2018 Medicare Part D Plan Formulary Information |
Aetna Medicare OH Connect Gold 2 (Regional PPO) (R6694-005-0)
Benefit Details
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The Aetna Medicare OH Connect Gold 2 (Regional PPO) (R6694-005-0) Formulary Drugs Starting with the Letter Z in Statewide County, OH: CMS MA Region 12 which includes: OH Plan Monthly Premium: $29.40 Deductible: $150 |
Drugs Starting with Letter Z
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
ZAFIRLUKAST 10MG TABLETS ![Compare how all Medicare Part D PDP plans in OH cover ZAFIRLUKAST 10MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:60 /30Days |
ZAFIRLUKAST 20MG TABLETS ![Compare how all Medicare Part D PDP plans in OH cover ZAFIRLUKAST 20MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:60 /30Days |
ZALEPLON 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZALEPLON 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | P Q:60 /30Days |
ZALEPLON 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZALEPLON 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | P Q:30 /30Days |
ZALTRAP 100 MG/4 ML VIAL ![Compare how all Medicare Part D PDP plans in OH cover ZALTRAP 100 MG/4 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZANAFLEX 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZANAFLEX 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZANAFLEX 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZANAFLEX 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZANAFLEX 4 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZANAFLEX 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZANAFLEX 6 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZANAFLEX 6 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZANOSAR 1 GM VIAL ![Compare how all Medicare Part D PDP plans in OH cover ZANOSAR 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZANTAC 1,000 MG/40 ML VIAL ![Compare how all Medicare Part D PDP plans in OH cover ZANTAC 1,000 MG/40 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZANTAC 300 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZANTAC 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZARAH TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZARAH TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | None |
ZARONTIN 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZARONTIN 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZARONTIN 250 MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in OH cover ZARONTIN 250 MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZAVESCA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZAVESCA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZEBUTAL 50-325-40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZEBUTAL 50-325-40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:180 /30Days |
ZEGERID 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZEGERID 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | S Q:30 /30Days |
ZEGERID 20MG PACKET ![Compare how all Medicare Part D PDP plans in OH cover ZEGERID 20MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | S Q:30 /30Days |
ZEGERID 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZEGERID 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | S Q:30 /30Days |
ZEGERID 40MG PACKET ![Compare how all Medicare Part D PDP plans in OH cover ZEGERID 40MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | S Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZEJULA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZEJULA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P Q:90 /30Days |
ZELAPAR 1.25MG ODT TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZELAPAR 1.25MG ODT TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:60 /30Days |
ZELBORAF 240 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZELBORAF 240 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZEMAIRA 1000MG VIAL ![Compare how all Medicare Part D PDP plans in OH cover ZEMAIRA 1000MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZEMBRACE SYMTOUCH 3 MG/0.5 ML ![Compare how all Medicare Part D PDP plans in OH cover ZEMBRACE SYMTOUCH 3 MG/0.5 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:8 /30Days |
ZEMPLAR 1 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZEMPLAR 1 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZEMPLAR 2 MCG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZEMPLAR 2 MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Zemplar 2ug/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in OH cover Zemplar 2ug/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Zemplar 5ug/mL 25 VIAL, MULTI-DOSE in 1 TRAY / 2 mL in 1 VIAL, MULTI-DOSE ![Compare how all Medicare Part D PDP plans in OH cover Zemplar 5ug/mL 25 VIAL, MULTI-DOSE in 1 TRAY / 2 mL in 1 VIAL, MULTI-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENATANE 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENATANE 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENATANE 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENATANE 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZENATANE 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENATANE 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENATANE 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENATANE 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Zenchent 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in OH cover Zenchent 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | None |
ZENPEP DR 10,000 UNIT CAPSULE DR ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 10,000 UNIT CAPSULE DR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENPEP DR 15,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 15,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENPEP DR 20,000 UNIT CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 20,000 UNIT CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENPEP DR 25,000 UNIT CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 25,000 UNIT CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENPEP DR 25,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 25,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENPEP DR 3,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 3,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENPEP DR 40,000 UNIT CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 40,000 UNIT CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENPEP DR 5,000 UNIT CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 5,000 UNIT CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZENPEP DR 5,000 UNITS CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZENPEP DR 5,000 UNITS CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZENZEDI 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZENZEDI 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:180 /30Days |
ZENZEDI 15 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZENZEDI 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:120 /30Days |
ZENZEDI 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZENZEDI 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:180 /30Days |
ZENZEDI 20 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZENZEDI 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:90 /30Days |
ZENZEDI 30 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZENZEDI 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:60 /30Days |
ZENZEDI 5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZENZEDI 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:180 /30Days |
