2018 Medicare Part D Plan Formulary Information |
Magellan Rx Medicare Basic (PDP) (S4607-020-0)
Benefit Details
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The Magellan Rx Medicare Basic (PDP) (S4607-020-0) Formulary Drugs Starting with the Letter R in CMS PDP Region 25 which includes: IA MN MT NE ND SD WY Plan Monthly Premium: $78.50 Deductible: $405 Qualifies for LIS: No |
Drugs Starting with Letter R
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
RABAVERT RABIES VACCINE VIAL ![Compare how all Medicare Part D PDP plans in SD cover RABAVERT RABIES VACCINE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P |
RALOXIFENE HCL 60 MG TABLET [Evista] ![Compare how all Medicare Part D PDP plans in SD cover RALOXIFENE HCL 60 MG TABLET [Evista].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RAMIPRIL 1.25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RAMIPRIL 1.25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
RAMIPRIL 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RAMIPRIL 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
RAMIPRIL 2.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RAMIPRIL 2.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
RAMIPRIL 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RAMIPRIL 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
RANEXA ER 1,000 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RANEXA ER 1,000 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
16% | N/A | None |
RANEXA ER 500 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RANEXA ER 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
16% | N/A | None |
RANITIDINE 15 MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in SD cover RANITIDINE 15 MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
RANITIDINE 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RANITIDINE 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RANITIDINE 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RANITIDINE 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
RANITIDINE 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RANITIDINE 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RANITIDINE 300 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RANITIDINE 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
RANITIDINE HCL 50 MG/2 ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover RANITIDINE HCL 50 MG/2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RAPAMUNE 1MG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in SD cover RAPAMUNE 1MG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
Rasagiline Mesylate 0.5 MG TABLET [Azilect] ![Compare how all Medicare Part D PDP plans in SD cover Rasagiline Mesylate 0.5 MG TABLET [Azilect].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
Rasagiline Mesylate 1 MG TABLET [Azilect] ![Compare how all Medicare Part D PDP plans in SD cover Rasagiline Mesylate 1 MG TABLET [Azilect].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RASUVO 10 MG/0.2 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 10 MG/0.2 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:1 /28Days |
RASUVO 12.5 MG/0.25 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 12.5 MG/0.25 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:1 /28Days |
RASUVO 15 MG/0.3 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 15 MG/0.3 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:1 /28Days |
RASUVO 17.5 MG/0.35 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 17.5 MG/0.35 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:1 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RASUVO 20 MG/0.4 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 20 MG/0.4 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:2 /28Days |
RASUVO 22.5 MG/0.45 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 22.5 MG/0.45 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:2 /28Days |
RASUVO 25 MG/0.5 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 25 MG/0.5 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:2 /28Days |
RASUVO 30 MG/0.6 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 30 MG/0.6 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:2 /28Days |
RASUVO 7.5 MG/0.15 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in SD cover RASUVO 7.5 MG/0.15 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | P Q:1 /28Days |
RAVICTI 1.1 GRAM/ML LIQUID ![Compare how all Medicare Part D PDP plans in SD cover RAVICTI 1.1 GRAM/ML LIQUID.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
RECLIPSEN 28 DAY TABLET [Solia] ![Compare how all Medicare Part D PDP plans in SD cover RECLIPSEN 28 DAY TABLET [Solia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RECOMBIVAX HB 10 MCG/ML SYR ![Compare how all Medicare Part D PDP plans in SD cover RECOMBIVAX HB 10 MCG/ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
16% | N/A | P |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
16% | N/A | P |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in SD cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | Q:240 /365Days |
RELISTOR 12 MG/0.6 ML SYRINGE ![Compare how all Medicare Part D PDP plans in SD cover RELISTOR 12 MG/0.6 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:18 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RELISTOR 12 MG/0.6 ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover RELISTOR 12 MG/0.6 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:18 /30Days |
RELISTOR 8 MG/0.4 ML SYRINGE ![Compare how all Medicare Part D PDP plans in SD cover RELISTOR 8 MG/0.4 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:12 /30Days |
REMICADE 100MG VIAL ![Compare how all Medicare Part D PDP plans in SD cover REMICADE 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REMODULIN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover REMODULIN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REMODULIN 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover REMODULIN 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REMODULIN 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover REMODULIN 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REMODULIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover REMODULIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
RENAGEL 800MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RENAGEL 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
