2022 Medicare Part D Plan Formulary Information |
Signature Advantage Community (HMO I-SNP) (H2400-002-0)
Benefit Details
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The Signature Advantage Community (HMO I-SNP) (H2400-002-0) Formulary Drugs Starting with the Letter T in Jefferson County, KY: CMS MA Region 13 which includes: KY
|
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 KY cover TABLOID 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TABRECTA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TABRECTA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TABRECTA 200 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TABRECTA 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TACROLIMUS 0.03% OINTMENT [Protopic] ![Compare how all Medicare Part D PDP plans in KY cover TACROLIMUS 0.03% OINTMENT [Protopic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TACROLIMUS 0.1% OINTMENT [Protopic] ![Compare how all Medicare Part D PDP plans in KY cover TACROLIMUS 0.1% OINTMENT [Protopic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TACROLIMUS 0.5 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in KY cover TACROLIMUS 0.5 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TACROLIMUS 1 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in KY cover TACROLIMUS 1 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TACROLIMUS 5 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in KY cover TACROLIMUS 5 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAFINLAR 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TAFINLAR 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAFINLAR 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TAFINLAR 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAGRISSO 40 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TAGRISSO 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAGRISSO 80 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TAGRISSO 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAKHZYRO 300 MG/2 ML SYRINGE ![Compare how all Medicare Part D PDP plans in KY cover TAKHZYRO 300 MG/2 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAKHZYRO 300 MG/2 ML VIAL ![Compare how all Medicare Part D PDP plans in KY cover TAKHZYRO 300 MG/2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TALZENNA 0.25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TALZENNA 0.25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TALZENNA 0.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TALZENNA 0.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TALZENNA 0.75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TALZENNA 0.75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TALZENNA 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TALZENNA 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAMOXIFEN 10 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in KY cover TAMOXIFEN 10 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TAMOXIFEN 20 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in KY cover TAMOXIFEN 20 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TAMSULOSIN HCL 0.4 MG CAPSULE [Flomax] ![Compare how all Medicare Part D PDP plans in KY cover TAMSULOSIN HCL 0.4 MG CAPSULE [Flomax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TARINA FE 1-20 EQ TABLET ![Compare how all Medicare Part D PDP plans in KY cover TARINA FE 1-20 EQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK ![Compare how all Medicare Part D PDP plans in KY 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) |
1 |
Tier 1 |
25% | N/A | P Q:120 /30Days |
TASIGNA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TASIGNA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P Q:120 /30Days |
TASIGNA 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TASIGNA 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P Q:120 /30Days |
TAVNEOS 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TAVNEOS 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAZAROTENE 0.1% CREAM [Tazorac] ![Compare how all Medicare Part D PDP plans in KY cover TAZAROTENE 0.1% CREAM [Tazorac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAZORAC 0.05% CREAM (G) ![Compare how all Medicare Part D PDP plans in KY cover TAZORAC 0.05% CREAM (G).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAZORAC 0.05% GEL ![Compare how all Medicare Part D PDP plans in KY cover TAZORAC 0.05% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAZORAC 0.1% GEL ![Compare how all Medicare Part D PDP plans in KY cover TAZORAC 0.1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TAZTIA XT 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TAZTIA XT 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TAZTIA XT 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TAZTIA XT 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TAZVERIK 200 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TAZVERIK 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TDVAX VIAL ![Compare how all Medicare Part D PDP plans in KY cover TDVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
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 KY 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) |
1 |
Tier 1 |
25% | N/A | P |
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 KY 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) |
