2019 Medicare Part D Plan Formulary Information |
Blue Cross Blue Shield Nebraska MA Core (HMO) (H3170-001-0)
Benefit Details
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The Blue Cross Blue Shield Nebraska MA Core (HMO) (H3170-001-0) Formulary Drugs Starting with the Letter N in Sarpy County, NE: CMS MA Region 19 which includes: NE Plan Monthly Premium: $0.00 Deductible: $300 |
Drugs Starting with Letter N
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
NABUMETONE 500 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NABUMETONE 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:120 /30Days |
NABUMETONE 750 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NABUMETONE 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
NADOLOL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NADOLOL 40MG TABLETS ![Compare how all Medicare Part D PDP plans in NE cover NADOLOL 40MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Nafcillin 1 gm vial ![Compare how all Medicare Part D PDP plans in NE cover Nafcillin 1 gm vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in NE cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | None |
NAFCILLIN 2 GM VIAL ![Compare how all Medicare Part D PDP plans in NE cover NAFCILLIN 2 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NALOXONE 0.4 MG/ML CARPUJECT ![Compare how all Medicare Part D PDP plans in NE cover NALOXONE 0.4 MG/ML CARPUJECT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NALOXONE 0.4 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in NE cover NALOXONE 0.4 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in NE cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NALTREXONE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NALTREXONE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Naproxen 125 mg/5 ml suspen ![Compare how all Medicare Part D PDP plans in NE cover Naproxen 125 mg/5 ml suspen.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:1800 /30Days |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$4.00 | $0.00 | Q:180 /30Days |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$4.00 | $0.00 | Q:120 /30Days |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$4.00 | $0.00 | Q:90 /30Days |
NAPROXEN DR 375 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN DR 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:120 /30Days |
NAPROXEN DR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN DR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:90 /30Days |
NAPROXEN SODIUM 275 MG TAB ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN SODIUM 275 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:150 /30Days |
NAPROXEN SODIUM 550 MG TAB ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN SODIUM 550 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:90 /30Days |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:18 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:18 /30Days |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in NE cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in NE cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NATEGLINIDE 120 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NATEGLINIDE 120 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:90 /30Days |
NATEGLINIDE 60 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NATEGLINIDE 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:180 /30Days |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in NE cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:2 /28Days |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in NE cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:2 /28Days |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in NE cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:2 /28Days |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in NE cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:2 /28Days |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in NE cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
NECON 0.5-35-28 TABLET ![Compare how all Medicare Part D PDP plans in NE cover NECON 0.5-35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in NE cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NEOMYC-POLYM-DEXAMET EYE OINTM [Poly-Dex] ![Compare how all Medicare Part D PDP plans in NE cover NEOMYC-POLYM-DEXAMET EYE OINTM [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NEOMYC-POLYM-DEXAMETH EYE DROP ![Compare how all Medicare Part D PDP plans in NE cover NEOMYC-POLYM-DEXAMETH EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in NE cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in NE cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in NE cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:180 /30Days |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in NE cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | None |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in NE cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | None |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in NE cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | None |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
NEVIRAPINE 50 MG/5 ML SUSP Oral Suspension [Viramune] ![Compare how all Medicare Part D PDP plans in NE cover NEVIRAPINE 50 MG/5 ML SUSP Oral Suspension [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:1200 /30Days |
NEVIRAPINE ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEVIRAPINE ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | Q:90 /30Days |
NEVIRAPINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEVIRAPINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:30 /30Days |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in NE cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:120 /30Days |
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON ![Compare how all Medicare Part D PDP plans in NE cover NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in NE cover NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:30 /30Days |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in NE cover NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:30 /30Days |
NEXIUM DR 2.5 MG PACKET ![Compare how all Medicare Part D PDP plans in NE cover NEXIUM DR 2.5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:30 /30Days |
NEXIUM DR 5 MG PACKET ![Compare how all Medicare Part D PDP plans in NE cover NEXIUM DR 5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:30 /30Days |
NIACIN ER 1,000 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in NE cover NIACIN ER 1,000 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
NIACIN ER 500 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in NE cover NIACIN ER 500 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:30 /30Days |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in NE cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
Nicardipine hydrochloride 20 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in NE cover Nicardipine hydrochloride 20 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Nicardipine hydrochloride 30 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in NE cover Nicardipine hydrochloride 30 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in NE cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in NE cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NIKKI 3 MG-0.02 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NIKKI 3 MG-0.02 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in NE cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | None |
NIMODIPINE 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NIMODIPINE 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:3 /28Days |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:3 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:3 /28Days |
