2023 Medicare Part D Plan Formulary Information |
Kaiser Permanente Senior Advantage Basic Fresno (HMO) (H0524-046-0)
Benefit Details
![Email Prescription and/or Health Benefit details for Kaiser Permanente Senior Advantage Basic Fresno (HMO). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. |
The Kaiser Permanente Senior Advantage Basic Fresno (HMO) (H0524-046-0) Formulary Drugs Starting with the Letter N in Mariposa County, CA: CMS MA Region 24 which includes: CA
|
Drugs Starting with Letter N
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
NABUMETONE 500 MG TABLET [Relafen] ![Compare how all Medicare Part D PDP plans in CA cover NABUMETONE 500 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NABUMETONE 750 MG TABLET [Relafen] ![Compare how all Medicare Part D PDP plans in CA cover NABUMETONE 750 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NADOLOL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NADOLOL 40 MG TABLET [Corgard] ![Compare how all Medicare Part D PDP plans in CA cover NADOLOL 40 MG TABLET [Corgard].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAFCILLIN 1 GM VIAL ![Compare how all Medicare Part D PDP plans in CA cover NAFCILLIN 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in CA cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAFCILLIN 2 GM VIAL ![Compare how all Medicare Part D PDP plans in CA cover NAFCILLIN 2 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAFTIFINE HCL 2% CREAM (G) [Naftin] ![Compare how all Medicare Part D PDP plans in CA cover NAFTIFINE HCL 2% CREAM (G) [Naftin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan] ![Compare how all Medicare Part D PDP plans in CA cover NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NALOXONE 0.4 MG/ML VIAL [Narcan] ![Compare how all Medicare Part D PDP plans in CA cover NALOXONE 0.4 MG/ML VIAL [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in CA cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NALOXONE HCL 4 MG NASAL SPRAY [Narcan] ![Compare how all Medicare Part D PDP plans in CA cover NALOXONE HCL 4 MG NASAL SPRAY [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NALTREXONE 50 MG TABLET [ReVia] ![Compare how all Medicare Part D PDP plans in CA cover NALTREXONE 50 MG TABLET [ReVia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAPROXEN 125 MG/5 ML ORAL SUSPENSION [Naprosyn] ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN 125 MG/5 ML ORAL SUSPENSION [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAPROXEN 250 MG TABLET [Naprosyn] ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN 250 MG TABLET [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NAPROXEN-ESOMEPRAZ DR 500-20MG TABLET IR DR [Vimovo] ![Compare how all Medicare Part D PDP plans in CA cover NAPROXEN-ESOMEPRAZ DR 500-20MG TABLET IR DR [Vimovo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in CA cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NATACYN 5% EYE DROPS/EYE DROPPER ![Compare how all Medicare Part D PDP plans in CA cover NATACYN 5% EYE DROPS/EYE DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NATEGLINIDE 120 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in CA cover NATEGLINIDE 120 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NATEGLINIDE 60 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in CA cover NATEGLINIDE 60 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in CA cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NAYZILAM 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in CA cover NAYZILAM 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NECON 0.5-35-28 TABLET [WERA] ![Compare how all Medicare Part D PDP plans in CA cover NECON 0.5-35-28 TABLET [WERA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in CA cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in CA cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex] ![Compare how all Medicare Part D PDP plans in CA cover NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex] ![Compare how all Medicare Part D PDP plans in CA cover NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in CA cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in CA cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune] ![Compare how all Medicare Part D PDP plans in CA cover NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in CA cover NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in CA cover NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIACIN ER 500 MG TABLET 24H [Slo-Niacin] ![Compare how all Medicare Part D PDP plans in CA cover NIACIN ER 500 MG TABLET 24H [Slo-Niacin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIACOR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NIACOR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in CA cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NIFEDIPINE 10 MG CAPSULE [Procardia] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE 10 MG CAPSULE [Procardia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIFEDIPINE 20 MG CAPSULE [Procardia] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE 20 MG CAPSULE [Procardia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIFEDIPINE ER 30 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 30 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIFEDIPINE ER 60 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 60 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 90 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in CA cover NIFEDIPINE ER 90 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NIKKI 3 MG-0.02 MG TABLET [Yaz] ![Compare how all Medicare Part D PDP plans in CA cover NIKKI 3 MG-0.02 MG TABLET [Yaz].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in CA cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NIMODIPINE 30 MG CAPSULE [Nimotop] ![Compare how all Medicare Part D PDP plans in CA cover NIMODIPINE 30 MG CAPSULE [Nimotop].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NITAZOXANIDE 500 MG TABLET [Alinia] ![Compare how all Medicare Part D PDP plans in CA cover NITAZOXANIDE 500 MG TABLET [Alinia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NITISINONE 10 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in CA cover NITISINONE 10 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITISINONE 2 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in CA cover NITISINONE 2 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITISINONE 5 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in CA cover NITISINONE 5 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITRO-BID 2% OINTMENT ![Compare how all Medicare Part D PDP plans in CA cover NITRO-BID 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITRO-DUR 0.3 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.3 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NITRO-DUR 0.8 MG/HR PATCH ![Compare how all Medicare Part D PDP plans in CA cover NITRO-DUR 0.8 MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [Furadantin] ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [Furadantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROFURANTOIN MCR 25 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN MCR 25 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in CA cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc] ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROGLYCERIN 400 MCG SPRAY [Nitrolingual] ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN 400 MCG SPRAY [Nitrolingual].