:21 /90Days |
FRAGMIN 18,000 UNITS SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 18,000 UNITS SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:25 /90Days |
FRAGMIN 2,500 UNITS SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 2,500 UNITS SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:7 /90Days |
FRAGMIN 5,000 UNITS SYRINGE ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 5,000 UNITS SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:7 /90Days |
FRAGMIN 7,500 UNITS/0.3 ML SYR ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 7,500 UNITS/0.3 ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:11 /90Days |
FRAGMIN 95,000 UNITS/3.8 ML VL ![Compare how all Medicare Part D PDP plans in GA cover FRAGMIN 95,000 UNITS/3.8 ML VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:23 /90Days |
FREAMINE HBC INJECTION ![Compare how all Medicare Part D PDP plans in GA cover FREAMINE HBC INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
FROVATRIPTAN SUCC 2.5 MG TABLET [Frova] ![Compare how all Medicare Part D PDP plans in GA cover FROVATRIPTAN SUCC 2.5 MG TABLET [Frova].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | Q:12 /30Days |
FUROSEMIDE 10 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in GA cover FUROSEMIDE 10 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Furosemide 10 ML 10 MG/ML Injection ![Compare how all Medicare Part D PDP plans in GA cover Furosemide 10 ML 10 MG/ML Injection.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
Furosemide 10mg/mL 10 CARTON in 1 CONTAINER / 1 SYRINGE, PLASTIC in 1 CARTON / 4 mL in 1 SYRINGE, P ![Compare how all Medicare Part D PDP plans in GA cover Furosemide 10mg/mL 10 CARTON in 1 CONTAINER / 1 SYRINGE, PLASTIC in 1 CARTON / 4 mL in 1 SYRINGE, P.](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 |
FUROSEMIDE 20 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FUROSEMIDE 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FUROSEMIDE 40 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FUROSEMIDE 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FUROSEMIDE 40MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in GA cover FUROSEMIDE 40MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$0.00 | N/A | None |
FUROSEMIDE 80 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FUROSEMIDE 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | N/A | None |
FUZEON 90 MG VIAL ![Compare how all Medicare Part D PDP plans in GA cover FUZEON 90 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
$0.00 | N/A | Q:60 /30Days |
FYAVOLV 1 MG-5 MCG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FYAVOLV 1 MG-5 MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | P |
FYCOMPA 0.5 MG/ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in GA cover FYCOMPA 0.5 MG/ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FYCOMPA 10 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FYCOMPA 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FYCOMPA 12 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FYCOMPA 12 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FYCOMPA 2 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FYCOMPA 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FYCOMPA 4 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FYCOMPA 4 MG TABLET.](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 |
FYCOMPA 6 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FYCOMPA 6 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |
FYCOMPA 8 MG TABLET ![Compare how all Medicare Part D PDP plans in GA cover FYCOMPA 8 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$0.00 | N/A | None |