2019 Medicare Part D Plan Formulary Information |
Kaiser Permanente Senior Advantage Basic (HMO) (H9003-006-0)
Benefit Details
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The Kaiser Permanente Senior Advantage Basic (HMO) (H9003-006-0) Formulary Drugs Starting with the Letter V in Clackamas County, OR: CMS MA Region 23 which includes: OR Plan Monthly Premium: $44.00 Deductible: $0 |
Drugs Starting with Letter V
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
VABOMERE 2 GRAM VIAL ![Compare how all Medicare Part D PDP plans in OR cover VABOMERE 2 GRAM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VAGIFEM 10 MCG VAGINAL TABLET ![Compare how all Medicare Part D PDP plans in OR cover VAGIFEM 10 MCG VAGINAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VALACYCLOVIR HCL 1 GRAM TABLET ![Compare how all Medicare Part D PDP plans in OR cover VALACYCLOVIR HCL 1 GRAM TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALACYCLOVIR HCL 500 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VALACYCLOVIR HCL 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALCHLOR 0.016% GEL ![Compare how all Medicare Part D PDP plans in OR cover VALCHLOR 0.016% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VALCYTE 450MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VALCYTE 450MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VALCYTE FOR ORAL SOLUTION 50MG/ML ![Compare how all Medicare Part D PDP plans in OR cover VALCYTE FOR ORAL SOLUTION 50MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VALGANCICLOVIR 450 MG TABLET [Valcyte] ![Compare how all Medicare Part D PDP plans in OR cover VALGANCICLOVIR 450 MG TABLET [Valcyte].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALGANCICLOVIR HCL 50 MG/ML [Valcyte] ![Compare how all Medicare Part D PDP plans in OR cover VALGANCICLOVIR HCL 50 MG/ML [Valcyte].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALIUM 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VALIUM 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Valium 2mg/1 100 TABLET BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in OR cover Valium 2mg/1 100 TABLET BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VALPROIC ACID 250 MG CAPSULE [Depakene] ![Compare how all Medicare Part D PDP plans in OR cover VALPROIC ACID 250 MG CAPSULE [Depakene].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALPROIC ACID 250 MG/5 ML SOLN Solution [Depakene] ![Compare how all Medicare Part D PDP plans in OR cover VALPROIC ACID 250 MG/5 ML SOLN Solution [Depakene].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN 160 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN 160 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN 320 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN 320 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN 40 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN 40 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN 80 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN 80 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN-HCTZ 160-25 MG TAB [Diovan HCT] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN-HCTZ 160-25 MG TAB [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN-HCTZ 320-12.5 MG TAB [Diovan HCT] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN-HCTZ 320-12.5 MG TAB [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALSARTAN-HCTZ 320-25 MG TAB [Diovan HCT] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN-HCTZ 320-25 MG TAB [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VALSARTAN-HCTZ 80-12.5 MG Tablet [Diovan HCT] ![Compare how all Medicare Part D PDP plans in OR cover VALSARTAN-HCTZ 80-12.5 MG Tablet [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VALTREX 1 GM CAPLET ![Compare how all Medicare Part D PDP plans in OR cover VALTREX 1 GM CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VALTREX 500 MG CAPLET ![Compare how all Medicare Part D PDP plans in OR cover VALTREX 500 MG CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VANATOL LQ ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in OR cover VANATOL LQ ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VANCOCIN HCL 125 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VANCOCIN HCL 125 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VANCOCIN HCL 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VANCOCIN HCL 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VANCOMYCIN 500 MG VIAL ![Compare how all Medicare Part D PDP plans in OR cover VANCOMYCIN 500 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VANCOMYCIN HCL 125 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VANCOMYCIN HCL 125 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VANCOMYCIN HCL 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VANCOMYCIN HCL 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VANCOMYCIN HCL 250 MG VIAL ![Compare how all Medicare Part D PDP plans in OR cover VANCOMYCIN HCL 250 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VANCOMYCIN HCL 750 MG VIAL ![Compare how all Medicare Part D PDP plans in OR cover VANCOMYCIN HCL 750 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VANCOMYCIN HCL INJECTION 10 X 1GM VIAL (STERILE ) ![Compare how all Medicare Part D PDP plans in OR cover VANCOMYCIN HCL INJECTION 10 X 1GM VIAL (STERILE ).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VANCOMYCIN HYDROCHLORIDE 100MG/ML 1 VIAL, PHARMACY BULK PACKAGE in 1 CASE / 95 mL in 1 VIAL, PHARMA ![Compare how all Medicare Part D PDP plans in OR cover VANCOMYCIN HYDROCHLORIDE 100MG/ML 1 VIAL, PHARMACY BULK PACKAGE in 1 CASE / 95 mL in 1 VIAL, PHARMA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VANDAZOLE 0.75% GEL WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in OR cover VANDAZOLE 0.75% GEL WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VANOS 0.1% CREAM ![Compare how all Medicare Part D PDP plans in OR cover VANOS 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VAQTA 25 UNITS/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in OR cover VAQTA 25 UNITS/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Vaccines |
