2019 Medicare Part D Plan Formulary Information |
MCS Classicare Platino Clasico (HMO SNP) (H5577-028-0)
Benefit Details
![Email Prescription and/or Health Benefit details for MCS Classicare Platino Clasico (HMO SNP). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The MCS Classicare Platino Clasico (HMO SNP) (H5577-028-0) Formulary Drugs Starting with the Letter N in Maricao County, PR: CMS MA Region 30 which includes: PR Plan Monthly Premium: $0.00 Deductible: $415 |
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 PR cover NABUMETONE 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NABUMETONE 750 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NABUMETONE 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NADOLOL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NADOLOL 40MG TABLETS ![Compare how all Medicare Part D PDP plans in PR cover NADOLOL 40MG TABLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NADOLOL-BENDROFLU 40-5 MG TAB ![Compare how all Medicare Part D PDP plans in PR cover NADOLOL-BENDROFLU 40-5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
Nafcillin 1 gm vial ![Compare how all Medicare Part D PDP plans in PR cover Nafcillin 1 gm vial.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in PR cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NAFCILLIN 2 GM VIAL ![Compare how all Medicare Part D PDP plans in PR cover NAFCILLIN 2 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NALOXONE 0.4 MG/ML CARPUJECT ![Compare how all Medicare Part D PDP plans in PR cover NALOXONE 0.4 MG/ML CARPUJECT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NALOXONE 0.4 MG/ML VIAL ![Compare how all Medicare Part D PDP plans in PR cover NALOXONE 0.4 MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in PR cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NALTREXONE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NALTREXONE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NAMENDA XR TITRATION PACK ![Compare how all Medicare Part D PDP plans in PR cover NAMENDA XR TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | None |
NAMZARIC 14 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NAMZARIC 14 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | P |
NAMZARIC 21 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NAMZARIC 21 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | P |
NAMZARIC 28 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NAMZARIC 28 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | P |
NAMZARIC 7 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NAMZARIC 7 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | P |
NAMZARIC TITRATION PACK ![Compare how all Medicare Part D PDP plans in PR cover NAMZARIC TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | P |
Naproxen 125 mg/5 ml suspen ![Compare how all Medicare Part D PDP plans in PR cover Naproxen 125 mg/5 ml suspen.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NAPROXEN 250 MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in PR cover NAPROXEN 250 MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NAPROXEN 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NAPROXEN DR 375 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NAPROXEN DR 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NAPROXEN DR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NAPROXEN DR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NAPROXEN SODIUM 275 MG TAB ![Compare how all Medicare Part D PDP plans in PR cover NAPROXEN SODIUM 275 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NAPROXEN SODIUM 550 MG TAB ![Compare how all Medicare Part D PDP plans in PR cover NAPROXEN SODIUM 550 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | Q:12 /30Days |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | Q:12 /30Days |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in PR cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | None |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in PR cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NATEGLINIDE 120 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NATEGLINIDE 120 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
All Formulary Drugs |
15% | 15% | Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATEGLINIDE 60 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NATEGLINIDE 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
All Formulary Drugs |
15% | 15% | Q:90 /30Days |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in PR cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | P |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in PR cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in PR cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in PR cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in PR cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEOMYC-POLYM-DEXAMET EYE OINTM [Poly-Dex] ![Compare how all Medicare Part D PDP plans in PR cover NEOMYC-POLYM-DEXAMET EYE OINTM [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NEOMYC-POLYM-DEXAMETH EYE DROP ![Compare how all Medicare Part D PDP plans in PR cover NEOMYC-POLYM-DEXAMETH EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in PR cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in PR cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in PR cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in PR cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEPHRAMINE SOLUTION FOR INJECTION ![Compare how all Medicare Part D PDP plans in PR cover NEPHRAMINE SOLUTION FOR INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | P |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in PR cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in PR cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in PR cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in PR cover NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in PR cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NEVIRAPINE 50 MG/5 ML SUSP Oral Suspension [Viramune] ![Compare how all Medicare Part D PDP plans in PR cover NEVIRAPINE 50 MG/5 ML SUSP Oral Suspension [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEVIRAPINE ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NEVIRAPINE ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEVIRAPINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NEVIRAPINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in PR cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIACIN ER 1,000 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in PR cover NIACIN ER 1,000 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NIACIN ER 500 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in PR cover NIACIN ER 500 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in PR cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
Nicardipine hydrochloride 20 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in PR cover Nicardipine hydrochloride 20 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
Nicardipine hydrochloride 30 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in PR cover Nicardipine hydrochloride 30 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in PR cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in PR cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NIFEDIPINE ER 30 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NIFEDIPINE ER 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NIFEDIPINE ER 90 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NIFEDIPINE ER 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NIKKI 3 MG-0.02 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NIKKI 3 MG-0.02 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in PR cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NISOLDIPINE ER 17 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in PR cover NISOLDIPINE ER 17 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NISOLDIPINE ER 20 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in PR cover NISOLDIPINE ER 20 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NISOLDIPINE ER 25.5 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in PR cover NISOLDIPINE ER 25.5 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | Q:30 /30Days |
