2020 Medicare Part D Plan Formulary Information |
BCN Advantage HMO-POS Classic (HMO-POS) (H5883-002-4)
Benefit Details
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The BCN Advantage HMO-POS Classic (HMO-POS) (H5883-002-4) Formulary Drugs Starting with the Letter T in Clinton County, MI: CMS MA Region 11 which includes: MI Plan Monthly Premium: $103.30 Deductible: $0 |
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 MI cover TABLOID 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | P |
TABRECTA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TABRECTA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:112 /28Days |
TABRECTA 200 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TABRECTA 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:112 /28Days |
Tacrolimus 0.03% ointment ![Compare how all Medicare Part D PDP plans in MI cover Tacrolimus 0.03% ointment.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
Tacrolimus 0.1% ointment ![Compare how all Medicare Part D PDP plans in MI cover Tacrolimus 0.1% ointment.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TACROLIMUS 0.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TACROLIMUS 0.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
TACROLIMUS 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TACROLIMUS 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
TACROLIMUS 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TACROLIMUS 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
TADALAFIL 20 MG TABLET [ALYQ] ![Compare how all Medicare Part D PDP plans in MI cover TADALAFIL 20 MG TABLET [ALYQ].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAFINLAR 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TAFINLAR 50 MG CAPSULE.](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 |
TAFINLAR 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TAFINLAR 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAGRISSO 40 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TAGRISSO 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAGRISSO 80 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TAGRISSO 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TALZENNA 0.25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TALZENNA 0.25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TALZENNA 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TALZENNA 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAMOXIFEN 10 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in MI cover TAMOXIFEN 10 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TAMOXIFEN 20 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in MI cover TAMOXIFEN 20 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TAMSULOSIN HCL 0.4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TAMSULOSIN HCL 0.4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TARGRETIN 1% GEL ![Compare how all Medicare Part D PDP plans in MI cover TARGRETIN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
Tarina Fe 1-20 tablet ![Compare how all Medicare Part D PDP plans in MI cover Tarina Fe 1-20 tablet.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MI 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 |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TASIGNA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TASIGNA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TASIGNA 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TASIGNA 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAZAROTENE 0.1% CREAM [Tazorac] ![Compare how all Medicare Part D PDP plans in MI cover TAZAROTENE 0.1% CREAM [Tazorac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TAZORAC 0.05% CREAM (G) ![Compare how all Medicare Part D PDP plans in MI cover TAZORAC 0.05% CREAM (G).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TAZTIA XT 180 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TAZTIA XT 180 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TAZTIA XT 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TAZTIA XT 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TAZVERIK 200 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TAZVERIK 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TDVAX VIAL ![Compare how all Medicare Part D PDP plans in MI cover TDVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TECFIDERA DR 120 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TECFIDERA DR 120 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:62 /31Days |
TECFIDERA DR 240 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TECFIDERA DR 240 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:62 /31Days |
TECFIDERA STARTER PACK ![Compare how all Medicare Part D PDP plans in MI cover TECFIDERA STARTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:62 /31Days |
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 MI 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) |
4 |
Tier 4 |
45% | 45% | 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 MI 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) |
4 |
Tier 4 |
45% | 45% | None |
TEGSEDI 284 MG/1.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in MI cover TEGSEDI 284 MG/1.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TEKTURNA HCT 300-25 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TEKTURNA HCT 300-25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TELMISARTAN 20 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in MI cover TELMISARTAN 20 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TELMISARTAN 40 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in MI cover TELMISARTAN 40 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TELMISARTAN 80 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in MI cover TELMISARTAN 80 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
