2020 Medicare Part D Plan Formulary Information |
Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) (H0524-030-0)
Benefit Details
![Email Prescription and/or Health Benefit details for Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
The Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) (H0524-030-0) Formulary Drugs Starting with the Letter V in Madera County, CA: CMS MA Region 24 which includes: CA Plan Monthly Premium: $31.10 Deductible: $435 |
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 CA cover VABOMERE 2 GRAM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VALACYCLOVIR HCL 1 GRAM TABLET [Valtrex] ![Compare how all Medicare Part D PDP plans in CA cover VALACYCLOVIR HCL 1 GRAM TABLET [Valtrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALACYCLOVIR HCL 500 MG TABLET [Valtrex] ![Compare how all Medicare Part D PDP plans in CA cover VALACYCLOVIR HCL 500 MG TABLET [Valtrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALCHLOR 0.016% GEL ![Compare how all Medicare Part D PDP plans in CA cover VALCHLOR 0.016% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VALCYTE 450MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VALCYTE 450MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VALGANCICLOVIR 450 MG TABLET [Valcyte] ![Compare how all Medicare Part D PDP plans in CA cover VALGANCICLOVIR 450 MG TABLET [Valcyte].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALGANCICLOVIR HCL 50 MG/ML [Valcyte] ![Compare how all Medicare Part D PDP plans in CA cover VALGANCICLOVIR HCL 50 MG/ML [Valcyte].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALPROIC ACID 250 MG CAPSULE [Depakene] ![Compare how all Medicare Part D PDP plans in CA cover VALPROIC ACID 250 MG CAPSULE [Depakene].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALPROIC ACID 250 MG/5 ML SOLN Solution [Depakene] ![Compare how all Medicare Part D PDP plans in CA cover VALPROIC ACID 250 MG/5 ML SOLN Solution [Depakene].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN 160 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN 160 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VALSARTAN 320 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN 320 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN 40 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN 40 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN 80 MG TABLET [Diovan] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN 80 MG TABLET [Diovan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN-HCTZ 160-25 MG TABLET [Diovan HCT] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN-HCTZ 160-25 MG TABLET [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN-HCTZ 320-12.5 MG TABLET [Diovan HCT] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN-HCTZ 320-12.5 MG TABLET [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN-HCTZ 320-25 MG TABLET [Diovan HCT] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN-HCTZ 320-25 MG TABLET [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALSARTAN-HCTZ 80-12.5 MG TABLET [Diovan HCT] ![Compare how all Medicare Part D PDP plans in CA cover VALSARTAN-HCTZ 80-12.5 MG TABLET [Diovan HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VALTOCO 10 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in CA cover VALTOCO 10 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VALTOCO 15 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in CA cover VALTOCO 15 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VALTOCO 20 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in CA cover VALTOCO 20 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VALTOCO 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in CA cover VALTOCO 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VANATOL LQ ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in CA cover VANATOL LQ ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VANCOCIN HCL 125 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VANCOCIN HCL 125 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VANCOCIN HCL 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VANCOCIN HCL 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VANCOMYCIN 1 GM VIAL [Vancocin] ![Compare how all Medicare Part D PDP plans in CA cover VANCOMYCIN 1 GM VIAL [Vancocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VANCOMYCIN 250 MG/5 ML SOLUTION RECON [Vancocin] ![Compare how all Medicare Part D PDP plans in CA cover VANCOMYCIN 250 MG/5 ML SOLUTION RECON [Vancocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VANCOMYCIN 500 MG VIAL ![Compare how all Medicare Part D PDP plans in CA cover VANCOMYCIN 500 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VANCOMYCIN HCL 125 MG CAPSULE [Vancocin] ![Compare how all Medicare Part D PDP plans in CA cover VANCOMYCIN HCL 125 MG CAPSULE [Vancocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VANCOMYCIN HCL 250 MG CAPSULE [Vancocin] ![Compare how all Medicare Part D PDP plans in CA cover VANCOMYCIN HCL 250 MG CAPSULE [Vancocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VANCOMYCIN HCL 250 MG VIAL ![Compare how all Medicare Part D PDP plans in CA cover VANCOMYCIN HCL 250 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VANCOMYCIN HCL 750 MG VIAL ![Compare how all Medicare Part D PDP plans in CA cover VANCOMYCIN HCL 750 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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 CA 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 |
Tier 2 |
15% | 15% | None |
VANDAZOLE 0.75% GEL WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in CA cover VANDAZOLE 0.75% GEL WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VAQTA 25 UNITS/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover VAQTA 25 UNITS/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
15% | 15% | None |
VAQTA 50 UNITS/ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover VAQTA 50 UNITS/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
15% | 15% | None |
VAQTA 50 UNITS/ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover VAQTA 50 UNITS/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