NISOLDIPINE ER 30 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in PR cover NISOLDIPINE ER 30 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NISOLDIPINE ER 34 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in PR cover NISOLDIPINE ER 34 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NISOLDIPINE ER 40 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in PR cover NISOLDIPINE ER 40 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NISOLDIPINE ER 8.5 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in PR cover NISOLDIPINE ER 8.5 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NITRO-DUR 0.3 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NITRO-DUR 0.3 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | None |
NITRO-DUR 0.8 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NITRO-DUR 0.8 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | None |
Nitrofurantoin 25mg/5mL ![Compare how all Medicare Part D PDP plans in PR cover Nitrofurantoin 25mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NITROFURANTOIN MACROCRYSTALLINE 50 mg cap ![Compare how all Medicare Part D PDP plans in PR cover NITROFURANTOIN MACROCRYSTALLINE 50 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in PR cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NITROFURANTOIN MCR 25 MG CAP ![Compare how all Medicare Part D PDP plans in PR cover NITROFURANTOIN MCR 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in PR cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NITROGLYCERIN 0.2 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NITROGLYCERIN 0.2 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | 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 PR cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NITROGLYCERIN 0.4 MG TABLET SL ![Compare how all Medicare Part D PDP plans in PR cover NITROGLYCERIN 0.4 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NITROGLYCERIN 0.4 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NITROGLYCERIN 0.4 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NITROGLYCERIN 0.6 MG TABLET SL ![Compare how all Medicare Part D PDP plans in PR cover NITROGLYCERIN 0.6 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NITROGLYCERIN 0.6 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in PR cover NITROGLYCERIN 0.6 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NITROGLYCERIN LINGUAL 0.4 MG ![Compare how all Medicare Part D PDP plans in PR cover NITROGLYCERIN LINGUAL 0.4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in PR cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NIZATIDINE 15 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in PR cover NIZATIDINE 15 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NIZATIDINE 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NIZATIDINE 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NIZATIDINE 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NIZATIDINE 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NOCDURNA 27.7 MCG TABLET SL TAB RAPDIS ![Compare how all Medicare Part D PDP plans in PR cover NOCDURNA 27.7 MCG TABLET SL TAB RAPDIS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NOCDURNA 55.3 MCG TABLET SL TAB RAPDIS ![Compare how all Medicare Part D PDP plans in PR cover NOCDURNA 55.3 MCG TABLET SL TAB RAPDIS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in PR cover Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in PR cover Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in PR cover Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NORDITROPIN FLEXPRO 30 MG/3 ML ![Compare how all Medicare Part D PDP plans in PR cover NORDITROPIN FLEXPRO 30 MG/3 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NORETHIN-ETH ESTRAD 1 MG-5 MCG ![Compare how all Medicare Part D PDP plans in PR cover NORETHIN-ETH ESTRAD 1 MG-5 MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NORETHIND-ETH ESTRAD 1-0.02 MG ![Compare how all Medicare Part D PDP plans in PR cover NORETHIND-ETH ESTRAD 1-0.02 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NORETHINDRONE 0.35 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NORETHINDRONE 0.35 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NORG-ETHIN ESTRA 0.25-0.035 MG ![Compare how all Medicare Part D PDP plans in PR cover NORG-ETHIN ESTRA 0.25-0.035 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORMOSOL -R INJ /D5W ![Compare how all Medicare Part D PDP plans in PR cover NORMOSOL -R INJ /D5W.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | P |
NORMOSOL-M AND DEXTROSE 5% ![Compare how all Medicare Part D PDP plans in PR cover NORMOSOL-M AND DEXTROSE 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | P |
NORMOSOL-R PH 7.4 IV SOLUTION ![Compare how all Medicare Part D PDP plans in PR cover NORMOSOL-R PH 7.4 IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | P |
NORTHERA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NORTHERA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NORTHERA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NORTHERA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NORTHERA 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NORTHERA 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | 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 PR 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) |
1 |
All Formulary Drugs |
15% | 15% | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in PR 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) |
3 |
All Formulary Drugs |
15% | 15% | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in PR cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | 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 PR 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 |
All Formulary Drugs |
15% | 15% | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in PR cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in PR cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NORTRIPTYLINE HCL 50 MG CAP ![Compare how all Medicare Part D PDP plans in PR cover NORTRIPTYLINE HCL 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NORTRIPTYLINE HCL 75 MG CAP ![Compare how all Medicare Part D PDP plans in PR cover NORTRIPTYLINE HCL 75 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in PR cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NORVIR 100 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in PR cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in PR cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in PR cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NOXAFIL DR 100 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NOXAFIL DR 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
All Formulary Drugs |
15% | 15% | P |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in PR cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
All Formulary Drugs |
15% | 15% | P |
NUPLAZID 10 MG TABLET ![Compare how all Medicare Part D PDP plans in PR cover NUPLAZID 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
NUPLAZID 34 MG CAPSULE ![Compare how all Medicare Part D PDP plans in PR cover NUPLAZID 34 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
All Formulary Drugs |
15% | 15% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in PR cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | P |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in PR cover NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NYSTATIN 100,000 UNIT/GM POWD ![Compare how all Medicare Part D PDP plans in PR cover NYSTATIN 100,000 UNIT/GM POWD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NYSTATIN 100,000 UNITS/GM OINT ![Compare how all Medicare Part D PDP plans in PR cover NYSTATIN 100,000 UNITS/GM OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in PR cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
All Formulary Drugs |
15% | 15% | None |
NYSTATIN 500,000 UNIT ORAL TAB ![Compare how all Medicare Part D PDP plans in PR cover NYSTATIN 500,000 UNIT ORAL TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in PR cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in PR cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
All Formulary Drugs |
15% | 15% | None |