Q1Medicare.com 2021 Medicare Part D or Medicare Advantage Plan Formulary Browser

2021 Medicare Part D Plan Formulary Information
Blue Shield Rx Enhanced (PDP) (S2468-004-0) Benefit Details
The Blue Shield Rx Enhanced (PDP) (S2468-004-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 32 which includes: CA Plan Monthly Premium: $130.40 Deductible: $0 Qualifies for LIS: No
Drugs Starting with Letter N Drug Name	Drug Tier Information		Cost-Sharing		Drug Usage Mgmt
Drugs Starting with Letter N Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NABUMETONE 500 MG TABLET [Relafen]	2	Generic	$7.00	$14.00	None
NABUMETONE 750 MG TABLET	2	Generic	$7.00	$14.00	None
NADOLOL 20 MG TABLET	2	Generic	$7.00	$14.00	None
NADOLOL 40 MG TABLET [Corgard]	2	Generic	$7.00	$14.00	None
NADOLOL 80 MG TABLET	2	Generic	$7.00	$14.00	None
NAFCILLIN 1 GM VIAL	4	Non-Preferred Drug	33%	33%	None
NAFCILLIN 10 GM BULK VIAL	5	Specialty Tier	33%	N/A	None
NAFCILLIN 2 GM VIAL	4	Non-Preferred Drug	33%	33%	None
NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan]	2	Generic	$7.00	$14.00	Q:2 /30Days
NALOXONE 0.4 MG/ML VIAL [Narcan]	2	Generic	$7.00	$14.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
naloxone 1 mg/ml syringe	2	Generic	$7.00	$14.00	None
NALTREXONE 50 MG TABLET [ReVia]	2	Generic	$7.00	$14.00	None
NAMZARIC 14 MG-10 MG CAPSULE	4	Non-Preferred Drug	33%	33%	Q:1 /1Days
NAMZARIC 21 MG-10 MG CAPSULE	4	Non-Preferred Drug	33%	33%	Q:1 /1Days
NAMZARIC 28 MG-10 MG CAPSULE	4	Non-Preferred Drug	33%	33%	Q:1 /1Days
NAMZARIC 7 MG-10 MG CAPSULE	4	Non-Preferred Drug	33%	33%	Q:1 /1Days
NAMZARIC TITRATION PACK	4	Non-Preferred Drug	33%	33%	Q:28 /28Days
NAPROXEN 250 MG TABLET [Naprosyn]	2	Generic	$7.00	$14.00	None
NAPROXEN 375 MG TABLET	2	Generic	$7.00	$14.00	None
NAPROXEN 500 MG TABLET	2	Generic	$7.00	$14.00	None
NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn]	2	Generic	$7.00	$14.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NAPROXEN DR 500 MG TABLET DR [EC-Naprosyn]	2	Generic	$7.00	$14.00	None
NARATRIPTAN HCL 1 MG TABLET	2	Generic	$7.00	$14.00	Q:18 /30Days
NARATRIPTAN HCL 2.5 MG TABLET	2	Generic	$7.00	$14.00	Q:18 /30Days
NARCAN 4 MG NASAL SPRAY	3	Preferred Brand	$43.00	$86.00	Q:2 /30Days
NATACYN EYE DROPS	3	Preferred Brand	$43.00	$86.00	None
NATEGLINIDE 120 MG TABLET [Starlix]	1	Preferred Generic	$2.00	$4.00	None
NATEGLINIDE 60 MG TABLET [Starlix]	1	Preferred Generic	$2.00	$4.00	None
NATPARA 100 MCG DOSE CARTRIDGE	5	Specialty Tier	33%	N/A	P Q:2 /28Days
NATPARA 25 MCG DOSE CARTRIDGE	5	Specialty Tier	33%	N/A	P Q:2 /28Days
NATPARA 50 MCG DOSE CARTRIDGE	5	Specialty Tier	33%	N/A	P Q:2 /28Days
NATPARA 75 MCG DOSE CARTRIDGE	5	Specialty Tier	33%	N/A	P Q:2 /28Days
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NAYZILAM 5 MG NASAL SPRAY	5	Specialty Tier	33%	N/A	Q:10 /30Days
NECON 0.5-35-28 TABLET	3	Preferred Brand	$43.00	$86.00	None
NEFAZODONE HCL 150MG TABLET (60 CT)	3	Preferred Brand	$43.00	$86.00	None