$0.00 | N/A | None |
VAQTA 50 UNITS/ML SYRINGE ![Compare how all Medicare Part D PDP plans in OR cover VAQTA 50 UNITS/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Vaccines |
$0.00 | N/A | None |
Vaqta Hepatitis A Vaccine Adult 50 Unit / mL Injection Single Dose Vial 1 mL ![Compare how all Medicare Part D PDP plans in OR cover Vaqta Hepatitis A Vaccine Adult 50 Unit / mL Injection Single Dose Vial 1 mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Vaccines |
$0.00 | N/A | None |
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL ![Compare how all Medicare Part D PDP plans in OR cover Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Vaccines |
$0.00 | N/A | None |
VARIVAX VACCINE W/DILUENT ![Compare how all Medicare Part D PDP plans in OR cover VARIVAX VACCINE W/DILUENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Vaccines |
$0.00 | N/A | None |
VARIZIG 125 UNIT/1.2 ML VIAL ![Compare how all Medicare Part D PDP plans in OR cover VARIZIG 125 UNIT/1.2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Vaccines |
$0.00 | N/A | None |
VARUBI 90 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VARUBI 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VASCEPA 0.5 GM CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VASCEPA 0.5 GM CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VASCEPA 1 GM CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VASCEPA 1 GM CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VASERETIC 10-25 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VASERETIC 10-25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VASOTEC 20 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VASOTEC 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VASOTEC 5 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VASOTEC 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VECAMYL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VECAMYL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VECTICAL OINTMENT 3MCG/GM 100 GM TUBE ![Compare how all Medicare Part D PDP plans in OR cover VECTICAL OINTMENT 3MCG/GM 100 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VELIVET 28 DAY TABLET [Velivet] ![Compare how all Medicare Part D PDP plans in OR cover VELIVET 28 DAY TABLET [Velivet].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VELPHORO 500 MG CHEWABLE TAB ![Compare how all Medicare Part D PDP plans in OR cover VELPHORO 500 MG CHEWABLE TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VELTASSA 16.8 GM POWDER PACKET ![Compare how all Medicare Part D PDP plans in OR cover VELTASSA 16.8 GM POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VELTASSA 25.2 GM POWDER PACKET ![Compare how all Medicare Part D PDP plans in OR cover VELTASSA 25.2 GM POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VELTASSA 8.4 GM POWDER PACKET ![Compare how all Medicare Part D PDP plans in OR cover VELTASSA 8.4 GM POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VEMLIDY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VEMLIDY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VENCLEXTA 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VENCLEXTA 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VENCLEXTA 100 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VENCLEXTA 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VENCLEXTA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VENCLEXTA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VENCLEXTA STARTING PACK ![Compare how all Medicare Part D PDP plans in OR cover VENCLEXTA STARTING PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Venlafaxine 24 HR 225 MG Extended Release Oral Tablet ![Compare how all Medicare Part D PDP plans in OR cover Venlafaxine 24 HR 225 MG Extended Release Oral Tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL 100 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL 100 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL 25 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL 25 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL 37.5 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL 37.5 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL 50 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL 50 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VENLAFAXINE HCL 75 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL 75 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL ER 150 MG CAPSULE 24H [Effexor XR] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL ER 150 MG CAPSULE 24H [Effexor XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL ER 150 MG TABLET 24 [Venlafaxine] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL ER 150 MG TABLET 24 [Venlafaxine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL ER 37.5 MG CAPSULE 24H [Effexor XR] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL ER 37.5 MG CAPSULE 24H [Effexor XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL ER 37.5 MG TAB ER 24 [Venlafaxine] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL ER 37.5 MG TAB ER 24 [Venlafaxine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL ER 75 MG CAPSULE 24H [Effexor XR] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL ER 75 MG CAPSULE 24H [Effexor XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VENLAFAXINE HCL ER 75 MG TABLET 24 [Venlafaxine] ![Compare how all Medicare Part D PDP plans in OR cover VENLAFAXINE HCL ER 75 MG TABLET 24 [Venlafaxine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
Ventavis 0.01mg/mL ![Compare how all Medicare Part D PDP plans in OR cover Ventavis 0.01mg/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Ventavis 0.02mg/mL ![Compare how all Medicare Part D PDP plans in OR cover Ventavis 0.02mg/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
