2022 Medicare Part D Plan Formulary Information |
SelectHealth Advantage Enhanced (HMO) (H1994-008-0)
Benefit Details
![Email Prescription and/or Health Benefit details for SelectHealth Advantage Enhanced (HMO). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) This plan covers select insulin pay $0-$35 copay.
See individual insulin cost-sharing below. |
The SelectHealth Advantage Enhanced (HMO) (H1994-008-0) Formulary Drugs Starting with the Letter R in Ada County, ID: CMS MA Region 23 which includes: ID
|
Drugs Starting with Letter R
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
RABAVERT RABIES VACCINE VIAL ![Compare how all Medicare Part D PDP plans in ID cover RABAVERT RABIES VACCINE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RABEPRAZOLE SOD DR 20 MG TABLET DR [AcipHex] ![Compare how all Medicare Part D PDP plans in ID cover RABEPRAZOLE SOD DR 20 MG TABLET DR [AcipHex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:60 /30Days |
RALOXIFENE HCL 60 MG TABLET [Evista] ![Compare how all Medicare Part D PDP plans in ID cover RALOXIFENE HCL 60 MG TABLET [Evista].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
RAMELTEON 8 MG TABLET [Rozerem] ![Compare how all Medicare Part D PDP plans in ID cover RAMELTEON 8 MG TABLET [Rozerem].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:30 /30Days |
RAMIPRIL 1.25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover RAMIPRIL 1.25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RAMIPRIL 10 MG CAPSULE [Altace] ![Compare how all Medicare Part D PDP plans in ID cover RAMIPRIL 10 MG CAPSULE [Altace].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RAMIPRIL 2.5 MG CAPSULE [Altace] ![Compare how all Medicare Part D PDP plans in ID cover RAMIPRIL 2.5 MG CAPSULE [Altace].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RAMIPRIL 5 MG CAPSULE [Altace] ![Compare how all Medicare Part D PDP plans in ID cover RAMIPRIL 5 MG CAPSULE [Altace].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RANOLAZINE ER 1,000 MG TABLET ER 12H [Ranexa] ![Compare how all Medicare Part D PDP plans in ID cover RANOLAZINE ER 1,000 MG TABLET ER 12H [Ranexa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:120 /30Days |
RANOLAZINE ER 500 MG TABLET ER 12H [Ranexa] ![Compare how all Medicare Part D PDP plans in ID cover RANOLAZINE ER 500 MG TABLET ER 12H [Ranexa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RASAGILINE MESYLATE 0.5 MG TABLET [Azilect] ![Compare how all Medicare Part D PDP plans in ID cover RASAGILINE MESYLATE 0.5 MG TABLET [Azilect].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RASAGILINE MESYLATE 1 MG TABLET [Azilect] ![Compare how all Medicare Part D PDP plans in ID cover RASAGILINE MESYLATE 1 MG TABLET [Azilect].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RASUVO 10 MG/0.2 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 10 MG/0.2 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:1 /28Days |
RASUVO 12.5 MG/0.25 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 12.5 MG/0.25 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:1 /28Days |
RASUVO 15 MG/0.3 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 15 MG/0.3 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:1 /28Days |
RASUVO 17.5 MG/0.35 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 17.5 MG/0.35 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:1 /28Days |
RASUVO 20 MG/0.4 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 20 MG/0.4 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:2 /28Days |
RASUVO 22.5 MG/0.45 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 22.5 MG/0.45 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:2 /28Days |
RASUVO 25 MG/0.5 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 25 MG/0.5 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:2 /28Days |
RASUVO 30 MG/0.6 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 30 MG/0.6 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:2 /28Days |
RASUVO 7.5 MG/0.15 ML AUTOINJ ![Compare how all Medicare Part D PDP plans in ID cover RASUVO 7.5 MG/0.15 ML AUTOINJ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:1 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RECLIPSEN 28 DAY TABLET [Solia] ![Compare how all Medicare Part D PDP plans in ID cover RECLIPSEN 28 DAY TABLET [Solia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RECOMBIVAX HB 10 MCG/ML SYR ![Compare how all Medicare Part D PDP plans in ID cover RECOMBIVAX HB 10 MCG/ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RECOMBIVAX HB 10 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RECOMBIVAX HB 10 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RECTIV 0.4% OINTMENT ![Compare how all Medicare Part D PDP plans in ID cover RECTIV 0.4% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:30 /30Days |
REDITREX 10 MG/0.4 ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 10 MG/0.4 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
REDITREX 12.5 MG/0.5 ML SYRING SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 12.5 MG/0.5 ML SYRING SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
REDITREX 15 MG/0.6 ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 15 MG/0.6 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
REDITREX 17.5 MG/0.7 ML SYRING SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 17.5 MG/0.7 ML SYRING SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
REDITREX 20 MG/0.8 ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 20 MG/0.8 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
REDITREX 22.5 MG/0.9 ML SYRING SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 22.5 MG/0.9 ML SYRING SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REDITREX 25 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 25 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
REDITREX 7.5 MG/0.3 ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REDITREX 7.5 MG/0.3 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | S Q:4 /28Days |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in ID cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:60 /30Days |