Telmisartan-Amlodipine 40-10 MG [Micardis] ![Compare how all Medicare Part D PDP plans in MI cover Telmisartan-Amlodipine 40-10 MG [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Telmisartan-Amlodipine 40-5 MG [Micardis] ![Compare how all Medicare Part D PDP plans in MI cover Telmisartan-Amlodipine 40-5 MG [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
Telmisartan-Amlodipine 80-10 MG [Micardis] ![Compare how all Medicare Part D PDP plans in MI cover Telmisartan-Amlodipine 80-10 MG [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
Telmisartan-Amlodipine 80-5 MG [Micardis] ![Compare how all Medicare Part D PDP plans in MI cover Telmisartan-Amlodipine 80-5 MG [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in MI cover TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in MI cover TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in MI cover TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TEMAZEPAM 15 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in MI cover TEMAZEPAM 15 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TEMAZEPAM 22.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TEMAZEPAM 22.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TEMAZEPAM 30 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TEMAZEPAM 30 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Temazepam 7.5mg/1 100 CAPSULE BOTTLE, PLASTIC ![Compare how all Medicare Part D PDP plans in MI cover Temazepam 7.5mg/1 100 CAPSULE BOTTLE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TENIVAC SYRINGE ![Compare how all Medicare Part D PDP plans in MI cover TENIVAC SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TENOFOVIR DISOP FUM 300 MG TABLET [Viread] ![Compare how all Medicare Part D PDP plans in MI cover TENOFOVIR DISOP FUM 300 MG TABLET [Viread].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TERAZOSIN 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TERAZOSIN 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TERAZOSIN 10 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in MI cover TERAZOSIN 10 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TERAZOSIN 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TERAZOSIN 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TERAZOSIN 5 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in MI cover TERAZOSIN 5 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TERBINAFINE HCL 250 MG TABLET [Terbinex] ![Compare how all Medicare Part D PDP plans in MI cover TERBINAFINE HCL 250 MG TABLET [Terbinex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TERBUTALINE SULFATE 2.5 MG TAB ![Compare how all Medicare Part D PDP plans in MI cover TERBUTALINE SULFATE 2.5 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TERBUTALINE SULFATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TERBUTALINE SULFATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TERCONAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in MI cover TERCONAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TERCONAZOLE 0.8% CREAM ![Compare how all Medicare Part D PDP plans in MI cover TERCONAZOLE 0.8% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TERCONAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in MI cover TERCONAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TESTOSTERON CYP 2,000 MG/10 ML VIAL [Virilon] ![Compare how all Medicare Part D PDP plans in MI cover TESTOSTERON CYP 2,000 MG/10 ML VIAL [Virilon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl] ![Compare how all Medicare Part D PDP plans in MI cover TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TESTOSTERONE 1.62% (2.5 G) PKT GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in MI 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 |
$38.00 | $114.00 | P |
TESTOSTERONE 1.62% GEL PUMP GEL MD PMP [AndroGel] ![Compare how all Medicare Part D PDP plans in MI cover TESTOSTERONE 1.62% GEL PUMP GEL MD PMP [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | P |
TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in MI cover TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | P |
TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo] ![Compare how all Medicare Part D PDP plans in MI cover TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | P Q:900 /90Days |
Testosterone cyp 100 mg/ml ![Compare how all Medicare Part D PDP plans in MI cover Testosterone cyp 100 mg/ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TESTOSTERONE CYP 200 MG/ML ![Compare how all Medicare Part D PDP plans in MI cover TESTOSTERONE CYP 200 MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TETRABENAZINE 12.5 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in MI cover TETRABENAZINE 12.5 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:248 /31Days |
TETRABENAZINE 25 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in MI cover TETRABENAZINE 25 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:124 /31Days |
TETRACYCLINE 250 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TETRACYCLINE 250 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TETRACYCLINE 500 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TETRACYCLINE 500 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
THALOMID 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THALOMID 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
THALOMID 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THALOMID 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
THALOMID 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THALOMID 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
THALOMID 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THALOMID 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
THEOPHYLLINE ER 300 MG TAB ![Compare how all Medicare Part D PDP plans in MI cover THEOPHYLLINE ER 300 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
THEOPHYLLINE ER 400 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover THEOPHYLLINE ER 400 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