15% | 15% | 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 CA 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 |
Tier 6 |
15% | 15% | None |
VARIVAX VACCINE W/DILUENT ![Compare how all Medicare Part D PDP plans in CA cover VARIVAX VACCINE W/DILUENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
15% | 15% | None |
VARIZIG 125 UNIT/1.2 ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover VARIZIG 125 UNIT/1.2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
15% | 15% | None |
VARUBI 90 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VARUBI 90 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | P |
VASCEPA 0.5 GM CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VASCEPA 0.5 GM CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VASCEPA 1 GM CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VASCEPA 1 GM CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VECAMYL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VECAMYL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VECTICAL OINTMENT 3MCG/GM 100 GM TUBE ![Compare how all Medicare Part D PDP plans in CA cover VECTICAL OINTMENT 3MCG/GM 100 GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VELIVET 28 DAY TABLET ![Compare how all Medicare Part D PDP plans in CA cover VELIVET 28 DAY TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VELPHORO 500 MG CHEWABLE TAB ![Compare how all Medicare Part D PDP plans in CA cover VELPHORO 500 MG CHEWABLE TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VELTASSA 16.8 GM POWDER PACKET ![Compare how all Medicare Part D PDP plans in CA cover VELTASSA 16.8 GM POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VELTASSA 25.2 GM POWDER PACKET ![Compare how all Medicare Part D PDP plans in CA cover VELTASSA 25.2 GM POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VELTASSA 8.4 GM POWDER PACKET ![Compare how all Medicare Part D PDP plans in CA cover VELTASSA 8.4 GM POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VEMLIDY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VEMLIDY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VENCLEXTA 10 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VENCLEXTA 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VENCLEXTA 100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VENCLEXTA 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VENCLEXTA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VENCLEXTA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VENCLEXTA STARTING PACK ![Compare how all Medicare Part D PDP plans in CA cover VENCLEXTA STARTING PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VENLAFAXINE HCL 100 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL 100 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL 25 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL 25 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL 37.5 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL 37.5 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL 50 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL 50 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL 75 MG TABLET [Effexor] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL 75 MG TABLET [Effexor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL ER 150 MG CAPSULE 24H [Effexor XR] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL ER 150 MG CAPSULE 24H [Effexor XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL ER 150 MG TABLET ER 24 [Venlafaxine] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL ER 150 MG TABLET ER 24 [Venlafaxine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL ER 225 MG TABLET ER 24 [Venlafaxine] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL ER 225 MG TABLET ER 24 [Venlafaxine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL ER 37.5 MG CAPSULE ER 24H [Effexor XR] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL ER 37.5 MG CAPSULE ER 24H [Effexor XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL ER 37.5 MG TABLET ER 24 [Venlafaxine] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL ER 37.5 MG TABLET ER 24 [Venlafaxine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VENLAFAXINE HCL ER 75 MG CAPSULE ER 24H [Effexor XR] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL ER 75 MG CAPSULE ER 24H [Effexor XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VENLAFAXINE HCL ER 75 MG TABLET ER 24 [Venlafaxine] ![Compare how all Medicare Part D PDP plans in CA cover VENLAFAXINE HCL ER 75 MG TABLET ER 24 [Venlafaxine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
Ventavis 0.02mg/mL ![Compare how all Medicare Part D PDP plans in CA cover Ventavis 0.02mg/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | P |
VENTAVIS 10 MCG/1 ML SOLUTION AMPUL-NEB ![Compare how all Medicare Part D PDP plans in CA cover VENTAVIS 10 MCG/1 ML SOLUTION AMPUL-NEB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | P |
VENTOLIN HFA 90MCG INHALER ![Compare how all Medicare Part D PDP plans in CA cover VENTOLIN HFA 90MCG INHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL 120 MG TABLET [Calan] ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL 120 MG TABLET [Calan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
15% | 15% | None |
VERAPAMIL 120MG CAPSULE PELLET ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL 120MG CAPSULE PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL 180MG CAPSULE PELLET ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL 180MG CAPSULE PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL 240MG CAPSULE PELLET ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL 240MG CAPSULE PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL 40 MG TABLET [Isoptin SR] ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL 40 MG TABLET [Isoptin SR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VERAPAMIL ER 120 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL ER 120 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL ER 180 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL ER 180 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL ER 240 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL ER 240 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL ER PM 100 MG CAPSULE 24H PCT [Verelan PM] ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL ER PM 100 MG CAPSULE 24H PCT [Verelan PM].