RENFLEXIS 100 MG VIAL FOR INJECTION ![Compare how all Medicare Part D PDP plans in SD cover RENFLEXIS 100 MG VIAL FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
RENVELA 800MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RENVELA 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
REPAGLINIDE 0.5 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in SD cover REPAGLINIDE 0.5 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REPAGLINIDE 1 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in SD cover REPAGLINIDE 1 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
REPAGLINIDE 2 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in SD cover REPAGLINIDE 2 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
REPATHA 140 MG/ML SURECLICK ![Compare how all Medicare Part D PDP plans in SD cover REPATHA 140 MG/ML SURECLICK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
REPATHA 140 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in SD cover REPATHA 140 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
REPATHA 420 MG/3.5ML PUSHTRONX ![Compare how all Medicare Part D PDP plans in SD cover REPATHA 420 MG/3.5ML PUSHTRONX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:4 /28Days |
RESCRIPTOR 100mg/1 360 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover RESCRIPTOR 100mg/1 360 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RESCRIPTOR 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RESCRIPTOR 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RESTASIS 0.05% EYE EMULSION ![Compare how all Medicare Part D PDP plans in SD cover RESTASIS 0.05% EYE EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
16% | N/A | None |
RETROVIR 200 MG/20 ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover RETROVIR 200 MG/20 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
REVATIO 10 MG/ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in SD cover REVATIO 10 MG/ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REVLIMID 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REVLIMID 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in SD cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REVLIMID 2.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REVLIMID 2.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REVLIMID 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REVLIMID 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REVLIMID 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REVLIMID 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REVLIMID 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REVLIMID 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
REXULTI 0.25 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover REXULTI 0.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
REXULTI 0.5 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover REXULTI 0.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
REXULTI 1 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover REXULTI 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
REXULTI 2 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover REXULTI 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
REXULTI 3 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover REXULTI 3 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
REXULTI 4 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover REXULTI 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REYATAZ 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REYATAZ 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
REYATAZ 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REYATAZ 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
REYATAZ 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover REYATAZ 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
REYATAZ 50 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in SD cover REYATAZ 50 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
RIBASPHERE 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIBASPHERE 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RIBASPHERE 200MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RIBASPHERE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RIBASPHERE 400MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RIBASPHERE 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RIBASPHERE 600MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RIBASPHERE 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
RIBAVIRIN 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIBAVIRIN 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RIBAVIRIN 200MG TABLET 168 BOT ![Compare how all Medicare Part D PDP plans in SD cover RIBAVIRIN 200MG TABLET 168 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RIFABUTIN 150 MG CAPSULE [Mycobutin] ![Compare how all Medicare Part D PDP plans in SD cover RIFABUTIN 150 MG CAPSULE [Mycobutin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIFAMPIN 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIFAMPIN 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RIFAMPIN 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIFAMPIN 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RIFAMPIN IV 600 MG VIAL ![Compare how all Medicare Part D PDP plans in SD cover RIFAMPIN IV 600 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RIFATER 50/300/120 TABLET ![Compare how all Medicare Part D PDP plans in SD cover RIFATER 50/300/120 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RILUZOLE 50 MG TABLET [Rilutek] ![Compare how all Medicare Part D PDP plans in SD cover RILUZOLE 50 MG TABLET [Rilutek].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | P |
Rimantadine 100mg/1 100 TABLET BOTTLE ![Compare how all Medicare Part D PDP plans in SD cover Rimantadine 100mg/1 100 TABLET BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RINGERS IRRIGATION 860-30 12X1000ML BAG ![Compare how all Medicare Part D PDP plans in SD cover RINGERS IRRIGATION 860-30 12X1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in SD cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in SD cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in SD cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in SD cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE 0.25 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 0.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | Q:60 /30Days |