1 |
Tier 1 |
25% | N/A | P |
TEGSEDI 284 MG/1.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in KY cover TEGSEDI 284 MG/1.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TELMISARTAN 20 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN 20 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN 40 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN 40 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN 80 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN 80 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TELMISARTAN-AMLODIPINE 40-10 TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN-AMLODIPINE 40-10 TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN-AMLODIPINE 40-5 MG TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN-AMLODIPINE 40-5 MG TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN-AMLODIPINE 80-10 TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN-AMLODIPINE 80-10 TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN-AMLODIPINE 80-5 MG TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN-AMLODIPINE 80-5 MG TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in KY cover TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TEMAZEPAM 15 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in KY cover TEMAZEPAM 15 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:30 /30Days |
TEMAZEPAM 22.5 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in KY cover TEMAZEPAM 22.5 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:30 /30Days |
TEMAZEPAM 30 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in KY cover TEMAZEPAM 30 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:30 /30Days |
TEMAZEPAM 7.5 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in KY cover TEMAZEPAM 7.5 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TENIVAC SYRINGE ![Compare how all Medicare Part D PDP plans in KY cover TENIVAC SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TENOFOVIR DISOP FUM 300 MG TABLET [Viread] ![Compare how all Medicare Part D PDP plans in KY cover TENOFOVIR DISOP FUM 300 MG TABLET [Viread].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TEPMETKO 225 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TEPMETKO 225 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TERAZOSIN 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TERAZOSIN 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERAZOSIN 10 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in KY cover TERAZOSIN 10 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERAZOSIN 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TERAZOSIN 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERAZOSIN 5 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in KY cover TERAZOSIN 5 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERBINAFINE HCL 250 MG TABLET [Terbinex] ![Compare how all Medicare Part D PDP plans in KY cover TERBINAFINE HCL 250 MG TABLET [Terbinex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERBUTALINE SULFATE 2.5 MG TABLET [Brethine] ![Compare how all Medicare Part D PDP plans in KY cover TERBUTALINE SULFATE 2.5 MG TABLET [Brethine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERBUTALINE SULFATE 5 MG TABLET [Brethine] ![Compare how all Medicare Part D PDP plans in KY cover TERBUTALINE SULFATE 5 MG TABLET [Brethine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERCONAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in KY cover TERCONAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TERCONAZOLE 0.8% CREAM ![Compare how all Medicare Part D PDP plans in KY cover TERCONAZOLE 0.8% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERCONAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in KY cover TERCONAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TERIPARATIDE 620 MCG/2.48 ML PEN INJECTOR [Forteo] ![Compare how all Medicare Part D PDP plans in KY cover TERIPARATIDE 620 MCG/2.48 ML PEN INJECTOR [Forteo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERON CYP 2,000 MG/10 ML VIAL [Virilon] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERON CYP 2,000 MG/10 ML VIAL [Virilon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE 1.62% (2.5 G) PKT GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 1.62% (2.5 G) PKT GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE 1.62% GEL MD PUMP [AndroGel] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 1.62% GEL MD PUMP [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE 10 MG GEL MD PUMP [FORTESTA] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 10 MG GEL MD PUMP [FORTESTA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE 12.5 MG/1.25 GRAM GEL MD PMP [Vogelxo] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 12.5 MG/1.25 GRAM GEL MD PMP [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TESTOSTERONE 30 MG/1.5 ML SOL MD PUMP [AXIRON] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 30 MG/1.5 ML SOL MD PUMP [AXIRON].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE 50 MG/5 GRAM GEL PACKET [Vogelxo] ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE 50 MG/5 GRAM GEL PACKET [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Testosterone cyp 100 mg/ml ![Compare how all Medicare Part D PDP plans in KY cover Testosterone cyp 100 mg/ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TESTOSTERONE CYP 200 MG/ML ![Compare how all Medicare Part D PDP plans in KY cover TESTOSTERONE CYP 200 MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TETRABENAZINE 12.5 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in KY cover TETRABENAZINE 12.5 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P Q:90 /30Days |