THEOPHYLLINE ER 600 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover THEOPHYLLINE ER 600 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
THIORIDAZINE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover THIORIDAZINE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
THIORIDAZINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover THIORIDAZINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
THIORIDAZINE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover THIORIDAZINE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THIORIDAZINE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover THIORIDAZINE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
THIOTHIXENE 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THIOTHIXENE 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
THIOTHIXENE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THIOTHIXENE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
THIOTHIXENE 2MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THIOTHIXENE 2MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
THIOTHIXENE 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover THIOTHIXENE 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in MI cover TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIAGABINE HCL 12 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in MI cover TIAGABINE HCL 12 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TIAGABINE HCL 16 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in MI cover TIAGABINE HCL 16 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TIAGABINE HCL 2 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in MI cover TIAGABINE HCL 2 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TIAGABINE HCL 4 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in MI cover TIAGABINE HCL 4 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TIBSOVO 250 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIBSOVO 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TIMOLOL 0.25% EYE DROPS ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL 0.25% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIMOLOL 0.25% GFS GEL-SOLUTION ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL 0.25% GFS GEL-SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIMOLOL 0.5% GFS GEL-SOLUTION ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL 0.5% GFS GEL-SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIMOLOL MALEATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL MALEATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIMOLOL MALEATE 20MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL MALEATE 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TIMOLOL MALEATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIMOLOL MALEATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TINIDAZOLE 250 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TINIDAZOLE 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TINIDAZOLE 500 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TINIDAZOLE 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TIVICAY 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIVICAY 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TIVICAY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIVICAY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TIVICAY 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIVICAY 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TIZANIDINE HCL 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TIZANIDINE HCL 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TIZANIDINE HCL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIZANIDINE HCL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TIZANIDINE HCL 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TIZANIDINE HCL 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TIZANIDINE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TIZANIDINE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIZANIDINE HCL 6 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TIZANIDINE HCL 6 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOBRADEX EYE OINTMENT ![Compare how all Medicare Part D PDP plans in MI cover TOBRADEX EYE OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TOBRADEX ST 0.5; 3mg/mL; mg/mL 5 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in MI cover TOBRADEX ST 0.5; 3mg/mL; mg/mL 5 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TOBRAMYCIN 0.3% EYE DROPS [Tobrex] ![Compare how all Medicare Part D PDP plans in MI cover TOBRAMYCIN 0.3% EYE DROPS [Tobrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in MI cover TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in MI cover TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in MI cover TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TOBRAMYCIN-DEXAMETH OPTH SUSP ![Compare how all Medicare Part D PDP plans in MI cover TOBRAMYCIN-DEXAMETH OPTH SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOLCAPONE 100 MG TABLET [Tasmar] ![Compare how all Medicare Part D PDP plans in MI cover TOLCAPONE 100 MG TABLET [Tasmar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TOLMETIN SODIUM 400 MG CAP ![Compare how all Medicare Part D PDP plans in MI cover TOLMETIN SODIUM 400 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOLMETIN SODIUM 600MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TOLMETIN SODIUM 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOLTERODINE TART ER 2 MG CAPSULE ER 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in MI cover TOLTERODINE TART ER 2 MG CAPSULE ER 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOLTERODINE TART ER 4 MG CAPSULE ER 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in MI cover TOLTERODINE TART ER 4 MG CAPSULE ER 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOLTERODINE TARTRATE 1 MG TABLET [Detrol LA] ![Compare how all Medicare Part D PDP plans in MI cover TOLTERODINE TARTRATE 1 MG TABLET [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:180 /90Days |