NEFAZODONE HCL 250MG TABLET	2	Generic	$7.00	$14.00	None
NEFAZODONE HCL 50MG TABLET	2	Generic	$7.00	$14.00	None
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOT	3	Preferred Brand	$43.00	$86.00	None
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOT	3	Preferred Brand	$43.00	$86.00	None
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT	2	Generic	$7.00	$14.00	None
NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex]	2	Generic	$7.00	$14.00	None
NEOMYC-POLYM-DEXAMETH EYE DROP	2	Generic	$7.00	$14.00	None
NEOMYCIN SULFATE 500MG TABLET	2	Generic	$7.00	$14.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT	2	Generic	$7.00	$14.00	None
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS	4	Non-Preferred Drug	33%	33%	None
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M	2	Generic	$7.00	$14.00	None
NEOMYCIN/POLYMY/HYDRO OTIC SUS	2	Generic	$7.00	$14.00	None
NERLYNX 40 MG TABLET	5	Specialty Tier	33%	N/A	P Q:6 /1Days
Neuac gel	3	Preferred Brand	$43.00	$86.00	None
NEULASTA 6MG/0.6ML SYRINGE	5	Specialty Tier	33%	N/A	P
NEUPRO 1 MG/24 HR PATCH	4	Non-Preferred Drug	33%	33%	Q:30 /30Days
NEUPRO 2 MG/24 HR PATCH	4	Non-Preferred Drug	33%	33%	Q:30 /30Days
NEUPRO 3 MG/24 HR PATCH	4	Non-Preferred Drug	33%	33%	Q:30 /30Days
NEUPRO 4 MG/24 HR PATCH	4	Non-Preferred Drug	33%	33%	Q:30 /30Days
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NEUPRO 6 MG/24 HR PATCH	4	Non-Preferred Drug	33%	33%	Q:30 /30Days
NEUPRO 8 MG/24 HR PATCH	4	Non-Preferred Drug	33%	33%	Q:30 /30Days
NEVIRAPINE 200 MG TABLET	2	Generic	$7.00	$14.00	Q:2 /1Days
NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune]	4	Non-Preferred Drug	33%	33%	Q:40 /1Days
NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR]	4	Non-Preferred Drug	33%	33%	Q:3 /1Days
NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR]	4	Non-Preferred Drug	33%	33%	Q:1 /1Days
NEXAVAR TABLETS 200MG 120 BOT	5	Specialty Tier	33%	N/A	P Q:4 /1Days
NIACIN ER 1,000 MG TABLET [Niaspan ER]	3	Preferred Brand	$43.00	$86.00	Q:2 /1Days
NIACIN ER 500 MG TABLET [Niaspan ER]	3	Preferred Brand	$43.00	$86.00	Q:4 /1Days
NIACIN ER 750 MG TABLET [Niaspan ER]	3	Preferred Brand	$43.00	$86.00	Q:2 /1Days
NIACOR 500 MG TABLET	3	Preferred Brand	$43.00	$86.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
Nicardipine hydrochloride 20 MG Oral Capsule	2	Generic	$7.00	$14.00	None
Nicardipine hydrochloride 30 MG Oral Capsule	2	Generic	$7.00	$14.00	None
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL	4	Non-Preferred Drug	33%	33%	None
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL	4	Non-Preferred Drug	33%	33%	None
NIFEDIPINE 10 MG CAPSULE [Procardia]	2	Generic	$7.00	$14.00	None
NIFEDIPINE 20MG CAPSULE	2	Generic	$7.00	$14.00	None
NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC]	2	Generic	$7.00	$14.00	None
NIFEDIPINE ER 30 MG TABLET ER [Procardia XL]	2	Generic	$7.00	$14.00	None
NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC]	2	Generic	$7.00	$14.00	None
