2020 Medicare Part D Plan Formulary Information |
HumanaChoice H5216-154 (PPO) (H5216-154-0)
Benefit Details
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The HumanaChoice H5216-154 (PPO) (H5216-154-0) Formulary Drugs Starting with the Letter T in Florence County, SC: CMS MA Region 8 which includes: SC Plan Monthly Premium: $0.00 Deductible: $400 |
Drugs Starting with Letter T
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
TABLOID 40 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TABLOID 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | None |
TABRECTA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TABRECTA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:112 /28Days |
TABRECTA 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TABRECTA 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:112 /28Days |
Tacrolimus 0.03% ointment ![Compare how all Medicare Part D PDP plans in SC cover Tacrolimus 0.03% ointment.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
Tacrolimus 0.1% ointment ![Compare how all Medicare Part D PDP plans in SC cover Tacrolimus 0.1% ointment.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TACROLIMUS 0.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TACROLIMUS 0.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TACROLIMUS 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TACROLIMUS 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TACROLIMUS 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TACROLIMUS 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TADALAFIL 20 MG TABLET [ALYQ] ![Compare how all Medicare Part D PDP plans in SC cover TADALAFIL 20 MG TABLET [ALYQ].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:60 /30Days |
TAFINLAR 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TAFINLAR 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:180 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAFINLAR 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TAFINLAR 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
TAGRISSO 40 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TAGRISSO 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:30 /30Days |
TAGRISSO 80 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TAGRISSO 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:30 /30Days |
TALZENNA 0.25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TALZENNA 0.25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:90 /30Days |
TALZENNA 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TALZENNA 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:30 /30Days |
TAMOXIFEN 10 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in SC cover TAMOXIFEN 10 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TAMOXIFEN 20 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in SC cover TAMOXIFEN 20 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TAMSULOSIN HCL 0.4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TAMSULOSIN HCL 0.4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
TARGRETIN 1% GEL ![Compare how all Medicare Part D PDP plans in SC cover TARGRETIN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P |
TARGRETIN 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TARGRETIN 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:300 /30Days |
TARINA 24 FE 1 MG-20 MCG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TARINA 24 FE 1 MG-20 MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Tarina Fe 1-20 tablet ![Compare how all Medicare Part D PDP plans in SC cover Tarina Fe 1-20 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK ![Compare how all Medicare Part D PDP plans in SC cover Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
TASIGNA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TASIGNA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
TASIGNA 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TASIGNA 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
TAZAROTENE 0.1% CREAM [Tazorac] ![Compare how all Medicare Part D PDP plans in SC cover TAZAROTENE 0.1% CREAM [Tazorac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P |
TAZORAC 0.05% GEL ![Compare how all Medicare Part D PDP plans in SC cover TAZORAC 0.05% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TAZORAC 0.1% GEL ![Compare how all Medicare Part D PDP plans in SC cover TAZORAC 0.1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
TAZTIA XT 180 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TAZTIA XT 180 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
TAZTIA XT 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TAZTIA XT 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:30 /30Days |
TAZVERIK 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TAZVERIK 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:240 /30Days |
TDVAX VIAL ![Compare how all Medicare Part D PDP plans in SC cover TDVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TECFIDERA DR 120 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TECFIDERA DR 120 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:14 /30Days |
TECFIDERA DR 240 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TECFIDERA DR 240 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:60 /30Days |
TECFIDERA STARTER PACK ![Compare how all Medicare Part D PDP plans in SC cover TECFIDERA STARTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:60 /30Days |
Teflaro 400mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in SC cover Teflaro 400mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | None |
Teflaro 600mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE ![Compare how all Medicare Part D PDP plans in SC cover Teflaro 600mg/20mL 10 VIAL, SINGLE-DOSE per CARTON / 20 mL in 1 VIAL, SINGLE-DOSE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | None |
TELMISARTAN 20 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in SC cover TELMISARTAN 20 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:30 /30Days |
TELMISARTAN 40 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in SC cover TELMISARTAN 40 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:30 /30Days |
TELMISARTAN 80 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in SC cover TELMISARTAN 80 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TEMAZEPAM 15 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in SC cover TEMAZEPAM 15 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | Q:30 /30Days |
TEMAZEPAM 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TEMAZEPAM 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | Q:30 /30Days |
TENIVAC SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover TENIVAC SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TENOFOVIR DISOP FUM 300 MG TABLET [Viread] ![Compare how all Medicare Part D PDP plans in SC cover TENOFOVIR DISOP FUM 300 MG TABLET [Viread].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | Q:30 /30Days |