RELISTOR 12 MG/0.6 ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover RELISTOR 12 MG/0.6 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:17 /28Days |
RELISTOR 12 MG/0.6 ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RELISTOR 12 MG/0.6 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:17 /28Days |
RELISTOR 150 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover RELISTOR 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:90 /30Days |
RELISTOR 8 MG/0.4 ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover RELISTOR 8 MG/0.4 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:22 /28Days |
REPAGLINIDE 0.5 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in ID cover REPAGLINIDE 0.5 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
REPAGLINIDE 1 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in ID cover REPAGLINIDE 1 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
REPAGLINIDE 2 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in ID cover REPAGLINIDE 2 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
REPATHA 140 MG/ML SURECLICK PEN INJCTR ![Compare how all Medicare Part D PDP plans in ID cover REPATHA 140 MG/ML SURECLICK PEN INJCTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:3 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REPATHA 140 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in ID cover REPATHA 140 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:3 /30Days |
REPATHA 420 MG/3.5ML PUSHTRONX WEAR INJCT ![Compare how all Medicare Part D PDP plans in ID cover REPATHA 420 MG/3.5ML PUSHTRONX WEAR INJCT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:4 /30Days |
RESTASIS MULTIDOSE 0.05% EYE DROPS ![Compare how all Medicare Part D PDP plans in ID cover RESTASIS MULTIDOSE 0.05% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:60 /30Days |
RETACRIT 10,000 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RETACRIT 10,000 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RETACRIT 2,000 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RETACRIT 2,000 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RETACRIT 20,000 UNIT/2 ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RETACRIT 20,000 UNIT/2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RETACRIT 20,000 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RETACRIT 20,000 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RETACRIT 3,000 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RETACRIT 3,000 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RETACRIT 4,000 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RETACRIT 4,000 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RETACRIT 40,000 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover RETACRIT 40,000 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P |
RETEVMO 40 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover RETEVMO 40 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:180 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RETEVMO 80 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover RETEVMO 80 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
REVCOVI 2.4 MG/1.5 ML VIAL ![Compare how all Medicare Part D PDP plans in ID cover REVCOVI 2.4 MG/1.5 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:9 /30Days |
REVLIMID 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover REVLIMID 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:28 /28Days |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in ID cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:28 /28Days |
REVLIMID 2.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover REVLIMID 2.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:28 /28Days |
REVLIMID 20 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover REVLIMID 20 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:28 /28Days |
REVLIMID 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover REVLIMID 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:28 /28Days |
REVLIMID 5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover REVLIMID 5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:28 /28Days |
REXULTI 0.25 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REXULTI 0.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
REXULTI 0.5 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REXULTI 0.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
REXULTI 1 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REXULTI 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REXULTI 2 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REXULTI 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
REXULTI 3 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REXULTI 3 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
REXULTI 4 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REXULTI 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:30 /30Days |
REYATAZ 50 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in ID cover REYATAZ 50 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:240 /30Days |
REYVOW 100 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REYVOW 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:8 /30Days |
REYVOW 50 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REYVOW 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | P Q:8 /30Days |
REZUROCK 200 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover REZUROCK 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:30 /30Days |
RHOFADE 1% CREAM (G) ![Compare how all Medicare Part D PDP plans in ID cover RHOFADE 1% CREAM (G).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:30 /30Days |
RHOPRESSA 0.02% OPHTH SOLUTION Drops ![Compare how all Medicare Part D PDP plans in ID cover RHOPRESSA 0.02% OPHTH SOLUTION Drops.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | S Q:60 /30Days |
RIBAVIRIN 200 MG CAPSULE [Ribasphere] ![Compare how all Medicare Part D PDP plans in ID cover RIBAVIRIN 200 MG CAPSULE [Ribasphere].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:210 /30Days |