NIFEDIPINE ER 60 MG TABLET ER [Procardia XL]	2	Generic	$7.00	$14.00	None
NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC]	2	Generic	$7.00	$14.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NIFEDIPINE ER 90 MG TABLET ER [Procardia XL]	2	Generic	$7.00	$14.00	None
NIKKI 3 MG-0.02 MG TABLET [Yaz]	3	Preferred Brand	$43.00	$86.00	None
NILUTAMIDE 150 MG TABLET [Nilandron]	5	Specialty Tier	33%	N/A	Q:1 /1Days
NIMODIPINE 30 MG CAPSULE [Nimotop]	4	Non-Preferred Drug	33%	33%	None
NINLARO 2.3 MG CAPSULE	5	Specialty Tier	33%	N/A	P Q:3 /21Days
NINLARO 3 MG CAPSULE	5	Specialty Tier	33%	N/A	P Q:3 /21Days
NINLARO 4 MG CAPSULE	5	Specialty Tier	33%	N/A	P Q:3 /21Days
NITAZOXANIDE 500 MG TABLET [Alinia]	5	Specialty Tier	33%	N/A	P Q:6 /3Days
NITISINONE 10 MG CAPSULE [Orfadin]	5	Specialty Tier	33%	N/A	P
NITISINONE 2 MG CAPSULE [Orfadin]	5	Specialty Tier	33%	N/A	P
NITISINONE 5 MG CAPSULE [Orfadin]	5	Specialty Tier	33%	N/A	P
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NITRO-BID 2% OINTMENT	3	Preferred Brand	$43.00	$86.00	None
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin]	2	Generic	$7.00	$14.00	None
NITROFURANTOIN MCR 25 MG CAPSULE [Macrodantin]	2	Generic	$7.00	$14.00	None
NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin]	2	Generic	$7.00	$14.00	None
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid]	2	Generic	$7.00	$14.00	None
NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc]	2	Generic	$7.00	$14.00	None
NITROGLYCERIN 0.3 MG TABLET SL	3	Preferred Brand	$43.00	$86.00	None
NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab]	3	Preferred Brand	$43.00	$86.00	None
NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG]	2	Generic	$7.00	$14.00	None
NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab]	3	Preferred Brand	$43.00	$86.00	None
NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG]	2	Generic	$7.00	$14.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NITROGLYCERIN LINGUAL 0.4 MG	4	Non-Preferred Drug	33%	33%	None
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX	2	Generic	$7.00	$14.00	None
NITROSTAT 0.3MG TABLET SL	3	Preferred Brand	$43.00	$86.00	None
NITROSTAT 0.4 MG TABLET SL [Nitrotab]	3	Preferred Brand	$43.00	$86.00	None
NITROSTAT 0.6MG TABLET SL	3	Preferred Brand	$43.00	$86.00	None
NITYR 10 MG TABLET	5	Specialty Tier	33%	N/A	P
NITYR 2 MG TABLET	5	Specialty Tier	33%	N/A	P
NITYR 5 MG TABLET	5	Specialty Tier	33%	N/A	P
NIZATIDINE 150 MG CAPSULE [Axid]	2	Generic	$7.00	$14.00	None
NIZATIDINE 300 MG CAPSULE [Axid]	2	Generic	$7.00	$14.00	None
NORA-BE 0.35MG TABLET	2	Generic	$7.00	$14.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC	5	Specialty Tier	33%	N/A	P
Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC	5	Specialty Tier	33%	N/A	P
Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC	5	Specialty Tier	33%	N/A	P
NORDITROPIN FLEXPRO 30 MG/3 ML	5	Specialty Tier	33%	N/A	P