TERAZOSIN 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TERAZOSIN 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TERAZOSIN 10 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in SC cover TERAZOSIN 10 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TERAZOSIN 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TERAZOSIN 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TERAZOSIN 5 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in SC cover TERAZOSIN 5 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TERBINAFINE HCL 250 MG TABLET [Terbinex] ![Compare how all Medicare Part D PDP plans in SC cover TERBINAFINE HCL 250 MG TABLET [Terbinex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TERCONAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in SC cover TERCONAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TERCONAZOLE 0.8% CREAM ![Compare how all Medicare Part D PDP plans in SC cover TERCONAZOLE 0.8% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TERCONAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in SC cover TERCONAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TESTOSTERON CYP 2,000 MG/10 ML VIAL [Virilon] ![Compare how all Medicare Part D PDP plans in SC cover TESTOSTERON CYP 2,000 MG/10 ML VIAL [Virilon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl] ![Compare how all Medicare Part D PDP plans in SC cover TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:24 /90Days |
TESTOSTERONE 1.62% (2.5 G) PKT GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in SC cover TESTOSTERONE 1.62% (2.5 G) PKT GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P Q:150 /30Days |
TESTOSTERONE 1.62% GEL PUMP GEL MD PMP [AndroGel] ![Compare how all Medicare Part D PDP plans in SC cover TESTOSTERONE 1.62% GEL PUMP GEL MD PMP [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P Q:150 /30Days |
TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in SC cover TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P Q:38 /30Days |
Testosterone cyp 100 mg/ml ![Compare how all Medicare Part D PDP plans in SC cover Testosterone cyp 100 mg/ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TESTOSTERONE CYP 200 MG/ML ![Compare how all Medicare Part D PDP plans in SC cover TESTOSTERONE CYP 200 MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TETRABENAZINE 12.5 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in SC cover TETRABENAZINE 12.5 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:240 /30Days |
TETRABENAZINE 25 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in SC cover TETRABENAZINE 25 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
THALOMID 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THALOMID 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THALOMID 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THALOMID 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:60 /30Days |
THALOMID 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THALOMID 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:30 /30Days |
THALOMID 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THALOMID 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:30 /30Days |
THEOPHYLLINE ER 300 MG TAB ![Compare how all Medicare Part D PDP plans in SC cover THEOPHYLLINE ER 300 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
THEOPHYLLINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover THEOPHYLLINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
THEOPHYLLINE ER 600 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover THEOPHYLLINE ER 600 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
THIOLA 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover THIOLA 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | None |
THIORIDAZINE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover THIORIDAZINE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
THIORIDAZINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover THIORIDAZINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
THIORIDAZINE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover THIORIDAZINE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
THIORIDAZINE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover THIORIDAZINE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THIOTHIXENE 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THIOTHIXENE 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
THIOTHIXENE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THIOTHIXENE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
THIOTHIXENE 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THIOTHIXENE 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
THIOTHIXENE 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover THIOTHIXENE 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:60 /30Days |
TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:30 /30Days |
TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:30 /30Days |
TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in SC cover TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:30 /30Days |
TIAGABINE HCL 12 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in SC cover TIAGABINE HCL 12 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIAGABINE HCL 16 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in SC cover TIAGABINE HCL 16 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TIAGABINE HCL 2 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in SC cover TIAGABINE HCL 2 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TIAGABINE HCL 4 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in SC cover TIAGABINE HCL 4 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TIBSOVO 250 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIBSOVO 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:60 /30Days |
TIGECYCLINE 50 MG VIAL [Tygacil] ![Compare how all Medicare Part D PDP plans in SC cover TIGECYCLINE 50 MG VIAL [Tygacil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | None |
TIMOLOL 0.25% EYE DROPS ![Compare how all Medicare Part D PDP plans in SC cover TIMOLOL 0.25% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TIMOLOL 0.25% GFS GEL-SOLUTION ![Compare how all Medicare Part D PDP plans in SC cover TIMOLOL 0.25% GFS GEL-SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in SC cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TIMOLOL 0.5% GFS GEL-SOLUTION ![Compare how all Medicare Part D PDP plans in SC cover TIMOLOL 0.5% GFS GEL-SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TIMOLOL MALEATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIMOLOL MALEATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TIMOLOL MALEATE 20MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIMOLOL MALEATE 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIMOLOL MALEATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIMOLOL MALEATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TINIDAZOLE 250 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TINIDAZOLE 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TINIDAZOLE 500 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TINIDAZOLE 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TIVICAY 10 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIVICAY 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | Q:60 /30Days |
