2023 Medicare Part D Plan Formulary Information |
Anthem MediBlue Access Basic (PPO) (H4909-016-0)
Benefit Details
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The Anthem MediBlue Access Basic (PPO) (H4909-016-0) Formulary Drugs Starting with the Letter N in Douglas County, MO: CMS MA Region 15 which includes: MO
|
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 MO cover NABUMETONE 500 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NABUMETONE 750 MG TABLET [Relafen] ![Compare how all Medicare Part D PDP plans in MO cover NABUMETONE 750 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NADOLOL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NADOLOL 40 MG TABLET [Corgard] ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 40 MG TABLET [Corgard].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NAFCILLIN 1 GM VIAL ![Compare how all Medicare Part D PDP plans in MO cover NAFCILLIN 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in MO cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
NAFCILLIN 2 GM VIAL ![Compare how all Medicare Part D PDP plans in MO cover NAFCILLIN 2 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan] ![Compare how all Medicare Part D PDP plans in MO cover NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NALOXONE 0.4 MG/ML VIAL [Narcan] ![Compare how all Medicare Part D PDP plans in MO cover NALOXONE 0.4 MG/ML VIAL [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in MO cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NALOXONE HCL 4 MG NASAL SPRAY [Narcan] ![Compare how all Medicare Part D PDP plans in MO cover NALOXONE HCL 4 MG NASAL SPRAY [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NALTREXONE 50 MG TABLET [ReVia] ![Compare how all Medicare Part D PDP plans in MO cover NALTREXONE 50 MG TABLET [ReVia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NAMZARIC 14 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 14 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NAMZARIC 21 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 21 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NAMZARIC 28 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 28 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NAMZARIC 7 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC 7 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NAMZARIC TITRATION PACK ![Compare how all Medicare Part D PDP plans in MO cover NAMZARIC TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NAPROXEN 125 MG/5 ML ORAL SUSPENSION [Naprosyn] ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 125 MG/5 ML ORAL SUSPENSION [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NAPROXEN 250 MG TABLET [Naprosyn] ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 250 MG TABLET [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NAPROXEN DR 500 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN DR 500 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NAPROXEN SODIUM 275 MG TABLET [Anaprox] ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN SODIUM 275 MG TABLET [Anaprox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NAPROXEN SODIUM 550 MG TABLET [Anaprox DS] ![Compare how all Medicare Part D PDP plans in MO cover NAPROXEN SODIUM 550 MG TABLET [Anaprox DS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:9 /30Days |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:9 /30Days |
NARCAN 4 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in MO cover NARCAN 4 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NATACYN 5% EYE DROPS/EYE DROPPER ![Compare how all Medicare Part D PDP plans in MO cover NATACYN 5% EYE DROPS/EYE DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NATEGLINIDE 120 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in MO cover NATEGLINIDE 120 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Select Care Drugs |
$0.00 | $0.00 | Q:90 /30Days |
NATEGLINIDE 60 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in MO cover NATEGLINIDE 60 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
6 |
Select Care Drugs |
$0.00 | $0.00 | Q:180 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:2 /28Days |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:2 /28Days |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:2 /28Days |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in MO cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:2 /28Days |
NAYZILAM 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in MO cover NAYZILAM 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NEBIVOLOL 10 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in MO cover NEBIVOLOL 10 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NEBIVOLOL 2.5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in MO cover NEBIVOLOL 2.5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NEBIVOLOL 20 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in MO cover NEBIVOLOL 20 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NEBIVOLOL 5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in MO cover NEBIVOLOL 5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NECON 0.5-35-28 TABLET [WERA] ![Compare how all Medicare Part D PDP plans in MO cover NECON 0.5-35-28 TABLET [WERA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | Q:60 /30Days |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | Q:60 /30Days |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | Q:60 /30Days |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | Q:90 /30Days |
NEO-POLYCIN EYE OINTMENT [Polymycin] ![Compare how all Medicare Part D PDP plans in MO cover NEO-POLYCIN EYE OINTMENT [Polymycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort] ![Compare how all Medicare Part D PDP plans in MO cover NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in MO cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex] ![Compare how all Medicare Part D PDP plans in MO cover NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex] ![Compare how all Medicare Part D PDP plans in MO cover NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in MO cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:180 /30Days |
Neuac gel ![Compare how all Medicare Part D PDP plans in MO cover Neuac gel.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:1 /28Days |
