2020 Medicare Part D Plan Formulary Information |
Allwell Medicare (HMO) (H1436-004-0)
Benefit Details
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The Allwell Medicare (HMO) (H1436-004-0) Formulary Drugs Starting with the Letter N in Lexington County, SC: CMS MA Region 8 which includes: SC Plan Monthly Premium: $0.00 Deductible: $0 |
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 [Relafen] ![Compare how all Medicare Part D PDP plans in SC cover NABUMETONE 500 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NABUMETONE 750 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NABUMETONE 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NADOLOL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NADOLOL 40 MG TABLET [Corgard] ![Compare how all Medicare Part D PDP plans in SC cover NADOLOL 40 MG TABLET [Corgard].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NAFCILLIN 1 GM VIAL ![Compare how all Medicare Part D PDP plans in SC cover NAFCILLIN 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in SC cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NAFCILLIN 2 GM VIAL ![Compare how all Medicare Part D PDP plans in SC cover NAFCILLIN 2 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NAFTIFINE HCL 1% CREAM (g) [Naftin-MP] ![Compare how all Medicare Part D PDP plans in SC cover NAFTIFINE HCL 1% CREAM (g) [Naftin-MP].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NAFTIFINE HCL 2% CREAM (g) [Naftin] ![Compare how all Medicare Part D PDP plans in SC cover NAFTIFINE HCL 2% CREAM (g) [Naftin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAFTIN 1% GEL ![Compare how all Medicare Part D PDP plans in SC cover NAFTIN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NAFTIN 2% GEL ![Compare how all Medicare Part D PDP plans in SC cover NAFTIN 2% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in SC cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NALTREXONE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NALTREXONE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NAMENDA XR TITRATION PACK ![Compare how all Medicare Part D PDP plans in SC cover NAMENDA XR TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | P |
NAPRELAN CR 750 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NAPRELAN CR 750 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NAPROXEN 250 MG TABLET [Naprosyn] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN 250 MG TABLET [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NAPROXEN DR 375 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN DR 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NAPROXEN DR 500 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN DR 500 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN SOD CR 375 MG TABLET TBMP 24HR ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN SOD CR 375 MG TABLET TBMP 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NAPROXEN SOD CR 500 MG TABLET TBMP 24HR ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN SOD CR 500 MG TABLET TBMP 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NAPROXEN SODIUM 275 MG TABLET [Anaprox] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN SODIUM 275 MG TABLET [Anaprox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NAPROXEN SODIUM 550 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN SODIUM 550 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in SC cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in SC cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NATEGLINIDE 120 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in SC cover NATEGLINIDE 120 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | Q:3 /1Days |
NATEGLINIDE 60 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in SC cover NATEGLINIDE 60 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | Q:3 /1Days |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NAYZILAM 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in SC cover NAYZILAM 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NECON 0.5-35-28 TABLET ![Compare how all Medicare Part D PDP plans in SC cover NECON 0.5-35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in SC cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex] ![Compare how all Medicare Part D PDP plans in SC cover NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEOMYC-POLYM-DEXAMETH EYE DROP ![Compare how all Medicare Part D PDP plans in SC cover NEOMYC-POLYM-DEXAMETH EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in SC cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in SC cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in SC cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
Neuac gel ![Compare how all Medicare Part D PDP plans in SC cover Neuac gel.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in SC 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 |
Tier 5 |
33% | N/A | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in SC cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in SC cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEVIRAPINE 50 MG/5 ML SUSP Oral Suspension [Viramune] ![Compare how all Medicare Part D PDP plans in SC cover NEVIRAPINE 50 MG/5 ML SUSP Oral Suspension [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in SC cover NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEVIRAPINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEVIRAPINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NEXAVAR TABLETS 200MG 120 BOT ![Compare how all Medicare Part D PDP plans in SC cover NEXAVAR TABLETS 200MG 120 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NEXIUM DR 2.5 MG PACKET ![Compare how all Medicare Part D PDP plans in SC cover NEXIUM DR 2.5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | S |
NEXIUM DR 5 MG PACKET ![Compare how all Medicare Part D PDP plans in SC cover NEXIUM DR 5 MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | S |
NIACIN ER 1,000 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in SC cover NIACIN ER 1,000 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NIACIN ER 500 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in SC cover NIACIN ER 500 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in SC cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