VENTOLIN HFA 90MCG INHALER ![Compare how all Medicare Part D PDP plans in OR cover VENTOLIN HFA 90MCG INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL 120 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL 120 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$5.00 | $10.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VERAPAMIL 120MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL 120MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL 180MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL 180MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL 240MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL 240MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL 40MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$5.00 | $10.00 | None |
VERAPAMIL ER 100MG CAPSULE 24HR SR PELLETS ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL ER 100MG CAPSULE 24HR SR PELLETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL ER 120 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL ER 120 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL ER 180 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL ER 180 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL ER 200MG CAPSULE 24HR SR PELLETS (100 CT) ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL ER 200MG CAPSULE 24HR SR PELLETS (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL ER 240 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL ER 240 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERAPAMIL ER PM 300 MG CAPSULE 24H PCT [Verelan PM] ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL ER PM 300 MG CAPSULE 24H PCT [Verelan PM].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VERAPAMIL HCL 360MG CAPSULES SUSTAINED RELEASE ![Compare how all Medicare Part D PDP plans in OR cover VERAPAMIL HCL 360MG CAPSULES SUSTAINED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VEREGEN 15% OINTMENT ![Compare how all Medicare Part D PDP plans in OR cover VEREGEN 15% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERELAN 120 MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERELAN 120 MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERELAN 180 MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERELAN 180 MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERELAN 240 MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERELAN 240 MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERELAN 360 MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERELAN 360 MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERELAN PM 100 MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERELAN PM 100 MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERELAN PM 200 MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERELAN PM 200 MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERELAN PM 300 MG CAP PELLET ![Compare how all Medicare Part D PDP plans in OR cover VERELAN PM 300 MG CAP PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VERIPRED 20 20 MG/5 ML SOLN ![Compare how all Medicare Part D PDP plans in OR cover VERIPRED 20 20 MG/5 ML SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VERSACLOZ 50 MG/ML ORAL SUSPENSION ![Compare how all Medicare Part D PDP plans in OR cover VERSACLOZ 50 MG/ML ORAL SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VERZENIO 100 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERZENIO 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VERZENIO 150 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERZENIO 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VERZENIO 200 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERZENIO 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VERZENIO 50 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VERZENIO 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VESICARE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VESICARE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VESICARE 5 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VESICARE 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VFEND 200MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VFEND 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VFEND 40MG/ML SUSPENSION ![Compare how all Medicare Part D PDP plans in OR cover VFEND 40MG/ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VFEND 50MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VFEND 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VFEND IV 200MG VIAL ![Compare how all Medicare Part D PDP plans in OR cover VFEND IV 200MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIBERZI 100 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIBERZI 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIBERZI 75 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIBERZI 75 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VIBRAMYCIN 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VIBRAMYCIN 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIBRAMYCIN 25MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in OR cover VIBRAMYCIN 25MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIBRAMYCIN 50MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in OR cover VIBRAMYCIN 50MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VICODIN 5-300 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VICODIN 5-300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VICODIN ES 7.5-300 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VICODIN ES 7.5-300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VICODIN HP 10-300 MG TABLET [Xodol] ![Compare how all Medicare Part D PDP plans in OR cover VICODIN HP 10-300 MG TABLET [Xodol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VICTOZA 3-PAK 18 MG/3 ML PEN ![Compare how all Medicare Part D PDP plans in OR cover VICTOZA 3-PAK 18 MG/3 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIDEX 4 GM PEDIATRIC SOLN ![Compare how all Medicare Part D PDP plans in OR cover VIDEX 4 GM PEDIATRIC SOLN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VIDEX EC 125MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in OR cover VIDEX EC 125MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIDEX EC 200MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in OR cover VIDEX EC 200MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIDEX EC 250MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in OR cover VIDEX EC 250MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIDEX EC 400MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in OR cover VIDEX EC 400MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIEKIRA PAK ![Compare how all Medicare Part D PDP plans in OR cover VIEKIRA PAK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