TETRABENAZINE 25 MG TABLET [XENAZINE] ![Compare how all Medicare Part D PDP plans in KY cover TETRABENAZINE 25 MG TABLET [XENAZINE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P Q:120 /30Days |
TETRACYCLINE 250 MG CAPSULE [Panmycin] ![Compare how all Medicare Part D PDP plans in KY cover TETRACYCLINE 250 MG CAPSULE [Panmycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TETRACYCLINE 500 MG CAPSULE [Sumycin] ![Compare how all Medicare Part D PDP plans in KY cover TETRACYCLINE 500 MG CAPSULE [Sumycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
THALOMID 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover THALOMID 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THALOMID 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover THALOMID 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THALOMID 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover THALOMID 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THALOMID 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover THALOMID 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THEOPHYLLINE 80 MG/15 ML SOLUTION ![Compare how all Medicare Part D PDP plans in KY cover THEOPHYLLINE 80 MG/15 ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
THEOPHYLLINE ER 300 MG TAB ![Compare how all Medicare Part D PDP plans in KY cover THEOPHYLLINE ER 300 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
THEOPHYLLINE ER 400 MG TABLET ER 24H [Uniphyl] ![Compare how all Medicare Part D PDP plans in KY cover THEOPHYLLINE ER 400 MG TABLET ER 24H [Uniphyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
THEOPHYLLINE ER 450 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in KY cover THEOPHYLLINE ER 450 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
THEOPHYLLINE ER 600 MG TABLET ER 24H [Uniphyl] ![Compare how all Medicare Part D PDP plans in KY cover THEOPHYLLINE ER 600 MG TABLET ER 24H [Uniphyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
THIORIDAZINE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover THIORIDAZINE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THIORIDAZINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover THIORIDAZINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THIORIDAZINE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover THIORIDAZINE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THIORIDAZINE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover THIORIDAZINE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THIOTHIXENE 1 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in KY cover THIOTHIXENE 1 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THIOTHIXENE 10 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in KY cover THIOTHIXENE 10 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THIOTHIXENE 2 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in KY cover THIOTHIXENE 2 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
THIOTHIXENE 5 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in KY cover THIOTHIXENE 5 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in KY cover TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIAGABINE HCL 12 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in KY cover TIAGABINE HCL 12 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIAGABINE HCL 16 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in KY cover TIAGABINE HCL 16 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIAGABINE HCL 2 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in KY cover TIAGABINE HCL 2 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIAGABINE HCL 4 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in KY cover TIAGABINE HCL 4 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIBSOVO 250 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIBSOVO 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TICOVAC 2.4 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in KY cover TICOVAC 2.4 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIGECYCLINE 50 MG VIAL [Tygacil] ![Compare how all Medicare Part D PDP plans in KY cover TIGECYCLINE 50 MG VIAL [Tygacil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIGLUTIK 50 MG/10 ML Oral Suspension ![Compare how all Medicare Part D PDP plans in KY cover TIGLUTIK 50 MG/10 ML Oral Suspension.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TIMOLOL 0.25% GFS GEL-SOLUTION SOL-GEL [Timoptic-XE] ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL 0.25% GFS GEL-SOLUTION SOL-GEL [Timoptic-XE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIMOLOL 0.5% GFS GEL-SOLUTION SOL-GEL [Timoptic-XE] ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL 0.5% GFS GEL-SOLUTION SOL-GEL [Timoptic-XE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIMOLOL MALEATE 0.25% EYE DROPS [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL MALEATE 0.25% EYE DROPS [Timoptic Ocumeter].