RIBAVIRIN 200 MG TABLET [Ribasphere] ![Compare how all Medicare Part D PDP plans in ID cover RIBAVIRIN 200 MG TABLET [Ribasphere].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:210 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIDAURA 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover RIDAURA 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
RIFABUTIN 150 MG CAPSULE [Mycobutin] ![Compare how all Medicare Part D PDP plans in ID cover RIFABUTIN 150 MG CAPSULE [Mycobutin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIFAMPIN 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover RIFAMPIN 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RIFAMPIN 300 MG CAPSULE [Rimactane] ![Compare how all Medicare Part D PDP plans in ID cover RIFAMPIN 300 MG CAPSULE [Rimactane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RIFAMPIN IV 600 MG VIAL [Rifadin] ![Compare how all Medicare Part D PDP plans in ID cover RIFAMPIN IV 600 MG VIAL [Rifadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RILUZOLE 50 MG TABLET [Rilutek] ![Compare how all Medicare Part D PDP plans in ID cover RILUZOLE 50 MG TABLET [Rilutek].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RINVOQ ER 15 MG TABLET ER 24H ![Compare how all Medicare Part D PDP plans in ID cover RINVOQ ER 15 MG TABLET ER 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:30 /30Days |
RINVOQ ER 30 MG TABLET 24H ![Compare how all Medicare Part D PDP plans in ID cover RINVOQ ER 30 MG TABLET 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:30 /30Days |
RINVOQ ER 45 MG TABLET ER 24H ![Compare how all Medicare Part D PDP plans in ID cover RINVOQ ER 45 MG TABLET ER 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:56 /180Days |
RISEDRONATE SODIUM 150 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in ID cover RISEDRONATE SODIUM 150 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | S Q:1 /28Days |
RISEDRONATE SODIUM 30 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in ID cover RISEDRONATE SODIUM 30 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | S Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISEDRONATE SODIUM 35 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in ID cover RISEDRONATE SODIUM 35 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | S Q:4 /28Days |
RISEDRONATE SODIUM 35 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in ID cover RISEDRONATE SODIUM 35 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | S Q:4 /28Days |
RISEDRONATE SODIUM 35 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in ID cover RISEDRONATE SODIUM 35 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | S Q:12 /84Days |
RISEDRONATE SODIUM 5 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in ID cover RISEDRONATE SODIUM 5 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | S Q:30 /30Days |
RISEDRONATE SODIUM DR 35 MG TABLET DR [Atelvia] ![Compare how all Medicare Part D PDP plans in ID cover RISEDRONATE SODIUM DR 35 MG TABLET DR [Atelvia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | S Q:4 /28Days |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in ID cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in ID cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in ID cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in ID cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
RISPERIDONE 0.25 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 0.25 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RISPERIDONE 0.5 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 0.5 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE 0.5 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 0.5 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RISPERIDONE 1 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 1 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:60 /30Days |
RISPERIDONE 1 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 1 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RISPERIDONE 1 MG/ML SOLUTION [Risperdal] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 1 MG/ML SOLUTION [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:240 /30Days |
RISPERIDONE 2 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 2 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:60 /30Days |
RISPERIDONE 2 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 2 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RISPERIDONE 3 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 3 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:60 /30Days |
RISPERIDONE 3 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 3 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RISPERIDONE 4 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 4 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:60 /30Days |
RISPERIDONE 4 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE 4 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK ![Compare how all Medicare Part D PDP plans in ID cover RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RITONAVIR 100 MG TABLET [Norvir] ![Compare how all Medicare Part D PDP plans in ID cover RITONAVIR 100 MG TABLET [Norvir].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:450 /30Days |
RIVASTIGMINE 1.5 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in ID cover RIVASTIGMINE 1.5 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIVASTIGMINE 13.3 MG/24HR PTCH PATCH [Exelon Patch] ![Compare how all Medicare Part D PDP plans in ID cover RIVASTIGMINE 13.3 MG/24HR PTCH PATCH [Exelon Patch].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIVASTIGMINE 3 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in ID cover RIVASTIGMINE 3 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIVASTIGMINE 4.5 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in ID cover RIVASTIGMINE 4.5 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIVASTIGMINE 4.6 MG/24HR PATCH ![Compare how all Medicare Part D PDP plans in ID cover RIVASTIGMINE 4.6 MG/24HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIVASTIGMINE 6 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in ID cover RIVASTIGMINE 6 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIVASTIGMINE 9.5 MG/24HR PATCH ![Compare how all Medicare Part D PDP plans in ID cover RIVASTIGMINE 9.5 MG/24HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | None |