TIVICAY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIVICAY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:60 /30Days |
TIVICAY 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIVICAY 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:60 /30Days |
TIZANIDINE HCL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIZANIDINE HCL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TIZANIDINE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TIZANIDINE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TOBI PODHALER 28 MG INHALE CAP ![Compare how all Medicare Part D PDP plans in SC cover TOBI PODHALER 28 MG INHALE CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:224 /28Days |
TOBRAMYCIN 0.3% EYE DROPS [Tobrex] ![Compare how all Medicare Part D PDP plans in SC cover TOBRAMYCIN 0.3% EYE DROPS [Tobrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in SC cover TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in SC cover TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TOBRAMYCIN-DEXAMETH OPTH SUSP ![Compare how all Medicare Part D PDP plans in SC cover TOBRAMYCIN-DEXAMETH OPTH SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TOLAK 4% CREAM ![Compare how all Medicare Part D PDP plans in SC cover TOLAK 4% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TOLTERODINE TART ER 2 MG CAPSULE ER 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in SC cover TOLTERODINE TART ER 2 MG CAPSULE ER 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | Q:30 /30Days |
TOLTERODINE TART ER 4 MG CAPSULE ER 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in SC cover TOLTERODINE TART ER 4 MG CAPSULE ER 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | Q:30 /30Days |
TOLVAPTAN 15 MG ORAL TABLET [SAMSCA] ![Compare how all Medicare Part D PDP plans in SC cover TOLVAPTAN 15 MG ORAL TABLET [SAMSCA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:60 /30Days |
TOLVAPTAN 30 MG ORAL TABLET [SAMSCA] ![Compare how all Medicare Part D PDP plans in SC cover TOLVAPTAN 30 MG ORAL TABLET [SAMSCA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:60 /30Days |
TOPIRAMATE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TOPIRAMATE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:120 /30Days |
TOPIRAMATE 15 MG SPRINKLE CAP ![Compare how all Medicare Part D PDP plans in SC cover TOPIRAMATE 15 MG SPRINKLE CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TOPIRAMATE 200 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in SC cover TOPIRAMATE 200 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:120 /30Days |
TOPIRAMATE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TOPIRAMATE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Topiramate 25mg/1 ![Compare how all Medicare Part D PDP plans in SC cover Topiramate 25mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TOPIRAMATE 50 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in SC cover TOPIRAMATE 50 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:120 /30Days |
TOREMIFENE CITRATE 60 MG TABLET [Fareston] ![Compare how all Medicare Part D PDP plans in SC cover TOREMIFENE CITRATE 60 MG TABLET [Fareston].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:30 /30Days |
TORSEMIDE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TORSEMIDE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TORSEMIDE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TORSEMIDE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TORSEMIDE 20 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TORSEMIDE 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TORSEMIDE 5 MG TABLET [Demadex] ![Compare how all Medicare Part D PDP plans in SC cover TORSEMIDE 5 MG TABLET [Demadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN ![Compare how all Medicare Part D PDP plans in SC cover TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TOUJEO SOLOSTAR 300 UNITS/ML ![Compare how all Medicare Part D PDP plans in SC cover TOUJEO SOLOSTAR 300 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TOVIAZ TABLETS 4MG EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in SC cover TOVIAZ TABLETS 4MG EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TOVIAZ TABLETS 8MG EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in SC cover TOVIAZ TABLETS 8MG EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TPN ELECTROLYTES16.5/25.4 VIAL ![Compare how all Medicare Part D PDP plans in SC cover TPN ELECTROLYTES16.5/25.4 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRACLEER 125MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRACLEER 125MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:60 /30Days |
TRACLEER 32 MG TABLET FOR SUSP ![Compare how all Medicare Part D PDP plans in SC cover TRACLEER 32 MG TABLET FOR SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
TRACLEER 62.5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRACLEER 62.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:60 /30Days |
TRADJENTA 5 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRADJENTA 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TRAMADOL ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TRAMADOL ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER] ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TRAMADOL HCL 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL HCL 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:120 /30Days |
TRAMADOL HCL 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL HCL 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:240 /30Days |
TRAMADOL HCL ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL HCL ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRAMADOL HCL ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL HCL ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER] ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TRAMADOL-ACETAMINOPHN 37.5-325 ![Compare how all Medicare Part D PDP plans in SC cover TRAMADOL-ACETAMINOPHN 37.5-325.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | Q:240 /30Days |