TOLTERODINE TARTRATE 2 MG TABLET [Detrol] ![Compare how all Medicare Part D PDP plans in MI cover TOLTERODINE TARTRATE 2 MG TABLET [Detrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:180 /90Days |
TOLVAPTAN 15 MG ORAL TABLET [SAMSCA] ![Compare how all Medicare Part D PDP plans in MI cover TOLVAPTAN 15 MG ORAL TABLET [SAMSCA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TOLVAPTAN 30 MG ORAL TABLET [SAMSCA] ![Compare how all Medicare Part D PDP plans in MI cover TOLVAPTAN 30 MG ORAL TABLET [SAMSCA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TOPIRAMATE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TOPIRAMATE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOPIRAMATE 15 MG SPRINKLE CAP ![Compare how all Medicare Part D PDP plans in MI cover TOPIRAMATE 15 MG SPRINKLE CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOPIRAMATE 200 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in MI cover TOPIRAMATE 200 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOPIRAMATE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TOPIRAMATE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Topiramate 25mg/1 ![Compare how all Medicare Part D PDP plans in MI cover Topiramate 25mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOPIRAMATE 50 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in MI cover TOPIRAMATE 50 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TOREMIFENE CITRATE 60 MG TABLET [Fareston] ![Compare how all Medicare Part D PDP plans in MI cover TOREMIFENE CITRATE 60 MG TABLET [Fareston].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TORSEMIDE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TORSEMIDE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TORSEMIDE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TORSEMIDE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TORSEMIDE 20 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TORSEMIDE 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TORSEMIDE 5 MG TABLET [Demadex] ![Compare how all Medicare Part D PDP plans in MI cover TORSEMIDE 5 MG TABLET [Demadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN ![Compare how all Medicare Part D PDP plans in MI cover TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TOUJEO SOLOSTAR 300 UNITS/ML ![Compare how all Medicare Part D PDP plans in MI cover TOUJEO SOLOSTAR 300 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TOVET EMOLLIENT 0.05% FOAM [Olux-E] ![Compare how all Medicare Part D PDP plans in MI cover TOVET EMOLLIENT 0.05% FOAM [Olux-E].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TOVIAZ TABLETS 4MG EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MI cover TOVIAZ TABLETS 4MG EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TOVIAZ TABLETS 8MG EXTENDED RELEASE ![Compare how all Medicare Part D PDP plans in MI cover TOVIAZ TABLETS 8MG EXTENDED RELEASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRACLEER 32 MG TABLET FOR SUSP ![Compare how all Medicare Part D PDP plans in MI cover TRACLEER 32 MG TABLET FOR SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRAMADOL ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:90 /90Days |
TRAMADOL ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:90 /90Days |
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER] ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:90 /90Days |
TRAMADOL HCL 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL HCL 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:720 /90Days |
TRAMADOL HCL ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL HCL ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:90 /90Days |
TRAMADOL HCL ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL HCL ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:90 /90Days |
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER] ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:90 /90Days |
TRAMADOL-ACETAMINOPHN 37.5-325 ![Compare how all Medicare Part D PDP plans in MI cover TRAMADOL-ACETAMINOPHN 37.5-325.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:1080 /90Days |
TRANDOLAPRIL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRANDOLAPRIL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TRANDOLAPRIL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRANDOLAPRIL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRANDOLAPRIL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRANDOLAPRIL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TRANDOLAPRIL-VERAPAMIL ER 1-240 MG ![Compare how all Medicare Part D PDP plans in MI cover TRANDOLAPRIL-VERAPAMIL ER 1-240 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TRANDOLAPRIL-VERAPAMIL ER 2-180 MG ![Compare how all Medicare Part D PDP plans in MI cover TRANDOLAPRIL-VERAPAMIL ER 2-180 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TRANDOLAPRIL-VERAPAMIL ER 2-240 MG ![Compare how all Medicare Part D PDP plans in MI cover TRANDOLAPRIL-VERAPAMIL ER 2-240 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TRANDOLAPRIL-VERAPAMIL ER 4-240 MG ![Compare how all Medicare Part D PDP plans in MI cover TRANDOLAPRIL-VERAPAMIL ER 4-240 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Tier 6 |
$0.00 | $0.00 | None |
TRANEXAMIC ACID 650 MG TABLET [Lysteda] ![Compare how all Medicare Part D PDP plans in MI cover TRANEXAMIC ACID 650 MG TABLET [Lysteda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:30 /21Days |
TRANYLCYPROMINE SULF 10 MG TABLET [Parnate] ![Compare how all Medicare Part D PDP plans in MI cover TRANYLCYPROMINE SULF 10 MG TABLET [Parnate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TRAVASOL 10% SOLUTION VIAFLEX ![Compare how all Medicare Part D PDP plans in MI cover TRAVASOL 10% SOLUTION VIAFLEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | P |