NEUPOGEN 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE ![Compare how all Medicare Part D PDP plans in MO 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% | N/A | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in MO 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% | N/A | P |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:30 /30Days |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:30 /30Days |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:30 /30Days |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:30 /30Days |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in MO cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:30 /30Days |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | Q:60 /30Days |
NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune] ![Compare how all Medicare Part D PDP plans in MO cover NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:1200 /30Days |
NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in MO cover NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:90 /30Days |
NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in MO cover NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:30 /30Days |
NEXAVAR TABLETS 200MG 120 BOTTLE ![Compare how all Medicare Part D PDP plans in MO cover NEXAVAR TABLETS 200MG 120 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
NIACIN 500 MG TABLET [Niacor] ![Compare how all Medicare Part D PDP plans in MO cover NIACIN 500 MG TABLET [Niacor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIACIN ER 1,000 MG TABLET 24H [Niaspan] ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 1,000 MG TABLET 24H [Niaspan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NIACIN ER 500 MG TABLET 24H [Slo-Niacin] ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 500 MG TABLET 24H [Slo-Niacin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in MO cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NIACOR 500 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NIACOR 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
Nicardipine hydrochloride 20 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in MO cover Nicardipine hydrochloride 20 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
Nicardipine hydrochloride 30 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in MO cover Nicardipine hydrochloride 30 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in MO cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | Q:120 /30Days |
NIFEDIPINE 10 MG CAPSULE [Procardia] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE 10 MG CAPSULE [Procardia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | P |
NIFEDIPINE 20 MG CAPSULE [Procardia] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE 20 MG CAPSULE [Procardia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | P |
NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NIFEDIPINE ER 30 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 30 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NIFEDIPINE ER 60 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 60 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in MO cover NIFEDIPINE ER 90 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NIKKI 3 MG-0.02 MG TABLET [Yaz] ![Compare how all Medicare Part D PDP plans in MO cover NIKKI 3 MG-0.02 MG TABLET [Yaz].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in MO cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | Q:30 /30Days |
NIMODIPINE 30 MG CAPSULE [Nimotop] ![Compare how all Medicare Part D PDP plans in MO cover NIMODIPINE 30 MG CAPSULE [Nimotop].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:3 /28Days |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:3 /28Days |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:3 /28Days |
NITAZOXANIDE 500 MG TABLET [Alinia] ![Compare how all Medicare Part D PDP plans in MO cover NITAZOXANIDE 500 MG TABLET [Alinia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:6 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITISINONE 10 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in MO cover NITISINONE 10 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NITISINONE 2 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in MO cover NITISINONE 2 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NITISINONE 20 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in MO cover NITISINONE 20 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NITISINONE 5 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in MO cover NITISINONE 5 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NITRO-BID 2% OINTMENT ![Compare how all Medicare Part D PDP plans in MO cover NITRO-BID 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [Furadantin] ![Compare how all Medicare Part D PDP plans in MO cover NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [Furadantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | None |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in MO cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in MO cover NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in MO cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc] ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NITROGLYCERIN 400 MCG SPRAY [Nitrolingual] ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN 400 MCG SPRAY [Nitrolingual].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in MO cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NITROSTAT 0.4 MG TABLET SL [Nitrotab] ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.4 MG TABLET SL [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in MO cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NIVESTYM 300 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NIVESTYM 300 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NIVESTYM 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NIVESTYM 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIVESTYM 480 MCG/0.8 ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NIVESTYM 480 MCG/0.8 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NIVESTYM 480 MCG/1.6 ML VIAL ![Compare how all Medicare Part D PDP plans in MO cover NIVESTYM 480 MCG/1.6 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NIZATIDINE 150 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in MO cover NIZATIDINE 150 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NIZATIDINE 300 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in MO cover NIZATIDINE 300 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | 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 MO 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% | N/A | 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 MO 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% | N/A | 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 MO 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% | N/A | P |