VIENVA-28 TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIENVA-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL] ![Compare how all Medicare Part D PDP plans in OR cover VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VIGABATRIN 500 MG ORAL TABLET [SABRIL] ![Compare how all Medicare Part D PDP plans in OR cover VIGABATRIN 500 MG ORAL TABLET [SABRIL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VIGABATRIN 500 MG POWDER PACKET [SABRIL] ![Compare how all Medicare Part D PDP plans in OR cover VIGABATRIN 500 MG POWDER PACKET [SABRIL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VIGABATRIN 500 MG TABLET [Sabril] ![Compare how all Medicare Part D PDP plans in OR cover VIGABATRIN 500 MG TABLET [Sabril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VIGADRONE 500 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in OR cover VIGADRONE 500 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VIGAMOX 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in OR cover VIGAMOX 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIIBRYD 10-20 MG STARTER PACK ![Compare how all Medicare Part D PDP plans in OR cover VIIBRYD 10-20 MG STARTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIIBRYD 10mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in OR cover VIIBRYD 10mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIIBRYD 20mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in OR cover VIIBRYD 20mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIIBRYD 40mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in OR cover VIIBRYD 40mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIMOVO 375-20 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIMOVO 375-20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIMOVO 500-20 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIMOVO 500-20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIMPAT 10 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in OR cover VIMPAT 10 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Vimpat 100mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in OR cover Vimpat 100mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Vimpat 150mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in OR cover Vimpat 150mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Vimpat 200mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in OR cover Vimpat 200mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Vimpat 50mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in OR cover Vimpat 50mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIOKACE 10,440-39,150 UNITS TB ![Compare how all Medicare Part D PDP plans in OR cover VIOKACE 10,440-39,150 UNITS TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIOKACE 20,880-78,300 UNITS TB ![Compare how all Medicare Part D PDP plans in OR cover VIOKACE 20,880-78,300 UNITS TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIRACEPT 250MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIRACEPT 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VIRACEPT 625MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIRACEPT 625MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VIRAMUNE 200MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIRAMUNE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Viramune 400mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in OR cover Viramune 400mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIRAMUNE 50MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in OR cover VIRAMUNE 50MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIREAD 150 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIREAD 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VIREAD 200 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIREAD 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIREAD 250 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIREAD 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIREAD 300MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIREAD 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIREAD POWDER ![Compare how all Medicare Part D PDP plans in OR cover VIREAD POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VISTARIL 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VISTARIL 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VISTARIL 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VISTARIL 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VITRAKVI 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VITRAKVI 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VITRAKVI 20 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in OR cover VITRAKVI 20 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VITRAKVI 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VITRAKVI 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VIVELLE-DOT 0.025 MG PATCH ![Compare how all Medicare Part D PDP plans in OR cover VIVELLE-DOT 0.025 MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIVELLE-DOT 0.0375MG PATCH 8 POUCH CRTN (1 X 8 POUCH CRTN) ![Compare how all Medicare Part D PDP plans in OR cover VIVELLE-DOT 0.0375MG PATCH 8 POUCH CRTN (1 X 8 POUCH CRTN).