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL ER PM 200 MG CAPSULE 24H PCT [Verelan PM] ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL ER PM 200 MG CAPSULE 24H PCT [Verelan PM].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL ER PM 300 MG CAPSULE 24H PCT [Verelan PM] ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL ER PM 300 MG CAPSULE 24H PCT [Verelan PM].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VERAPAMIL HCL 360MG CAPSULES SUSTAINED RELEASE ![Compare how all Medicare Part D PDP plans in CA cover VERAPAMIL HCL 360MG CAPSULES SUSTAINED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VEREGEN 15% OINTMENT ![Compare how all Medicare Part D PDP plans in CA cover VEREGEN 15% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VERELAN 360 MG CAPSULE PELLET ![Compare how all Medicare Part D PDP plans in CA cover VERELAN 360 MG CAPSULE PELLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VERSACLOZ 50 MG/ML ORAL SUSPENSION ![Compare how all Medicare Part D PDP plans in CA cover VERSACLOZ 50 MG/ML ORAL SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VERZENIO 100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERZENIO 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VERZENIO 150 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERZENIO 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VERZENIO 200 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERZENIO 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VERZENIO 50 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VERZENIO 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VFEND 200MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VFEND 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VFEND 40MG/ML SUSPENSION ![Compare how all Medicare Part D PDP plans in CA cover VFEND 40MG/ML SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VFEND 50MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VFEND 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIBERZI 100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIBERZI 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIBERZI 75 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIBERZI 75 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIBRAMYCIN 50MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in CA cover VIBRAMYCIN 50MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VICTOZA 3-PAK 18 MG/3 ML PEN ![Compare how all Medicare Part D PDP plans in CA cover VICTOZA 3-PAK 18 MG/3 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VIEKIRA PAK ![Compare how all Medicare Part D PDP plans in CA cover VIEKIRA PAK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIENVA-28 TABLET [Vienva] ![Compare how all Medicare Part D PDP plans in CA cover VIENVA-28 TABLET [Vienva].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL] ![Compare how all Medicare Part D PDP plans in CA cover VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIGABATRIN 500 MG ORAL TABLET [SABRIL] ![Compare how all Medicare Part D PDP plans in CA cover VIGABATRIN 500 MG ORAL TABLET [SABRIL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIGABATRIN 500 MG POWDER PACKET [VIGADRONE] ![Compare how all Medicare Part D PDP plans in CA cover VIGABATRIN 500 MG POWDER PACKET [VIGADRONE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VIGABATRIN 500 MG TABLET [Sabril] ![Compare how all Medicare Part D PDP plans in CA cover VIGABATRIN 500 MG TABLET [Sabril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIGADRONE 500 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in CA cover VIGADRONE 500 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VIIBRYD 10-20 MG STARTER PACK ![Compare how all Medicare Part D PDP plans in CA cover VIIBRYD 10-20 MG STARTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIIBRYD 10mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover VIIBRYD 10mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIIBRYD 20mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover VIIBRYD 20mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIIBRYD 40mg/1 30 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover VIIBRYD 40mg/1 30 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIMOVO 375-20 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIMOVO 375-20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VIMOVO 500-20 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIMOVO 500-20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIMPAT 10 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in CA cover VIMPAT 10 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Vimpat 100mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Vimpat 100mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Vimpat 150mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Vimpat 150mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Vimpat 200mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Vimpat 200mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Vimpat 50mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Vimpat 50mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIOKACE 10,440-39,150 UNITS TB ![Compare how all Medicare Part D PDP plans in CA cover VIOKACE 10,440-39,150 UNITS TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIOKACE 20,880-78,300 UNITS TB ![Compare how all Medicare Part D PDP plans in CA cover VIOKACE 20,880-78,300 UNITS TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIRACEPT 250MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIRACEPT 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VIRACEPT 625MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIRACEPT 625MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VIRAMUNE 200MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIRAMUNE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Viramune 400mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover Viramune 400mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIRAMUNE 50MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in