Nicardipine hydrochloride 20 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in SC cover Nicardipine hydrochloride 20 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
Nicardipine hydrochloride 30 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in SC cover Nicardipine hydrochloride 30 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in SC cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in SC cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NIFEDIPINE 10 MG CAPSULE [Procardia] ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE 10 MG CAPSULE [Procardia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | P |
NIFEDIPINE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | P |
NIFEDIPINE ER 30 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE ER 30 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NIFEDIPINE ER 30 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE ER 30 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NIFEDIPINE ER 60 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE ER 60 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NIFEDIPINE ER 60 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE ER 60 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in SC cover NIFEDIPINE ER 90 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NIKKI 3 MG-0.02 MG TABLET [Yaz] ![Compare how all Medicare Part D PDP plans in SC cover NIKKI 3 MG-0.02 MG TABLET [Yaz].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in SC cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIMODIPINE 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NIMODIPINE 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NISOLDIPINE ER 17 MG TABLET ER 24H [Sular] ![Compare how all Medicare Part D PDP plans in SC cover NISOLDIPINE ER 17 MG TABLET ER 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NISOLDIPINE ER 34 MG TABLET ER 24H [Sular] ![Compare how all Medicare Part D PDP plans in SC cover NISOLDIPINE ER 34 MG TABLET ER 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NISOLDIPINE ER 8.5 MG TABLET ER 24H [Sular] ![Compare how all Medicare Part D PDP plans in SC cover NISOLDIPINE ER 8.5 MG TABLET ER 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NITISINONE 10 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in SC cover NITISINONE 10 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NITISINONE 2 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in SC cover NITISINONE 2 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NITISINONE 5 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in SC cover NITISINONE 5 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NITRO-DUR 0.3 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NITRO-DUR 0.3 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITRO-DUR 0.8 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NITRO-DUR 0.8 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
Nitrofurantoin 25mg/5mL ![Compare how all Medicare Part D PDP plans in SC cover Nitrofurantoin 25mg/5mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NITROFURANTOIN MACROCRYSTALLINE 50 mg cap ![Compare how all Medicare Part D PDP plans in SC cover NITROFURANTOIN MACROCRYSTALLINE 50 mg cap.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in SC cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROFURANTOIN MCR 25 MG CAP ![Compare how all Medicare Part D PDP plans in SC cover NITROFURANTOIN MCR 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in SC cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROGLYCERIN 0.2 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN 0.2 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NITROGLYCERIN 0.4 MG SUSLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN 0.4 MG SUSLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NITROGLYCERIN 0.4 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN 0.4 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROGLYCERIN 0.6 MG SUSLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN 0.6 MG SUSLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.6 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN 0.6 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROGLYCERIN LINGUAL 0.4 MG ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN LINGUAL 0.4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in SC cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in SC cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROSTAT 0.4 MG TABLET SL [Nitrotab] ![Compare how all Medicare Part D PDP plans in SC cover NITROSTAT 0.4 MG TABLET SL [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in SC cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NIVESTYM 300 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NIVESTYM 300 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NIVESTYM 480 MCG/0.8 ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NIVESTYM 480 MCG/0.8 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NIZATIDINE 150 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in SC cover NIZATIDINE 150 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NIZATIDINE 300 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in SC cover NIZATIDINE 300 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
Nolix 120 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in SC cover Nolix 120 mL in 1 BOTTLE .](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | 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 SC 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 |
Tier 5 |
33% | N/A | 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 SC 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 |
Tier 5 |
33% | N/A | P |