noret-estr-fe 0.4-0.035(21)-75	2	Generic	$7.00	$14.00	None
NORETHIN-ETH ESTRAD 1 MG-5 MCG	4	Non-Preferred Drug	33%	33%	P
NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique]	4	Non-Preferred Drug	33%	33%	P
NORETHIND-ETH ESTRAD 1-0.02 MG	2	Generic	$7.00	$14.00	None
NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day]	2	Generic	$7.00	$14.00	None
NORETHINDRONE 5MG TABLET	2	Generic	$7.00	$14.00	None
NORG-EE 0.18-0.215-0.25/0.035	2	Generic	$7.00	$14.00	None
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NORG-ETHIN ESTRA 0.25-0.035 MG TABLET [VyLibra]	2	Generic	$7.00	$14.00	None
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK	2	Generic	$7.00	$14.00	None
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK	3	Preferred Brand	$43.00	$86.00	None
NORTREL 1-0.035MG TABLET 28DAY	2	Generic	$7.00	$14.00	None
Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER	2	Generic	$7.00	$14.00	None
NORTRIPTYLINE 10 MG/5 ML SOL	2	Generic	$7.00	$14.00	None
NORTRIPTYLINE HCL 25MG CAP	2	Generic	$7.00	$14.00	None
NORTRIPTYLINE HCL 50 MG CAP	2	Generic	$7.00	$14.00	None
NORTRIPTYLINE HCL 75 MG CAP	2	Generic	$7.00	$14.00	None
Nortriptyline Hydrochloride 10mg/1 100 CAPSULE BOTTLE	2	Generic	$7.00	$14.00	None
NORVIR 100 MG POWDER PACKET	4	Non-Preferred Drug	33%	33%	Q:12 /1Days
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NORVIR 80MG/ML ORAL SOLUTION	4	Non-Preferred Drug	33%	33%	Q:15 /1Days
NUBEQA 300 MG TABLET	5	Specialty Tier	33%	N/A	P Q:4 /1Days
NUCALA 100 MG VIAL	5	Specialty Tier	33%	N/A	P Q:3 /28Days
NUCALA 100 MG/ML AUTO-INJECTOR AUTO INJCT	5	Specialty Tier	33%	N/A	P Q:3 /28Days
NUCALA 100 MG/ML SYRINGE	5	Specialty Tier	33%	N/A	P Q:3 /28Days
NUPLAZID 10 MG TABLET	5	Specialty Tier	33%	N/A	P Q:1 /1Days
NUPLAZID 34 MG CAPSULE	5	Specialty Tier	33%	N/A	P Q:1 /1Days
NUTRILIPID 20 % EMULSION	4	Non-Preferred Drug	33%	33%	P
NYAMYC 100,000 UNITS/GM POWDER	2	Generic	$7.00	$14.00	None
NYLIA 7-7-7-28 TABLET [Pirmella]	2	Generic	$7.00	$14.00	None
NYMALIZE 60 MG/10 ML ORAL SYRINGE	5	Specialty Tier	33%	N/A	Q:1260 /21Days
Drug Name	Tier Nbr.	Tier Description	30-Day Preferred Pharm	90-Day Mail Order	Drug Usage Mgmt
NYMYO 0.25-0.035 MG (28) TABLET [VyLibra]	2	Generic	$7.00	$14.00	None
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF]	2	Generic	$7.00	$14.00	None
NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex]	2	Generic	$7.00	$14.00	None
NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri]	2	Generic	$7.00	$14.00	None
Nystatin 100000[USP'U]/mL	2	Generic	$7.00	$14.00	None
NYSTATIN 500,000 UNIT ORAL TAB	2	Generic	$7.00	$14.00	None
NYSTATIN-TRIAMCINOLONE CREAM (G) [N.T.A.]	4	Non-Preferred Drug	33%	33%	None
NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex]	4	Non-Preferred Drug	33%	33%	None
NYSTOP 100,000 UNITS/GM POWDER	2	Generic	$7.00	$14.00	None

Chart Legend:

Below are a few notes to help you understand the above 2021 Medicare Part D Blue Shield Rx Enhanced (PDP) Plan Formulary.