TRANDOLAPRIL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRANDOLAPRIL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRANDOLAPRIL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRANDOLAPRIL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRANDOLAPRIL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRANDOLAPRIL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRANEXAMIC ACID 650 MG TABLET [Lysteda] ![Compare how all Medicare Part D PDP plans in SC cover TRANEXAMIC ACID 650 MG TABLET [Lysteda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /5Days |
TRANYLCYPROMINE SULF 10 MG TABLET [Parnate] ![Compare how all Medicare Part D PDP plans in SC cover TRANYLCYPROMINE SULF 10 MG TABLET [Parnate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRAVASOL 10% SOLUTION VIAFLEX ![Compare how all Medicare Part D PDP plans in SC cover TRAVASOL 10% SOLUTION VIAFLEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRAVATAN Z 0.04MG DROPS 2.5ML BOT ![Compare how all Medicare Part D PDP plans in SC cover TRAVATAN Z 0.04MG DROPS 2.5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:3 /25Days |
TRAVOPROST 0.004% EYE DROPS [Travatan] ![Compare how all Medicare Part D PDP plans in SC cover TRAVOPROST 0.004% EYE DROPS [Travatan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:3 /25Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRAZODONE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAZODONE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRAZODONE 150 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in SC cover TRAZODONE 150 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRAZODONE 300 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in SC cover TRAZODONE 300 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRAZODONE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRAZODONE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRECATOR 250MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRECATOR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRELEGY ELLIPTA 100-62.5-25 ![Compare how all Medicare Part D PDP plans in SC cover TRELEGY ELLIPTA 100-62.5-25.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:60 /30Days |
TRELSTAR 11.25 MG SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover TRELSTAR 11.25 MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P |
TRELSTAR 3.75 MG SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover TRELSTAR 3.75 MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P |
TRESIBA 100 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover TRESIBA 100 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRESIBA FLEXTOUCH 100 UNITS/ML ![Compare how all Medicare Part D PDP plans in SC cover TRESIBA FLEXTOUCH 100 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRESIBA FLEXTOUCH 200 UNITS/ML ![Compare how all Medicare Part D PDP plans in SC cover TRESIBA FLEXTOUCH 200 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRETINOIN 0.01% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in SC cover TRETINOIN 0.01% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P |
TRETINOIN 0.025% CREAM ![Compare how all Medicare Part D PDP plans in SC cover TRETINOIN 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRETINOIN 0.025% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in SC cover TRETINOIN 0.025% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRETINOIN 0.05% CREAM ![Compare how all Medicare Part D PDP plans in SC cover TRETINOIN 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRETINOIN 0.05% GEL [Atralin] ![Compare how all Medicare Part D PDP plans in SC cover TRETINOIN 0.05% GEL [Atralin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRETINOIN 0.1% CREAM ![Compare how all Medicare Part D PDP plans in SC cover TRETINOIN 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRETINOIN 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TRETINOIN 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | None |
TREXALL 10MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TREXALL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TREXALL 15MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TREXALL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TREXALL 5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TREXALL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TREXALL 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TREXALL 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRI-LEGEST FE 5-7-9-7 TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRI-LEGEST FE 5-7-9-7 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRI-LO-ESTARYLLA TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in SC cover TRI-LO-ESTARYLLA TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRI-LO-SPRINTEC TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRI-LO-SPRINTEC TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRI-MILI 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in SC cover TRI-MILI 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRI-PREVIFEM TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in SC cover TRI-PREVIFEM TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRI-SPRINTEC 7DAYSX3 28 TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRI-SPRINTEC 7DAYSX3 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRI-VYLIBRA 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in SC cover TRI-VYLIBRA 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRI-VYLIBRA LO TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in SC cover TRI-VYLIBRA LO TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRIAMCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TRIAMCINOLONE 0.025% LOTION ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE 0.025% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIAMCINOLONE 0.025% OINT ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE 0.025% OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMCINOLONE 0.1% CREAM (g) [Triderm] ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE 0.1% CREAM (g) [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TRIAMCINOLONE 0.1% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE 0.1% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIAMCINOLONE 0.1% OINTMENT [Triderm] ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE 0.1% OINTMENT [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TRIAMCINOLONE 0.1% PASTE (G) [Oralone] ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE 0.1% PASTE (G) [Oralone].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE ![Compare how all Medicare Part D PDP plans in SC cover TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm] ![Compare how all Medicare Part D PDP plans in SC cover Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in SC cover Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide] ![Compare how all Medicare Part D PDP plans in SC cover TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRIAMTERENE-HCTZ 37.5-25 MG TB ![Compare how all Medicare Part D PDP plans in SC cover TRIAMTERENE-HCTZ 37.5-25 MG TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRIAMTERENE-HCTZ 75-50 MG TAB ![Compare how all Medicare Part D PDP plans in SC cover TRIAMTERENE-HCTZ 75-50 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Tier 1 |