RIZATRIPTAN 10 MG ODT [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in ID cover RIZATRIPTAN 10 MG ODT [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:18 /30Days |
RIZATRIPTAN 10 MG TABLET [Maxalt] ![Compare how all Medicare Part D PDP plans in ID cover RIZATRIPTAN 10 MG TABLET [Maxalt].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:18 /30Days |
RIZATRIPTAN 5 MG ODT TABLET RAPDIS [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in ID cover RIZATRIPTAN 5 MG ODT TABLET RAPDIS [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:18 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIZATRIPTAN 5 MG TABLET [Maxalt] ![Compare how all Medicare Part D PDP plans in ID cover RIZATRIPTAN 5 MG TABLET [Maxalt].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:18 /30Days |
ROCKLATAN 0.02%-0.005% EYE DROPS ![Compare how all Medicare Part D PDP plans in ID cover ROCKLATAN 0.02%-0.005% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | S Q:5 /30Days |
ROPINIROLE HCL 0.25 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL 0.25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
ROPINIROLE HCL 0.5 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL 0.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
ROPINIROLE HCL 1 MG TABLET [Requip] ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL 1 MG TABLET [Requip].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
ROPINIROLE HCL 2 MG TABLET [Requip] ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL 2 MG TABLET [Requip].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
ROPINIROLE HCL 3 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL 3 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
ROPINIROLE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
ROPINIROLE HCL 5 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
ROPINIROLE HCL ER 12 MG TABLET ER 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL ER 12 MG TABLET ER 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:90 /30Days |
ROPINIROLE HCL ER 2 MG TABLET ER 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL ER 2 MG TABLET ER 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROPINIROLE HCL ER 4 MG TABLET ER 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL ER 4 MG TABLET ER 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:90 /30Days |
ROPINIROLE HCL ER 6 MG TABLET ER 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL ER 6 MG TABLET ER 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:90 /30Days |
ROPINIROLE HCL ER 8 MG TABLET ER 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in ID cover ROPINIROLE HCL ER 8 MG TABLET ER 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | Q:90 /30Days |
ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
ROSUVASTATIN-EZETIMIBE 10-10MG TABLET [ROSZET] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN-EZETIMIBE 10-10MG TABLET [ROSZET].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | S Q:30 /30Days |
ROSUVASTATIN-EZETIMIBE 20-10MG TABLET [ROSZET] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN-EZETIMIBE 20-10MG TABLET [ROSZET].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | S Q:30 /30Days |
ROSUVASTATIN-EZETIMIBE 40-10MG TABLET [ROSZET] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN-EZETIMIBE 40-10MG TABLET [ROSZET].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | S Q:30 /30Days |
ROSUVASTATIN-EZETIMIBE 5-10 MG TABLET [ROSZET] ![Compare how all Medicare Part D PDP plans in ID cover ROSUVASTATIN-EZETIMIBE 5-10 MG TABLET [ROSZET].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | S Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROTARIX VACCINE SUSPENSION ![Compare how all Medicare Part D PDP plans in ID cover ROTARIX VACCINE SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
ROTATEQ VACCINE SOLUTION ![Compare how all Medicare Part D PDP plans in ID cover ROTATEQ VACCINE SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
ROWASA 4 GM/60 ML ENEMA KIT ![Compare how all Medicare Part D PDP plans in ID cover ROWASA 4 GM/60 ML ENEMA KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | None |
ROZLYTREK 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover ROZLYTREK 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:90 /30Days |
ROZLYTREK 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover ROZLYTREK 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:90 /30Days |
RUBRACA 200 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover RUBRACA 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
RUBRACA 250 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover RUBRACA 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
RUBRACA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in ID cover RUBRACA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
RUFINAMIDE 200 MG TABLET [Banzel] ![Compare how all Medicare Part D PDP plans in ID cover RUFINAMIDE 200 MG TABLET [Banzel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | P Q:120 /30Days |
RUFINAMIDE 40 MG/ML ORAL SUSPENSION [Banzel] ![Compare how all Medicare Part D PDP plans in ID cover RUFINAMIDE 40 MG/ML ORAL SUSPENSION [Banzel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | P Q:2400 /30Days |
RUFINAMIDE 400 MG TABLET [Banzel] ![Compare how all Medicare Part D PDP plans in ID cover RUFINAMIDE 400 MG TABLET [Banzel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $20.00 | P Q:240 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RUKOBIA ER 600 MG TABLETLET ER 12H ![Compare how all Medicare Part D PDP plans in ID cover RUKOBIA ER 600 MG TABLETLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$95.00 | $285.00 | Q:60 /30Days |
RYDAPT 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in ID cover RYDAPT 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:240 /30Days |