Plan Name: This is the official Medicare Part D prescription drug or Medicare Advantage plan name from the Centers for Medicare and Medicaid Services (CMS). The same Medicare Part D plan name generally has a different Plan ID in each state (or CMS Region). The plan name is followed by the plan type (PDP, HMO, HMO-POS, PPO, PFFS, etc.)
Monthly Premium: This is the amount you must pay each month for this prescription drug plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase.
Deductible: If your Part D plan has an initial deductible, you are 100% responsible for your drug costs until your expenses exceed this value and you begin your Initial Coverage Phase. Many Medicare Part D plans use the standard $445 deductible as provided by CMS in their Standard plan design. Some Part D plan providers offer an initial deductible lower than the Standard deductible. Many prescription drug plans do not have a deductible (also called first dollar coverage or a $0 deductible), however the monthly premium for a plan with a $0 deductible may be slightly higher.
Qualifies for LIS: The Extra Help or Low Income Subsidy (LIS) Program.
- Yes - This plan qualifies for the $0 Premium for those persons with a full LIS or Extra Help benefit. Persons on the LIS program who select a qualifying plan will also pay a $0 deductible, pay lower cost-sharing payments and have coverage through the Coverage Gap or Doughnut Hole.
- No - This plan does not qualify for the $0 Premium for persons with the full LIS benefit.
Plan ID: This is the Medicare Part D prescription drug plan's unique ID.
Drug Tier Information - Drug Tiers are the logical grouping of prescription drugs on a Part D plan formulary. These fields represent the Tier (or drug list group) - for this particular medication - on this particular plan’s Formulary or Drug List.
- Tier Number - This is the actual numerical tier level from the formulary. Most Part D plans have five (5) tiers 1=Preferred Generics, 2=Generics, 3=Preferred Brands, 4=Non-preferred Brands, 5=Specialty Drugs.
- Tier Number* - Some Part D drug plans exclude one or more drug tiers from the plan’s deductible. If the drug tier field above is followed by * (example: 2*), then this drug tier is excluded from the plan’s deductible.
- Tier Description - This is the Medicare Part D plan’s description of this particular drug tier.
Cost Sharing - Copay / Coinsurance - This is what you will pay for formulary drugs in the Initial Coverage Phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown under this "Cost Sharing" category:
- Preferred Network Pharmacy - (Preferred Pharm) - This is the cost-share amount you would pay during the initial coverage phase for a 30-Day supply (until your total retail prescription drug costs reach $4,130) at a "Preferred" network pharmacy. In most cases, the "Preferred" network pharmacy cost-sharing is lower than the standard (non-preferred) network pharmacy cost-sharing.
  
  * When the insulin copay is in green, example: $35.00, this Part D plan may offer particular forms of insulin as part of the Senior Savings Model. The Senior Savings Model stipulates that some insulin will cost no more than $35 in the deductible, initial coverage, and coverage gap phases of your Part D plan. Please contact the drug plan for more details.
- Mail Order - This is the cost-share amount you would pay during the initial coverage phase for a 90-Day supply if you purchased your medication through your plan’s preferred mail order partner(s).
Drug Utilization Management or Coverage Rules - (Drug Usage Mgmt) - This shows the plan requires drug utilization management controls for this particular medication.
- None - This drug does not fall under any drug utilization management controls.
- P - Prior Authorization -This drug is subject to prior authorization.
- S - Step Therapy -This drug is subject to step therapy.
- Q - Quantity Limits -This drug is subject to quantity limits. The actual quantity limit is shown as Q:Amount/Days. For Example: Q:6/28Days means the quantity limit is a quantity of 6 pills per 28 days. Q:90/365Days would mean that the plan limits this drug to 90 pills for the entire year.

(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2021 )

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Medicare plan provider.