noret-estr-fe 0.4-0.035(21)-75 ![Compare how all Medicare Part D PDP plans in SC cover noret-estr-fe 0.4-0.035(21)-75.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORETH-ESTRAD-FE 1-0.02(24)-75 Chewable TABLET [Minastrin] ![Compare how all Medicare Part D PDP plans in SC cover NORETH-ESTRAD-FE 1-0.02(24)-75 Chewable TABLET [Minastrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Norethin-Estrad-Ferr 0.8-0.025 MG ![Compare how all Medicare Part D PDP plans in SC cover Norethin-Estrad-Ferr 0.8-0.025 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORETHIN-ETH ESTRAD 0.5-2.5 ![Compare how all Medicare Part D PDP plans in SC cover NORETHIN-ETH ESTRAD 0.5-2.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | P |
NORETHIND-ETH ESTRAD 1-0.02 MG ![Compare how all Medicare Part D PDP plans in SC cover NORETHIND-ETH ESTRAD 1-0.02 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in SC cover NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$0.00 | $0.00 | None |
NORG-EE 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in SC cover NORG-EE 0.18-0.215-0.25/0.035.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORG-ETHIN ESTRA 0.18-0.215-0.25/0.025 ![Compare how all Medicare Part D PDP plans in SC cover NORG-ETHIN ESTRA 0.18-0.215-0.25/0.025.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORG-ETHIN ESTRA 0.25-0.035 MG ![Compare how all Medicare Part D PDP plans in SC cover NORG-ETHIN ESTRA 0.25-0.035 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORITATE 1% CREAM ![Compare how all Medicare Part D PDP plans in SC cover NORITATE 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NORPACE CR 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NORPACE CR 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | P |
NORTHERA 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NORTHERA 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NORTHERA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NORTHERA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NORTHERA 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NORTHERA 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in SC cover Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in SC cover Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in SC cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER ![Compare how all Medicare Part D PDP plans in SC 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 |
Tier 2 |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in SC cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in SC cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORTRIPTYLINE HCL 50 MG CAP ![Compare how all Medicare Part D PDP plans in SC cover NORTRIPTYLINE HCL 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORTRIPTYLINE HCL 75 MG CAP ![Compare how all Medicare Part D PDP plans in SC cover NORTRIPTYLINE HCL 75 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE ![Compare how all Medicare Part D PDP plans in SC cover Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NORVIR 100 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in SC cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in SC cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in SC cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NUBEQA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUBEQA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NUCALA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in SC cover NUCALA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NUCYNTA 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | Q:7 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUCYNTA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | Q:13 /1Days |
NUCYNTA 75 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA 75 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | Q:9 /1Days |
NUCYNTA ER 100 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA ER 100 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:7 /1Days |
NUCYNTA ER 150 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA ER 150 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:4 /1Days |
NUCYNTA ER 200 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA ER 200 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:3 /1Days |
NUCYNTA ER 250 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA ER 250 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:2 /1Days |
NUCYNTA ER 50 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in SC cover NUCYNTA ER 50 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:13 /1Days |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in SC cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | P |
NUPLAZID 10 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUPLAZID 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NUPLAZID 34 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NUPLAZID 34 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in SC cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUTROPIN AQ NUSPIN 20 INJECTOR ![Compare how all Medicare Part D PDP plans in SC cover NUTROPIN AQ NUSPIN 20 INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NUZYRA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUZYRA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NYAMYC 100,000 UNITS/GM POWDER ![Compare how all Medicare Part D PDP plans in SC cover NYAMYC 100,000 UNITS/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:2 /1Days |
NYMALIZE 60 MG/10 ML ORAL SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NYMALIZE 60 MG/10 ML ORAL SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:2 /1Days |
NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex] ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:2 /1Days |
NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:2 /1Days |
Nystatin 100000[USP'U]/mL ![Compare how all Medicare Part D PDP plans in SC cover Nystatin 100000[USP'U]/mL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$8.00 | $24.00 | None |
NYSTATIN 500,000 UNIT ORAL TAB ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN 500,000 UNIT ORAL TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | None |
NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex] ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTOP 100,000 UNITS/GM POWDER ![Compare how all Medicare Part D PDP plans in SC cover NYSTOP 100,000 UNITS/GM POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $141.00 | Q:2 /1Days |