ZENZEDI 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZENZEDI 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:240 /30Days |
ZERIT 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in OH cover ZERIT 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTORETIC 10-12.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTORETIC 10-12.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTORETIC 20-12.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTORETIC 20-12.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZESTORETIC 20-25 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTORETIC 20-25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTRIL 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTRIL 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTRIL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTRIL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTRIL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTRIL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTRIL 30 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTRIL 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTRIL 40 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTRIL 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZESTRIL 5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZESTRIL 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZETIA 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZETIA 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | None |
ZIAC 10-6.25 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZIAC 10-6.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZIAC 2.5-6.25MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZIAC 2.5-6.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZIAC 5-6.25 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZIAC 5-6.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZIAGEN 20mg/mL 240 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in OH cover ZIAGEN 20mg/mL 240 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | None |
ZIDOVUDINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZIDOVUDINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | None |
ZIDOVUDINE 10MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in OH cover ZIDOVUDINE 10MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | None |
Zidovudine 300mg/1 12 BOTTLE CASE / 60 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in OH cover Zidovudine 300mg/1 12 BOTTLE CASE / 60 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | None |
ZIOPTAN 0.0015% EYE DROPS ![Compare how all Medicare Part D PDP plans in OH cover ZIOPTAN 0.0015% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S |
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in OH cover ZIPRASIDONE HCL 20 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | Q:60 /30Days |
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in OH cover ZIPRASIDONE HCL 40 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | Q:60 /30Days |
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in OH cover ZIPRASIDONE HCL 60 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | Q:60 /30Days |
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon] ![Compare how all Medicare Part D PDP plans in OH cover ZIPRASIDONE HCL 80 MG CAPSULE [Geodon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | Q:60 /30Days |
ZIPSOR 25 MG CAP 120 ![Compare how all Medicare Part D PDP plans in OH cover ZIPSOR 25 MG CAP 120.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S |
ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR per CARTON / 5 g in 1 TUBE, WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in OH cover ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR per CARTON / 5 g in 1 TUBE, WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZITHROMAX 1g/1 3 POWDER, FOR SUSPENSION in 1 BOX ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX 1g/1 3 POWDER, FOR SUSPENSION in 1 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX 200 MG/5 ML SUSP ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX 200 MG/5 ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX 250MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX 250MG Z-PAK TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX 250MG Z-PAK TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX 500MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX 600MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX IV 500MG VIAL 10 VIAL BOX ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX IV 500MG VIAL 10 VIAL BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX ORAL SUSP 100MG/5ML ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX ORAL SUSP 100MG/5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZITHROMAX TRI-PAK 500MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZITHROMAX TRI-PAK 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZOCOR 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOCOR 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:30 /30Days |
ZOCOR 20 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOCOR 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOCOR 40 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOCOR 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:30 /30Days |
ZOCOR 80 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOCOR 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:30 /30Days |
ZOCOR TABLETS 5 MG ![Compare how all Medicare Part D PDP plans in OH cover ZOCOR TABLETS 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:30 /30Days |
ZOFRAN 4 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOFRAN 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P |
ZOFRAN 4MG/5ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in OH cover ZOFRAN 4MG/5ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:900 /30Days |
ZOFRAN 8 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOFRAN 8 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P |
ZOFRAN ODT 4 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOFRAN ODT 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P |
ZOFRAN ODT 8 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOFRAN ODT 8 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P |
ZOLEDRONIC ACID 4 MG/5 ML VIAL [Zometa] ![Compare how all Medicare Part D PDP plans in OH cover ZOLEDRONIC ACID 4 MG/5 ML VIAL [Zometa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZOLEDRONIC ACID 5 MG/100 ML [Zometa] ![Compare how all Medicare Part D PDP plans in OH cover ZOLEDRONIC ACID 5 MG/100 ML [Zometa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZOLINZA 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZOLINZA 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOLMITRIPTAN 2.5 MG ODT [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in OH cover ZOLMITRIPTAN 2.5 MG ODT [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:6 /30Days |
ZOLMITRIPTAN 2.5 MG TABLET [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in OH cover ZOLMITRIPTAN 2.5 MG TABLET [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:6 /30Days |
ZOLMITRIPTAN 5 MG ODT [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in OH cover ZOLMITRIPTAN 5 MG ODT [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:6 /30Days |
ZOLMITRIPTAN 5 MG TABLET [Zomig, Zomig-ZMT] ![Compare how all Medicare Part D PDP plans in OH cover ZOLMITRIPTAN 5 MG TABLET [Zomig, Zomig-ZMT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:6 /30Days |