NORDITROPIN FLEXPRO 30 MG/3 ML ![Compare how all Medicare Part D PDP plans in MO cover NORDITROPIN FLEXPRO 30 MG/3 ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
noret-estr-fe 0.4-0.035(21)-75 ![Compare how all Medicare Part D PDP plans in MO cover noret-estr-fe 0.4-0.035(21)-75.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NORETH-EE-FE 1 MG/20-30-35 MCG TABLET [Tri-Legest Fe] ![Compare how all Medicare Part D PDP plans in MO cover NORETH-EE-FE 1 MG/20-30-35 MCG TABLET [Tri-Legest Fe].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORETH-EE-FE 1-0.02(21)-75 TABLET [Tarina Fe 1/20] ![Compare how all Medicare Part D PDP plans in MO cover NORETH-EE-FE 1-0.02(21)-75 TABLET [Tarina Fe 1/20].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NORETHIN-ETH ESTRAD 1 MG-5 MCG ![Compare how all Medicare Part D PDP plans in MO cover NORETHIN-ETH ESTRAD 1 MG-5 MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | P |
NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique] ![Compare how all Medicare Part D PDP plans in MO cover NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | P |
NORETHIND-ETH ESTRAD 1-0.02 MG ![Compare how all Medicare Part D PDP plans in MO cover NORETHIND-ETH ESTRAD 1-0.02 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in MO cover NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NORETHINDRONE 5 MG TABLET [Aygestin] ![Compare how all Medicare Part D PDP plans in MO cover NORETHINDRONE 5 MG TABLET [Aygestin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NORG-EE 0.18-0.215-0.25/0.025 TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in MO cover NORG-EE 0.18-0.215-0.25/0.025 TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NORG-EE 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in MO cover NORG-EE 0.18-0.215-0.25/0.035.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NORG-ETHIN ESTRA 0.25-0.035 MG TABLET [VyLibra] ![Compare how all Medicare Part D PDP plans in MO cover NORG-ETHIN ESTRA 0.25-0.035 MG TABLET [VyLibra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
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 MO 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) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in MO 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) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in MO cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | 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 MO 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) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | None |
NORTRIPTYLINE HCL 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in MO cover NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NORVIR 100 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in MO cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | Q:360 /30Days |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in MO cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NUBEQA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NUBEQA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:120 /30Days |
NUCALA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in MO cover NUCALA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUCALA 100 MG/ML AUTO-INJECTOR AUTO INJCT ![Compare how all Medicare Part D PDP plans in MO cover NUCALA 100 MG/ML AUTO-INJECTOR AUTO INJCT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NUCALA 100 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NUCALA 100 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NUCALA 40 MG/0.4 ML SYRINGE ![Compare how all Medicare Part D PDP plans in MO cover NUCALA 40 MG/0.4 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in MO cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:60 /30Days |
NUPLAZID 10 MG TABLET ![Compare how all Medicare Part D PDP plans in MO cover NUPLAZID 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:30 /30Days |
NUPLAZID 34 MG CAPSULE ![Compare how all Medicare Part D PDP plans in MO cover NUPLAZID 34 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:30 /30Days |
NURTEC ODT 75 MG TABLET RAPDIS ![Compare how all Medicare Part D PDP plans in MO cover NURTEC ODT 75 MG TABLET RAPDIS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
33% | N/A | P Q:16 /30Days |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in MO cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | P |
NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in MO cover NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NYLIA 1-35 28 TABLET [Pirmella] ![Compare how all Medicare Part D PDP plans in MO cover NYLIA 1-35 28 TABLET [Pirmella].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NYLIA 7-7-7-28 TABLET [Pirmella] ![Compare how all Medicare Part D PDP plans in MO cover NYLIA 7-7-7-28 TABLET [Pirmella].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex] ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $84.00 | None |
NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [Nystex] ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin] ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |
NYSTATIN-TRIAMCINOLONE CREAM (G) [N.T.A.] ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN-TRIAMCINOLONE CREAM (G) [N.T.A.].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex] ![Compare how all Medicare Part D PDP plans in MO cover NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$95.00 | $190.00 | None |
NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in MO cover NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$10.00 | $0.00 | None |