RISPERIDONE 0.5 MG ODT ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 0.5 MG ODT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:60 /30Days |
RISPERIDONE 0.5 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 0.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | Q:60 /30Days |
RISPERIDONE 1 MG ODT ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 1 MG ODT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:60 /30Days |
RISPERIDONE 1 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | Q:60 /30Days |
RISPERIDONE 1 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 1 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:240 /30Days |
RISPERIDONE 2 MG ODT ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 2 MG ODT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:60 /30Days |
RISPERIDONE 2 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | Q:60 /30Days |
RISPERIDONE 3 MG ODT ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 3 MG ODT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:60 /30Days |
RISPERIDONE 3 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 3 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | Q:60 /30Days |
RISPERIDONE 4 MG ODT ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 4 MG ODT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE 4 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | Q:60 /30Days |
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in SD cover RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:60 /30Days |
RITONAVIR 100 MG TABLET [Norvir] ![Compare how all Medicare Part D PDP plans in SD cover RITONAVIR 100 MG TABLET [Norvir].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RITUXAN 10 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover RITUXAN 10 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
RITUXAN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SD cover RITUXAN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
RIVASTIGMINE 1.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIVASTIGMINE 1.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RIVASTIGMINE 13.3 MG/24HR PTCH ![Compare how all Medicare Part D PDP plans in SD cover RIVASTIGMINE 13.3 MG/24HR PTCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RIVASTIGMINE 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIVASTIGMINE 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RIVASTIGMINE 4.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIVASTIGMINE 4.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RIVASTIGMINE 4.6 MG/24HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover RIVASTIGMINE 4.6 MG/24HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RIVASTIGMINE 6 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RIVASTIGMINE 6 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIVASTIGMINE 9.5 MG/24HR PATCH ![Compare how all Medicare Part D PDP plans in SD cover RIVASTIGMINE 9.5 MG/24HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | N/A | None |
RIZATRIPTAN 10 MG ODT [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in SD cover RIZATRIPTAN 10 MG ODT [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:18 /30Days |
RIZATRIPTAN 10 MG TABLET [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in SD cover RIZATRIPTAN 10 MG TABLET [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:18 /30Days |
RIZATRIPTAN 5 MG ODT [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in SD cover RIZATRIPTAN 5 MG ODT [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:18 /30Days |
RIZATRIPTAN 5 MG TABLET [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in SD cover RIZATRIPTAN 5 MG TABLET [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | Q:18 /30Days |
ROPINIROLE HCL 0.25 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover ROPINIROLE HCL 0.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROPINIROLE HCL 0.5 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover ROPINIROLE HCL 0.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROPINIROLE HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover ROPINIROLE HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROPINIROLE HCL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover ROPINIROLE HCL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROPINIROLE HCL 3 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover ROPINIROLE HCL 3 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROPINIROLE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover ROPINIROLE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROPINIROLE HCL 5 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover ROPINIROLE HCL 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROSUVASTATIN CALCIUM 10 MG TAB [Crestor] ![Compare how all Medicare Part D PDP plans in SD cover ROSUVASTATIN CALCIUM 10 MG TAB [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROSUVASTATIN CALCIUM 20 MG TAB [Crestor] ![Compare how all Medicare Part D PDP plans in SD cover ROSUVASTATIN CALCIUM 20 MG TAB [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
Rosuvastatin Calcium 40 mg Film Coated Tablet [Crestor] ![Compare how all Medicare Part D PDP plans in SD cover Rosuvastatin Calcium 40 mg Film Coated Tablet [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROSUVASTATIN CALCIUM 5 MG TAB [Crestor] ![Compare how all Medicare Part D PDP plans in SD cover ROSUVASTATIN CALCIUM 5 MG TAB [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$1.00 | N/A | None |
ROTARIX VACCINE SUSPENSION ![Compare how all Medicare Part D PDP plans in SD cover ROTARIX VACCINE SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
16% | N/A | None |
ROTATEQ VACCINE Solution ![Compare how all Medicare Part D PDP plans in SD cover ROTATEQ VACCINE Solution.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
16% | N/A | None |
Roweepra 500 mg tablet ![Compare how all Medicare Part D PDP plans in SD cover Roweepra 500 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$4.00 | N/A | None |
RUBRACA 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RUBRACA 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
RUBRACA 250 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RUBRACA 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
RUBRACA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in SD cover RUBRACA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RYDAPT 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SD cover RYDAPT 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:240 /30Days |