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIMOLOL MALEATE 0.5% EYE DROPS [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL MALEATE 0.5% EYE DROPS [Timoptic Ocumeter].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIMOLOL MALEATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL MALEATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIMOLOL MALEATE 20MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL MALEATE 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIMOLOL MALEATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIMOLOL MALEATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TINIDAZOLE 250 MG TABLET [Tindamax] ![Compare how all Medicare Part D PDP plans in KY cover TINIDAZOLE 250 MG TABLET [Tindamax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TINIDAZOLE 500 MG TABLET [Tindamax] ![Compare how all Medicare Part D PDP plans in KY cover TINIDAZOLE 500 MG TABLET [Tindamax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIVICAY 10 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIVICAY 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIVICAY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIVICAY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIVICAY 50 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIVICAY 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIVICAY PD 5 MG TABLET FOR SUSPENSION ![Compare how all Medicare Part D PDP plans in KY cover TIVICAY PD 5 MG TABLET FOR SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIZANIDINE HCL 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TIZANIDINE HCL 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIZANIDINE HCL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIZANIDINE HCL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIZANIDINE HCL 4 MG CAPSULE [Zanaflex] ![Compare how all Medicare Part D PDP plans in KY cover TIZANIDINE HCL 4 MG CAPSULE [Zanaflex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIZANIDINE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TIZANIDINE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TIZANIDINE HCL 6 MG CAPSULE [Zanaflex] ![Compare how all Medicare Part D PDP plans in KY cover TIZANIDINE HCL 6 MG CAPSULE [Zanaflex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOBRAMYCIN 0.3% EYE DROPS [Tobrex] ![Compare how all Medicare Part D PDP plans in KY cover TOBRAMYCIN 0.3% EYE DROPS [Tobrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in KY cover TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in KY cover TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in KY cover TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOBRAMYCIN-DEXAMETH OPTH SUSP ![Compare how all Medicare Part D PDP plans in KY cover TOBRAMYCIN-DEXAMETH OPTH SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOLTERODINE TART ER 2 MG CAPSULE ER 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in KY cover TOLTERODINE TART ER 2 MG CAPSULE ER 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOLTERODINE TART ER 4 MG CAPSULE ER 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in KY cover TOLTERODINE TART ER 4 MG CAPSULE ER 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOLTERODINE TARTRATE 1 MG TABLET [Detrol] ![Compare how all Medicare Part D PDP plans in KY cover TOLTERODINE TARTRATE 1 MG TABLET [Detrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOLTERODINE TARTRATE 2 MG TABLET [Detrol] ![Compare how all Medicare Part D PDP plans in KY cover TOLTERODINE TARTRATE 2 MG TABLET [Detrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOLVAPTAN 15 MG TABLET [Samsca] ![Compare how all Medicare Part D PDP plans in KY cover TOLVAPTAN 15 MG TABLET [Samsca].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TOLVAPTAN 30 MG TABLET [Samsca] ![Compare how all Medicare Part D PDP plans in KY cover TOLVAPTAN 30 MG TABLET [Samsca].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TOPIRAMATE 100 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE 100 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE 15 MG SPRINKLE CAP ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE 15 MG SPRINKLE CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE 200 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE 200 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE 25 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE 25 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Topiramate 25mg/1 ![Compare how all Medicare Part D PDP plans in KY cover Topiramate 25mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE 50 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE 50 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE ER 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE ER 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE ER 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE ER 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOPIRAMATE ER 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE ER 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE ER 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE ER 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOPIRAMATE ER 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TOPIRAMATE ER 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOREMIFENE CITRATE 60 MG TABLET [Fareston] ![Compare how all Medicare Part D PDP plans in KY cover TOREMIFENE CITRATE 60 MG TABLET [Fareston].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P Q:30 /30Days |