TRAVATAN Z 0.04MG DROPS 2.5ML BOT ![Compare how all Medicare Part D PDP plans in MI cover TRAVATAN Z 0.04MG DROPS 2.5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TRAVOPROST 0.004% EYE DROPS [Travatan] ![Compare how all Medicare Part D PDP plans in MI cover TRAVOPROST 0.004% EYE DROPS [Travatan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TRAZODONE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRAZODONE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRAZODONE 150 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in MI cover TRAZODONE 150 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TRAZODONE 300 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in MI cover TRAZODONE 300 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TRAZODONE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRAZODONE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TRECATOR 250MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRECATOR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TRELEGY ELLIPTA 100-62.5-25 ![Compare how all Medicare Part D PDP plans in MI cover TRELEGY ELLIPTA 100-62.5-25.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TRELSTAR 11.25 MG SYRINGE ![Compare how all Medicare Part D PDP plans in MI cover TRELSTAR 11.25 MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRELSTAR 3.75 MG SYRINGE ![Compare how all Medicare Part D PDP plans in MI cover TRELSTAR 3.75 MG SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRETINOIN 0.01% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in MI cover TRETINOIN 0.01% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRETINOIN 0.025% CREAM ![Compare how all Medicare Part D PDP plans in MI cover TRETINOIN 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRETINOIN 0.025% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in MI cover TRETINOIN 0.025% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRETINOIN 0.05% CREAM ![Compare how all Medicare Part D PDP plans in MI cover TRETINOIN 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRETINOIN 0.05% GEL [Atralin] ![Compare how all Medicare Part D PDP plans in MI cover TRETINOIN 0.05% GEL [Atralin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRETINOIN 0.1% CREAM ![Compare how all Medicare Part D PDP plans in MI cover TRETINOIN 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRETINOIN 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TRETINOIN 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRI-ESTARYLLA TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in MI cover TRI-ESTARYLLA TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRI-LO-ESTARYLLA TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in MI cover TRI-LO-ESTARYLLA TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRI-LO-SPRINTEC TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRI-LO-SPRINTEC TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRI-MILI 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in MI cover TRI-MILI 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRI-PREVIFEM TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in MI cover TRI-PREVIFEM TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRI-SPRINTEC 7DAYSX3 28 TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRI-SPRINTEC 7DAYSX3 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRI-VYLIBRA 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in MI cover TRI-VYLIBRA 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRI-VYLIBRA LO TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in MI cover TRI-VYLIBRA LO TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE 0.025% LOTION ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.025% LOTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE 0.025% OINT ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.025% OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE 0.05% OINTMENT [Trianex] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.05% OINTMENT [Trianex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE 0.1% CREAM (g) [Triderm] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.1% CREAM (g) [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE 0.1% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.1% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE 0.1% OINTMENT [Triderm] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.1% OINTMENT [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE 0.1% PASTE (G) [Oralone] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE 0.1% PASTE (G) [Oralone].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE ![Compare how all Medicare Part D PDP plans in MI cover TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm] ![Compare how all Medicare Part D PDP plans in MI cover Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in MI 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 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMTERENE 100 MG CAPSULE [Dyrenium] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMTERENE 100 MG CAPSULE [Dyrenium].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TRIAMTERENE 50 MG CAPSULE [Dyrenium] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMTERENE 50 MG CAPSULE [Dyrenium].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | None |
TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide] ![Compare how all Medicare Part D PDP plans in MI cover TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TRIAMTERENE-HCTZ 37.5-25 MG TB ![Compare how all Medicare Part D PDP plans in MI cover TRIAMTERENE-HCTZ 37.5-25 MG TB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TRIAMTERENE-HCTZ 75-50 MG TAB ![Compare how all Medicare Part D PDP plans in MI cover TRIAMTERENE-HCTZ 75-50 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$1.00 | $3.00 | None |