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIVELLE-DOT 0.05MG PATCH 8 POUCH CRTN (1X8 POUCH CRTN) ![Compare how all Medicare Part D PDP plans in OR cover VIVELLE-DOT 0.05MG PATCH 8 POUCH CRTN (1X8 POUCH CRTN).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIVELLE-DOT 0.075 MG PATCH ![Compare how all Medicare Part D PDP plans in OR cover VIVELLE-DOT 0.075 MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIVELLE-DOT 0.1 MG PATCH ![Compare how all Medicare Part D PDP plans in OR cover VIVELLE-DOT 0.1 MG PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIVITROL INJECTABLE SUSPENSION 380MG/VIAL ![Compare how all Medicare Part D PDP plans in OR cover VIVITROL INJECTABLE SUSPENSION 380MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIVLODEX 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VIVLODEX 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIVLODEX 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VIVLODEX 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VIZIMPRO 15 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIZIMPRO 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VIZIMPRO 30 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIZIMPRO 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VIZIMPRO 45 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VIZIMPRO 45 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VOGELXO 12.5 MG/1.25 GRAM PUMP ![Compare how all Medicare Part D PDP plans in OR cover VOGELXO 12.5 MG/1.25 GRAM PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VOGELXO 50 MG/5 GRAM GEL PACKT ![Compare how all Medicare Part D PDP plans in OR cover VOGELXO 50 MG/5 GRAM GEL PACKT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VOLTAREN 1% GEL ![Compare how all Medicare Part D PDP plans in OR cover VOLTAREN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VORICONAZOLE 200 MG TABLET [VFEND] ![Compare how all Medicare Part D PDP plans in OR cover VORICONAZOLE 200 MG TABLET [VFEND].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VORICONAZOLE 200 MG VIAL ![Compare how all Medicare Part D PDP plans in OR cover VORICONAZOLE 200 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
Voriconazole 40 MG/ML Oral Suspension ![Compare how all Medicare Part D PDP plans in OR cover Voriconazole 40 MG/ML Oral Suspension.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VORICONAZOLE 50 MG TABLET [VFEND] ![Compare how all Medicare Part D PDP plans in OR cover VORICONAZOLE 50 MG TABLET [VFEND].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VOSEVI 400-100-100 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VOSEVI 400-100-100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
VOTRIENT 200 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VOTRIENT 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VRAYLAR 1.5 MG CAP ![Compare how all Medicare Part D PDP plans in OR cover VRAYLAR 1.5 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VRAYLAR 1.5 MG-3 MG PACK ![Compare how all Medicare Part D PDP plans in OR cover VRAYLAR 1.5 MG-3 MG PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VRAYLAR 3 MG CAP ![Compare how all Medicare Part D PDP plans in OR cover VRAYLAR 3 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VRAYLAR 4.5 MG CAP ![Compare how all Medicare Part D PDP plans in OR cover VRAYLAR 4.5 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
VRAYLAR 6 MG CAP ![Compare how all Medicare Part D PDP plans in OR cover VRAYLAR 6 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Vyfemla 28 tablet ![Compare how all Medicare Part D PDP plans in OR cover Vyfemla 28 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VYLIBRA 28 TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYLIBRA 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
VYNDAQEL 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VYNDAQEL 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VYTORIN 10-10 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYTORIN 10-10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYTORIN 10-20 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYTORIN 10-20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYTORIN 10-40 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYTORIN 10-40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYTORIN 10-80 MG TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYTORIN 10-80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYVANSE 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VYVANSE 10 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 10 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYVANSE 20 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 20 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYVANSE 30 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 30 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYVANSE 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VYVANSE 40 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 40 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYVANSE 40MG CAPSULE 100 EA ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 40MG CAPSULE 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VYVANSE 50 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 50 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYVANSE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VYVANSE 60 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 60 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |
VYVANSE 70MG CAPSULE ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE 70MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VYVANSE CAPSULES 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE CAPSULES 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VYVANSE CAPSULES 60MG 100 BOT ![Compare how all Medicare Part D PDP plans in OR cover VYVANSE CAPSULES 60MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
VYZULTA 0.024% OPHTH SOLUTION ![Compare how all Medicare Part D PDP plans in OR cover VYZULTA 0.024% OPHTH SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$90.00 | $180.00 | None |