TORSEMIDE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TORSEMIDE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TORSEMIDE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TORSEMIDE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TORSEMIDE 20 MG TABLET [Demadex] ![Compare how all Medicare Part D PDP plans in KY cover TORSEMIDE 20 MG TABLET [Demadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TORSEMIDE 5 MG TABLET [Demadex] ![Compare how all Medicare Part D PDP plans in KY cover TORSEMIDE 5 MG TABLET [Demadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN ![Compare how all Medicare Part D PDP plans in KY cover TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TOUJEO SOLOSTAR 300 UNITS/ML ![Compare how all Medicare Part D PDP plans in KY cover TOUJEO SOLOSTAR 300 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TPN ELECTROLYTES16.5/25.4 VIAL ![Compare how all Medicare Part D PDP plans in KY cover TPN ELECTROLYTES16.5/25.4 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRAMADOL HCL 100 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRAMADOL HCL 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:120 /30Days |
TRAMADOL HCL 50 MG TABLET [Ultram] ![Compare how all Medicare Part D PDP plans in KY cover TRAMADOL HCL 50 MG TABLET [Ultram].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:240 /30Days |
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet] ![Compare how all Medicare Part D PDP plans in KY cover TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:240 /30Days |
TRANDOLAPRIL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRANDOLAPRIL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRANDOLAPRIL 2 MG TABLET [Mavik] ![Compare how all Medicare Part D PDP plans in KY cover TRANDOLAPRIL 2 MG TABLET [Mavik].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRANDOLAPRIL 4 MG TABLET [Mavik] ![Compare how all Medicare Part D PDP plans in KY cover TRANDOLAPRIL 4 MG TABLET [Mavik].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRANDOLAPRIL-VERAPAMIL ER 1-240 MG ![Compare how all Medicare Part D PDP plans in KY cover TRANDOLAPRIL-VERAPAMIL ER 1-240 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRANDOLAPRIL-VERAPAMIL ER 2-180 MG ![Compare how all Medicare Part D PDP plans in KY cover TRANDOLAPRIL-VERAPAMIL ER 2-180 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRANDOLAPRIL-VERAPAMIL ER 2-240 MG ![Compare how all Medicare Part D PDP plans in KY cover TRANDOLAPRIL-VERAPAMIL ER 2-240 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRANDOLAPRIL-VERAPAMIL ER 4-240 MG ![Compare how all Medicare Part D PDP plans in KY cover TRANDOLAPRIL-VERAPAMIL ER 4-240 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRANEXAMIC ACID 650 MG TABLET [Lysteda] ![Compare how all Medicare Part D PDP plans in KY cover TRANEXAMIC ACID 650 MG TABLET [Lysteda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRANYLCYPROMINE SULF 10 MG TABLET [Parnate] ![Compare how all Medicare Part D PDP plans in KY cover TRANYLCYPROMINE SULF 10 MG TABLET [Parnate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRAVASOL 10% SOLUTION VIAFLEX ![Compare how all Medicare Part D PDP plans in KY cover TRAVASOL 10% SOLUTION VIAFLEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRAVOPROST 0.004% EYE DROPS [Travatan] ![Compare how all Medicare Part D PDP plans in KY cover TRAVOPROST 0.004% EYE DROPS [Travatan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRAZODONE 100 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in KY cover TRAZODONE 100 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRAZODONE 150 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in KY cover TRAZODONE 150 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRAZODONE 300 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in KY cover TRAZODONE 300 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRAZODONE 50 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in KY cover TRAZODONE 50 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRECATOR 250MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRECATOR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRELEGY ELLIPTA 100-62.5-25 ![Compare how all Medicare Part D PDP plans in KY cover TRELEGY ELLIPTA 100-62.5-25.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRELEGY ELLIPTA 200-62.5-25 BLST W/DEV ![Compare how all Medicare Part D PDP plans in KY cover TRELEGY ELLIPTA 200-62.5-25 BLST W/DEV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRELSTAR 11.25 MG VIAL ![Compare how all Medicare Part D PDP plans in KY cover TRELSTAR 11.25 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRELSTAR 22.5 MG VIAL ![Compare how all Medicare Part D PDP plans in KY cover TRELSTAR 22.5 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRELSTAR 3.75 MG VIAL ![Compare how all Medicare Part D PDP plans in KY cover TRELSTAR 3.75 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRESIBA 100 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in KY cover TRESIBA 100 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRESIBA FLEXTOUCH 100 UNITS/ML ![Compare how all Medicare Part D PDP plans in KY cover TRESIBA FLEXTOUCH 100 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRESIBA FLEXTOUCH 200 UNITS/ML ![Compare how all Medicare Part D PDP plans in KY cover TRESIBA FLEXTOUCH 200 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRETINOIN 0.01% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in KY cover TRETINOIN 0.01% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRETINOIN 0.025% CREAM (G) [Tretin-X] ![Compare how all Medicare Part D PDP plans in KY cover TRETINOIN 0.025% CREAM (G) [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRETINOIN 0.025% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in KY cover TRETINOIN 0.025% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRETINOIN 0.05% CREAM ![Compare how all Medicare Part D PDP plans in KY cover TRETINOIN 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRETINOIN 0.1% CREAM ![Compare how all Medicare Part D PDP plans in KY cover TRETINOIN 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRETINOIN 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TRETINOIN 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TREXALL 10MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TREXALL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TREXALL 15MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TREXALL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TREXALL 5MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TREXALL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TREXALL 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TREXALL 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRI-ESTARYLLA TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in KY cover TRI-ESTARYLLA TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRI-MILI 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in KY cover TRI-MILI 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRI-NYMYO 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in KY cover TRI-NYMYO 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRI-SPRINTEC 7DAYSX3 28 TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRI-SPRINTEC 7DAYSX3 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRI-VYLIBRA 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in KY cover TRI-VYLIBRA 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMCINOLONE 0.025% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE 0.025% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMCINOLONE 0.025% OINT ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE 0.025% OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMCINOLONE 0.1% CREAM (G) [Triderm] ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE 0.1% CREAM (G) [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMCINOLONE 0.1% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE 0.1% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMCINOLONE 0.1% OINTMENT [Triderm] ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE 0.1% OINTMENT [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMCINOLONE 0.1% PASTE PASTE (G) [Oralone] ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE 0.1% PASTE PASTE (G) [Oralone].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE ![Compare how all Medicare Part D PDP plans in KY cover TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in KY 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) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide] ![Compare how all Medicare Part D PDP plans in KY cover TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMTERENE-HCTZ 37.5-25 MG TABLET [Maxzide] ![Compare how all Medicare Part D PDP plans in KY cover TRIAMTERENE-HCTZ 37.5-25 MG TABLET [Maxzide].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAMTERENE-HCTZ 75-50 MG TAB ![Compare how all Medicare Part D PDP plans in KY cover TRIAMTERENE-HCTZ 75-50 MG TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIAZOLAM 0.125 MG TABLET [Halcion] ![Compare how all Medicare Part D PDP plans in KY cover TRIAZOLAM 0.125 MG TABLET [Halcion].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAZOLAM 0.25 MG TABLET [Halcion] ![Compare how all Medicare Part D PDP plans in KY cover TRIAZOLAM 0.25 MG TABLET [Halcion].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIENTINE HCL 250 MG CAPSULE [Syprine] ![Compare how all Medicare Part D PDP plans in KY cover TRIENTINE HCL 250 MG CAPSULE [Syprine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRIFLUOPERAZINE 1 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRIFLUOPERAZINE 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRIFLUOPERAZINE HCL 2MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRIFLUOPERAZINE HCL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRIFLUOPERAZINE HCL 5MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRIFLUOPERAZINE HCL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in KY cover TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT ![Compare how all Medicare Part D PDP plans in KY cover TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIHEXYPHENIDYL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRIHEXYPHENIDYL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIHEXYPHENIDYL 5 MG TABLET [Artane] ![Compare how all Medicare Part D PDP plans in KY cover TRIHEXYPHENIDYL 5 MG TABLET [Artane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in KY cover Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in KY cover TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIKAFTA 50-25-37.5 MG/75 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in KY cover TRIKAFTA 50-25-37.5 MG/75 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRIMETHOBENZAMIDE 300 MG CAPSULE [Tigan] ![Compare how all Medicare Part D PDP plans in KY cover TRIMETHOBENZAMIDE 300 MG CAPSULE [Tigan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIMETHOPRIM 100 MG TABLET [Proloprim] ![Compare how all Medicare Part D PDP plans in KY cover TRIMETHOPRIM 100 MG TABLET [Proloprim].