ZOLOFT 100 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOLOFT 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:60 /30Days |
ZOLOFT 25MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOLOFT 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZOLOFT 50 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOLOFT 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:60 /30Days |
Zolpidem Tartrate 1.75 mg tab sl [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in OH cover Zolpidem Tartrate 1.75 mg tab sl [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:30 /30Days |
ZOLPIDEM TARTRATE 10 MG TABLET [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in OH cover ZOLPIDEM TARTRATE 10 MG TABLET [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | P Q:30 /30Days |
Zolpidem Tartrate 3.5 mg tablet sl [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in OH cover Zolpidem Tartrate 3.5 mg tablet sl [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:30 /30Days |
ZOLPIDEM TARTRATE 5mg/1 100 FILM COATED TABLETS in BOTTLE [Ambien, Edluar, Zolpimist] ![Compare how all Medicare Part D PDP plans in OH cover ZOLPIDEM TARTRATE 5mg/1 100 FILM COATED TABLETS in BOTTLE [Ambien, Edluar, Zolpimist].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZOMIG 2.5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in OH cover ZOMIG 2.5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:12 /30Days |
ZOMIG 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOMIG 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:6 /30Days |
ZOMIG 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in OH cover ZOMIG 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:12 /30Days |
ZOMIG 5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOMIG 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:6 /30Days |
ZONEGRAN 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZONEGRAN 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S |
ZONEGRAN 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZONEGRAN 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S |
ZONISAMIDE 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZONISAMIDE 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | None |
ZONISAMIDE 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZONISAMIDE 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | None |
ZONISAMIDE 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZONISAMIDE 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | None |
ZONTIVITY 2.08 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZONTIVITY 2.08 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZORTRESS 0.25MG TABLETS ![Compare how all Medicare Part D PDP plans in OH cover ZORTRESS 0.25MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Zortress 0.5mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in OH cover Zortress 0.5mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
Zortress 0.75mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in OH cover Zortress 0.75mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZOSTAVAX VIAL ![Compare how all Medicare Part D PDP plans in OH cover ZOSTAVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | Q:1 /999Days |
ZOVIA 1-35E TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZOVIA 1-35E TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $10.00 | None |
ZOVIRAX 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZOVIRAX 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZOVIRAX 200 MG/5 ML SUSP ![Compare how all Medicare Part D PDP plans in OH cover ZOVIRAX 200 MG/5 ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZOVIRAX 5% CREAM ![Compare how all Medicare Part D PDP plans in OH cover ZOVIRAX 5% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZOVIRAX 5% OINTMENT ![Compare how all Medicare Part D PDP plans in OH cover ZOVIRAX 5% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZYBAN 150mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in OH cover ZYBAN 150mg/1 60 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:60 /30Days |
ZYCLARA 2.5% CREAM PUMP ![Compare how all Medicare Part D PDP plans in OH cover ZYCLARA 2.5% CREAM PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZYCLARA 3.75% CREAM PUMP ![Compare how all Medicare Part D PDP plans in OH cover ZYCLARA 3.75% CREAM PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYDELIG 100 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYDELIG 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZYDELIG 150 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYDELIG 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZYKADIA 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OH cover ZYKADIA 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZYLET EYE DROPS ![Compare how all Medicare Part D PDP plans in OH cover ZYLET EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $121.00 | None |
ZYLOPRIM 100MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYLOPRIM 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZYLOPRIM 300 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYLOPRIM 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER ![Compare how all Medicare Part D PDP plans in OH cover ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZYPREXA 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA 10MG VIAL ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
ZYPREXA 15 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA 2.5MG 30 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA 2.5MG 30 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYPREXA 20MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA 5MG TABLET (30 BOT) ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA 5MG TABLET (30 BOT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA 7.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA 7.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA Relprevv 1 KIT in 1 CARTON ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA Relprevv 1 KIT in 1 CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P Q:2 /28Days |
ZYPREXA ZYDIS 10MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA ZYDIS 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA ZYDIS 15MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA ZYDIS 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA ZYDIS 20MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA ZYDIS 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
ZYPREXA ZYDIS 5MG TABLET (30 BLPK) ![Compare how all Medicare Part D PDP plans in OH cover ZYPREXA ZYDIS 5MG TABLET (30 BLPK).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | S Q:30 /30Days |
Zytiga 250mg/1 120 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in OH cover Zytiga 250mg/1 120 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZYTIGA 500 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYTIGA 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |
ZYVOX 100MG/5ML SUSPENSION ![Compare how all Medicare Part D PDP plans in OH cover ZYVOX 100MG/5ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P Q:1800 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ZYVOX 600 MG TABLET ![Compare how all Medicare Part D PDP plans in OH cover ZYVOX 600 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P Q:56 /28Days |
ZYVOX 600MG/300ML IV SOLUTION ![Compare how all Medicare Part D PDP plans in OH cover ZYVOX 600MG/300ML IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
30% | N/A | P |