CA cover VIRAMUNE 50MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIREAD 150 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIREAD 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VIREAD 200 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIREAD 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIREAD 250 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIREAD 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIREAD 300MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIREAD 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIREAD POWDER ![Compare how all Medicare Part D PDP plans in CA cover VIREAD POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VITRAKVI 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VITRAKVI 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VITRAKVI 20 MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in CA cover VITRAKVI 20 MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VITRAKVI 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VITRAKVI 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIVITROL INJECTABLE SUSPENSION 380MG/VIAL ![Compare how all Medicare Part D PDP plans in CA cover VIVITROL INJECTABLE SUSPENSION 380MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | 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 CA cover VIVLODEX 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIVLODEX 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VIVLODEX 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VIZIMPRO 15 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIZIMPRO 15 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIZIMPRO 30 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIZIMPRO 30 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VIZIMPRO 45 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VIZIMPRO 45 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VORICONAZOLE 200 MG TABLET [VFEND] ![Compare how all Medicare Part D PDP plans in CA cover VORICONAZOLE 200 MG TABLET [VFEND].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VORICONAZOLE 200 MG VIAL ![Compare how all Medicare Part D PDP plans in CA cover VORICONAZOLE 200 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VORICONAZOLE 40 MG/ML ORAL SUSPENSION [VFEND] ![Compare how all Medicare Part D PDP plans in CA cover VORICONAZOLE 40 MG/ML ORAL SUSPENSION [VFEND].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VORICONAZOLE 50 MG TABLET [VFEND] ![Compare how all Medicare Part D PDP plans in CA cover VORICONAZOLE 50 MG TABLET [VFEND].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VOSEVI 400-100-100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VOSEVI 400-100-100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | P |
VOTRIENT 200 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover VOTRIENT 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VRAYLAR 1.5 MG CAP ![Compare how all Medicare Part D PDP plans in CA cover VRAYLAR 1.5 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VRAYLAR 1.5 MG-3 MG PACK ![Compare how all Medicare Part D PDP plans in CA cover VRAYLAR 1.5 MG-3 MG PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VRAYLAR 3 MG CAP ![Compare how all Medicare Part D PDP plans in CA cover VRAYLAR 3 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VRAYLAR 4.5 MG CAP ![Compare how all Medicare Part D PDP plans in CA cover VRAYLAR 4.5 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VRAYLAR 6 MG CAP ![Compare how all Medicare Part D PDP plans in CA cover VRAYLAR 6 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VTOL LQ 50-325-40 MG/15 ML SOLUTION ![Compare how all Medicare Part D PDP plans in CA cover VTOL LQ 50-325-40 MG/15 ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VUMERITY DR 231 MG CAPSULE DR ![Compare how all Medicare Part D PDP plans in CA cover VUMERITY DR 231 MG CAPSULE DR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
Vyfemla 28 tablet ![Compare how all Medicare Part D PDP plans in CA cover Vyfemla 28 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VYLIBRA 28 TABLET ![Compare how all Medicare Part D PDP plans in CA cover VYLIBRA 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
15% | 15% | None |
VYNDAMAX 61 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VYNDAMAX 61 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
VYNDAQEL 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VYNDAQEL 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VYVANSE 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VYVANSE 10 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 10 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VYVANSE 20 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 20 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VYVANSE 30 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 30 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VYVANSE 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VYVANSE 40 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 40 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VYVANSE 40MG CAPSULE 100 EA ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 40MG CAPSULE 100 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VYVANSE 50 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 50 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VYVANSE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VYVANSE 60 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 60 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |
VYVANSE 70MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE 70MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
VYVANSE CAPSULES 20MG 100 BOT ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE CAPSULES 20MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VYVANSE CAPSULES 60MG 100 BOT ![Compare how all Medicare Part D PDP plans in CA cover VYVANSE CAPSULES 60MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
15% | 15% | None |
VYZULTA 0.024% OPHTH SOLUTION ![Compare how all Medicare Part D PDP plans in CA cover VYZULTA 0.024% OPHTH SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
15% | 15% | None |