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIMIPRAMINE MALEATE 100 MG CP ![Compare how all Medicare Part D PDP plans in KY cover TRIMIPRAMINE MALEATE 100 MG CP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIMIPRAMINE MALEATE 25 MG CAP ![Compare how all Medicare Part D PDP plans in KY cover TRIMIPRAMINE MALEATE 25 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIMIPRAMINE MALEATE 50 MG CAP ![Compare how all Medicare Part D PDP plans in KY cover TRIMIPRAMINE MALEATE 50 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRINTELLIX 10 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRINTELLIX 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:30 /30Days |
TRINTELLIX 20 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRINTELLIX 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:30 /30Days |
TRINTELLIX 5 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRINTELLIX 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | Q:30 /30Days |
TRIUMEQ PD 60-5-30 MG TABLET SUSP ![Compare how all Medicare Part D PDP plans in KY cover TRIUMEQ PD 60-5-30 MG TABLET SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIUMEQ TABLET ![Compare how all Medicare Part D PDP plans in KY cover TRIUMEQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIVORA-28 TABLET [Trivora] ![Compare how all Medicare Part D PDP plans in KY cover TRIVORA-28 TABLET [Trivora].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRIZIVIR 300; 150; 300mg/1; mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE ![Compare how all Medicare Part D PDP plans in KY cover TRIZIVIR 300; 150; 300mg/1; mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TROPHAMINE INJECTION SOLUTION ![Compare how all Medicare Part D PDP plans in KY cover TROPHAMINE INJECTION SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TROSPIUM CHLORIDE 20 MG TABLET [Sanctura] ![Compare how all Medicare Part D PDP plans in KY cover TROSPIUM CHLORIDE 20 MG TABLET [Sanctura].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TROSPIUM CHLORIDE ER 60 MG CAP ![Compare how all Medicare Part D PDP plans in KY cover TROSPIUM CHLORIDE ER 60 MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRULICITY 0.75 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in KY cover TRULICITY 0.75 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRULICITY 1.5 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in KY cover TRULICITY 1.5 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRULICITY 3 MG/0.5 ML PEN INJECTOR ![Compare how all Medicare Part D PDP plans in KY cover TRULICITY 3 MG/0.5 ML PEN INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRULICITY 4.5 MG/0.5 ML PEN INJECTOR ![Compare how all Medicare Part D PDP plans in KY cover TRULICITY 4.5 MG/0.5 ML PEN INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRUMENBA 120 MCG/0.5 ML VACCIN Syringe ![Compare how all Medicare Part D PDP plans in KY cover TRUMENBA 120 MCG/0.5 ML VACCIN Syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TRUSELTIQ 100 MG DAILY DOSE PK CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TRUSELTIQ 100 MG DAILY DOSE PK CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRUSELTIQ 125 MG DAILY DOSE PK CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TRUSELTIQ 125 MG DAILY DOSE PK CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRUSELTIQ 50 MG DAILY DOSE PK CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TRUSELTIQ 50 MG DAILY DOSE PK CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TRUSELTIQ 75 MG DAILY DOSE PK CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TRUSELTIQ 75 MG DAILY DOSE PK CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TUKYSA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TUKYSA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TUKYSA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TUKYSA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TURALIO 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in KY cover TURALIO 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TWINRIX VACCINE SYRINGE ![Compare how all Medicare Part D PDP plans in KY cover TWINRIX VACCINE SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TYBOST 150 MG TABLET ![Compare how all Medicare Part D PDP plans in KY cover TYBOST 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TYMLOS 80 MCG DOSE PEN INJECTR ![Compare how all Medicare Part D PDP plans in KY cover TYMLOS 80 MCG DOSE PEN INJECTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | P |
TYPHIM VI 25 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in KY cover TYPHIM VI 25 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |
TYPHIM VI 25MCG/0.5ML VIAL ![Compare how all Medicare Part D PDP plans in KY cover TYPHIM VI 25MCG/0.5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
25% | N/A | None |