TRIAZOLAM 0.125 MG TABLET [Halcion] ![Compare how all Medicare Part D PDP plans in MI cover TRIAZOLAM 0.125 MG TABLET [Halcion].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIAZOLAM 0.25 MG TABLET [Halcion] ![Compare how all Medicare Part D PDP plans in MI cover TRIAZOLAM 0.25 MG TABLET [Halcion].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIENTINE HCL 250 MG CAPSULE [Syprine] ![Compare how all Medicare Part D PDP plans in MI cover TRIENTINE HCL 250 MG CAPSULE [Syprine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRIFLUOPERAZINE 1 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRIFLUOPERAZINE 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIFLUOPERAZINE HCL 2MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRIFLUOPERAZINE HCL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIFLUOPERAZINE HCL 5MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRIFLUOPERAZINE HCL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in MI cover TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT ![Compare how all Medicare Part D PDP plans in MI cover TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIHEXYPHENIDYL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRIHEXYPHENIDYL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIHEXYPHENIDYL 5 MG TABLET [Artane] ![Compare how all Medicare Part D PDP plans in MI cover TRIHEXYPHENIDYL 5 MG TABLET [Artane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in MI cover Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in MI cover TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRILYTE WITH FLAVOR PACKETS ![Compare how all Medicare Part D PDP plans in MI cover TRILYTE WITH FLAVOR PACKETS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIMETHOPRIM 100 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRIMETHOPRIM 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TRIMIPRAMINE MALEATE 100 MG CP ![Compare how all Medicare Part D PDP plans in MI cover TRIMIPRAMINE MALEATE 100 MG CP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
TRIMIPRAMINE MALEATE 25 MG CAP ![Compare how all Medicare Part D PDP plans in MI cover TRIMIPRAMINE MALEATE 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
TRIMIPRAMINE MALEATE 50 MG CAP ![Compare how all Medicare Part D PDP plans in MI cover TRIMIPRAMINE MALEATE 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRINTELLIX 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRINTELLIX 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | S |
TRINTELLIX 20 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRINTELLIX 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | S |
TRINTELLIX 5 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRINTELLIX 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 |
45% | 45% | S |
Triptorelin 11.3 MG/ML Injectable Suspension [Trelstar] ![Compare how all Medicare Part D PDP plans in MI cover Triptorelin 11.3 MG/ML Injectable Suspension [Trelstar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRIUMEQ TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRIUMEQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TROSPIUM CHLORIDE 20 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TROSPIUM CHLORIDE 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | None |
TROSPIUM CHLORIDE ER 60 MG CAP ![Compare how all Medicare Part D PDP plans in MI cover TROSPIUM CHLORIDE ER 60 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$7.00 | $21.00 | Q:90 /90Days |
TRUMENBA 120 MCG/0.5 ML VACCIN Syringe ![Compare how all Medicare Part D PDP plans in MI cover TRUMENBA 120 MCG/0.5 ML VACCIN Syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TRUVADA 100 MG-150 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRUVADA 100 MG-150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRUVADA 133 MG-200 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRUVADA 133 MG-200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRUVADA 167 MG-250 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRUVADA 167 MG-250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRUVADA 200/300MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TRUVADA 200/300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TUDORZA PRESSAIR 400 MCG INHAL AER POW BA ![Compare how all Medicare Part D PDP plans in MI cover TUDORZA PRESSAIR 400 MCG INHAL AER POW BA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | Q:3 /90Days |
TUDORZA PRESSAIR 400 MCG INHAL AER POW BA ![Compare how all Medicare Part D PDP plans in MI cover TUDORZA PRESSAIR 400 MCG INHAL AER POW BA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | Q:3 /90Days |
TUKYSA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TUKYSA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:120 /30Days |
TUKYSA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TUKYSA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:300 /30Days |
TURALIO 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MI cover TURALIO 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TWINRIX VACCINE SYRINGE ![Compare how all Medicare Part D PDP plans in MI cover TWINRIX VACCINE SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TYBOST 150 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TYBOST 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TYKERB 250 MG TABLET ![Compare how all Medicare Part D PDP plans in MI cover TYKERB 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TYMLOS 80 MCG DOSE PEN INJECTR ![Compare how all Medicare Part D PDP plans in MI cover TYMLOS 80 MCG DOSE PEN INJECTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
TYPHIM VI 25 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in MI cover TYPHIM VI 25 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TYPHIM VI 25MCG/0.5ML VIAL ![Compare how all Medicare Part D PDP plans in MI cover TYPHIM VI 25MCG/0.5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
$38.00 | $114.00 | None |