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in CA cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NITYR 10 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NITYR 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NITYR 2 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NITYR 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NITYR 5 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NITYR 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NIVESTYM 300 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NIVESTYM 300 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NIVESTYM 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NIVESTYM 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NIVESTYM 480 MCG/0.8 ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NIVESTYM 480 MCG/0.8 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIVESTYM 480 MCG/1.6 ML VIAL ![Compare how all Medicare Part D PDP plans in CA cover NIVESTYM 480 MCG/1.6 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC ![Compare how all Medicare Part D PDP plans in CA cover Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NORDITROPIN FLEXPRO 30 MG/3 ML ![Compare how all Medicare Part D PDP plans in CA cover NORDITROPIN FLEXPRO 30 MG/3 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NORETH-EE-FE 1-0.02(24)-75 CHEWABLE TABLET [Minastrin] ![Compare how all Medicare Part D PDP plans in CA cover NORETH-EE-FE 1-0.02(24)-75 CHEWABLE TABLET [Minastrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in CA cover NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORETHINDRONE 5 MG TABLET [Aygestin] ![Compare how all Medicare Part D PDP plans in CA cover NORETHINDRONE 5 MG TABLET [Aygestin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORPACE CR 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NORPACE CR 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
NORPACE CR 150MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in CA cover NORPACE CR 150MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in CA cover Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in CA cover Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in CA cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER ![Compare how all Medicare Part D PDP plans in CA cover Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORTRIPTYLINE HCL 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE HCL 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in CA cover NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NORVIR 100 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in CA cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $200.00 | None |
NOURIANZ 20 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NOURIANZ 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NOURIANZ 40 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NOURIANZ 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NOXAFIL 300 MG POWDERMIX SUSPDR PACKET ![Compare how all Medicare Part D PDP plans in CA cover NOXAFIL 300 MG POWDERMIX SUSPDR PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUBEQA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NUBEQA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUCALA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in CA cover NUCALA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NUCALA 100 MG/ML AUTO-INJECTOR AUTO INJCT ![Compare how all Medicare Part D PDP plans in CA cover NUCALA 100 MG/ML AUTO-INJECTOR AUTO INJCT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NUCALA 100 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NUCALA 100 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NUCALA 40 MG/0.4 ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NUCALA 40 MG/0.4 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NUCYNTA 100 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NUCYNTA 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUCYNTA ER 200 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in CA cover NUCYNTA ER 200 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUCYNTA ER 250 MG TABLET ER 12H ![Compare how all Medicare Part D PDP plans in CA cover NUCYNTA ER 250 MG TABLET ER 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in CA cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUPLAZID 10 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NUPLAZID 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUPLAZID 34 MG CAPSULE ![Compare how all Medicare Part D PDP plans in CA cover NUPLAZID 34 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NURTEC ODT 75 MG TABLET RAPDIS ![Compare how all Medicare Part D PDP plans in CA cover NURTEC ODT 75 MG TABLET RAPDIS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in CA cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NUTROPIN AQ NUSPIN 10 INJECTOR ![Compare how all Medicare Part D PDP plans in CA cover NUTROPIN AQ NUSPIN 10 INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | P |
NUZYRA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in CA cover NUZYRA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NUZYRA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in CA cover NUZYRA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NYLIA 1-35 28 TABLET [Pirmella] ![Compare how all Medicare Part D PDP plans in CA cover NYLIA 1-35 28 TABLET [Pirmella].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYMALIZE 60 MG/10 ML ORAL SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NYMALIZE 60 MG/10 ML ORAL SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex] ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [Nystex] ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin] ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYSTATIN-TRIAMCINOLONE CREAM (G) [N.T.A.] ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN-TRIAMCINOLONE CREAM (G) [N.T.A.].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex] ![Compare how all Medicare Part D PDP plans in CA cover NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in CA cover NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$12.00 | $24.00 | None |
NYVEPRIA 6 MG/0.6 ML SYRINGE ![Compare how all Medicare Part D PDP plans in CA cover NYVEPRIA 6 MG/0.6 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | 33% | None |