$5.00 | $0.00 | None |
TRIENTINE HCL 250 MG CAPSULE [Syprine] ![Compare how all Medicare Part D PDP plans in SC cover TRIENTINE HCL 250 MG CAPSULE [Syprine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:240 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIFLUOPERAZINE 1 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRIFLUOPERAZINE 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIFLUOPERAZINE HCL 2MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRIFLUOPERAZINE HCL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIFLUOPERAZINE HCL 5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRIFLUOPERAZINE HCL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT ![Compare how all Medicare Part D PDP plans in SC cover TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | None |
TRIHEXYPHENIDYL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRIHEXYPHENIDYL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P |
TRIHEXYPHENIDYL 5 MG TABLET [Artane] ![Compare how all Medicare Part D PDP plans in SC cover TRIHEXYPHENIDYL 5 MG TABLET [Artane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P |
Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in SC cover Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | P |
TRIJARDY XR 10-5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in SC cover TRIJARDY XR 10-5-1,000 MG TABLET BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
TRIJARDY XR 12.5-2.5-1,000 MG TAB BP 24H ![Compare how all Medicare Part D PDP plans in SC cover TRIJARDY XR 12.5-2.5-1,000 MG TAB BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:60 /30Days |
TRIJARDY XR 25-5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in SC cover TRIJARDY XR 25-5-1,000 MG TABLET BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIJARDY XR 5-2.5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in SC cover TRIJARDY XR 5-2.5-1,000 MG TABLET BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:60 /30Days |
TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in SC cover TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:84 /28Days |
TRILYTE WITH FLAVOR PACKETS ![Compare how all Medicare Part D PDP plans in SC cover TRILYTE WITH FLAVOR PACKETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TRIMETHOBENZAMIDE 300 MG CAP ![Compare how all Medicare Part D PDP plans in SC cover TRIMETHOBENZAMIDE 300 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRIMETHOPRIM 100 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRIMETHOPRIM 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Tier 2 |
$15.00 | $0.00 | None |
TRIMIPRAMINE MALEATE 100 MG CP ![Compare how all Medicare Part D PDP plans in SC cover TRIMIPRAMINE MALEATE 100 MG CP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRIMIPRAMINE MALEATE 25 MG CAP ![Compare how all Medicare Part D PDP plans in SC cover TRIMIPRAMINE MALEATE 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRIMIPRAMINE MALEATE 50 MG CAP ![Compare how all Medicare Part D PDP plans in SC cover TRIMIPRAMINE MALEATE 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRINTELLIX 10 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRINTELLIX 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | S Q:30 /30Days |
TRINTELLIX 20 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRINTELLIX 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | S Q:30 /30Days |
TRINTELLIX 5 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRINTELLIX 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | S Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Triptorelin 11.3 MG/ML Injectable Suspension [Trelstar] ![Compare how all Medicare Part D PDP plans in SC cover Triptorelin 11.3 MG/ML Injectable Suspension [Trelstar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P |
TRIUMEQ TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRIUMEQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:30 /30Days |
TRIVORA-28 TABLET [Trivora] ![Compare how all Medicare Part D PDP plans in SC cover TRIVORA-28 TABLET [Trivora].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TROPHAMINE INJECTION SOLUTION ![Compare how all Medicare Part D PDP plans in SC cover TROPHAMINE INJECTION SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | P |
TRULICITY 0.75 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in SC cover TRULICITY 0.75 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:2 /28Days |
TRULICITY 1.5 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in SC cover TRULICITY 1.5 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$47.00 | $131.00 | Q:2 /28Days |
TRUMENBA 120 MCG/0.5 ML VACCIN Syringe ![Compare how all Medicare Part D PDP plans in SC cover TRUMENBA 120 MCG/0.5 ML VACCIN Syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TRUVADA 100 MG-150 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRUVADA 100 MG-150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:30 /30Days |
TRUVADA 133 MG-200 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRUVADA 133 MG-200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:30 /30Days |
TRUVADA 167 MG-250 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRUVADA 167 MG-250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:30 /30Days |
TRUVADA 200/300MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TRUVADA 200/300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TUKYSA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TUKYSA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
TUKYSA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TUKYSA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:300 /30Days |
TURALIO 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover TURALIO 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:120 /30Days |
TWINRIX VACCINE SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover TWINRIX VACCINE SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TYBOST 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TYBOST 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | Q:30 /30Days |
TYKERB 250 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover TYKERB 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
25% | N/A | P Q:150 /30Days |
TYPHIM VI 25 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover TYPHIM VI 25 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |
TYPHIM VI 25MCG/0.5ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover TYPHIM VI 25MCG/0.5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
$100.00 | $290.00 | None |