NISOLDIPINE ER 17 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 17 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NISOLDIPINE ER 25.5 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 25.5 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NISOLDIPINE ER 34 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 34 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NISOLDIPINE ER 8.5 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 8.5 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NITRO-BID 2% OINTMENT ![Compare how all Medicare Part D PDP plans in NE cover NITRO-BID 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
Nitrofurantoin 25mg/5mL ![Compare how all Medicare Part D PDP plans in NE cover Nitrofurantoin 25mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NITROFURANTOIN MACROCRYSTALLINE 50 mg cap ![Compare how all Medicare Part D PDP plans in NE cover NITROFURANTOIN MACROCRYSTALLINE 50 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in NE cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in NE cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NITROGLYCERIN 0.2 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.2 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NITROGLYCERIN 0.4 MG TABLET SL ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.4 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NITROGLYCERIN 0.4 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.4 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NITROGLYCERIN 0.6 MG TABLET SL ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.6 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NITROGLYCERIN 0.6 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.6 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NITROGLYCERIN LINGUAL 0.4 MG ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN LINGUAL 0.4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NIZATIDINE 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NIZATIDINE 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NIZATIDINE 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NIZATIDINE 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
noret-estr-fe 0.4-0.035(21)-75 ![Compare how all Medicare Part D PDP plans in NE cover noret-estr-fe 0.4-0.035(21)-75.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Norethin-Estrad-Ferr 0.8-0.025 MG ![Compare how all Medicare Part D PDP plans in NE cover Norethin-Estrad-Ferr 0.8-0.025 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Norethin-Estrad-Ferr 1-0.02 mg ![Compare how all Medicare Part D PDP plans in NE cover Norethin-Estrad-Ferr 1-0.02 mg.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORETHIND-ETH ESTRAD 1-0.02 MG ![Compare how all Medicare Part D PDP plans in NE cover NORETHIND-ETH ESTRAD 1-0.02 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORETHINDRONE 0.35 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NORETHINDRONE 0.35 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORG-EE 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in NE cover NORG-EE 0.18-0.215-0.25/0.035.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORG-ETHIN ESTRA 0.18-0.215-0.25/0.025 ![Compare how all Medicare Part D PDP plans in NE cover NORG-ETHIN ESTRA 0.18-0.215-0.25/0.025.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORG-ETHIN ESTRA 0.25-0.035 MG ![Compare how all Medicare Part D PDP plans in NE cover NORG-ETHIN ESTRA 0.25-0.035 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Norlyroc 0.35 mg tablet ![Compare how all Medicare Part D PDP plans in NE cover Norlyroc 0.35 mg tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in NE cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
NORTHERA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NORTHERA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTHERA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NORTHERA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P |
NORTHERA 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NORTHERA 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P |
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in NE cover Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in NE cover Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in NE cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER ![Compare how all Medicare Part D PDP plans in NE cover Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
NORTRIPTYLINE HCL 50 MG CAP ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE HCL 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
NORTRIPTYLINE HCL 75 MG CAP ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE HCL 75 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in NE cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORVIR 100 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in NE cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:360 /30Days |
NORVIR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NORVIR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:360 /30Days |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in NE cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:480 /30Days |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in NE cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P |
NOXAFIL DR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NOXAFIL DR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P |
NUCYNTA ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUCYNTA ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | P Q:60 /30Days |
NUCYNTA ER 150 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUCYNTA ER 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | P Q:60 /30Days |
NUCYNTA ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUCYNTA ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | P Q:60 /30Days |
NUCYNTA ER 250 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUCYNTA ER 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | P Q:60 /30Days |
NUCYNTA ER 50 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUCYNTA ER 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | P Q:60 /30Days |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in NE cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | P Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUPLAZID 10 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUPLAZID 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:30 /30Days |
NUPLAZID 34 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NUPLAZID 34 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
27% | N/A | P Q:30 /30Days |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in NE cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
NYAMYC 100,000 UNITS/GM POWDER ![Compare how all Medicare Part D PDP plans in NE cover NYAMYC 100,000 UNITS/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NYSTATIN 100,000 UNIT/GM POWD ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 100,000 UNIT/GM POWD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NYSTATIN 100,000 UNITS/GM OINT ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 100,000 UNITS/GM OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in NE cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NYSTATIN 500,000 UNIT ORAL TAB ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 500,000 UNIT ORAL TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$37.00 | $111.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTOP 100,000 UNITS/GM POWDER ![Compare how all Medicare Part D PDP plans in NE cover NYSTOP 100,000 UNITS/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |