2023 Medicare Part D Plan Formulary Information |
Vantage BASIC (HMO-POS) (H5576-020-2)
Benefit Details
![Email Prescription and/or Health Benefit details for Vantage BASIC (HMO-POS). 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 Vantage BASIC (HMO-POS) (H5576-020-2) Formulary Drugs Starting with the Letter T in St. John the Baptist Parish, LA: CMS MA Region 16 which includes: LA
|
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 LA cover TABLOID 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TABRECTA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TABRECTA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TABRECTA 200 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TABRECTA 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TACROLIMUS 0.03% OINTMENT [Protopic] ![Compare how all Medicare Part D PDP plans in LA cover TACROLIMUS 0.03% OINTMENT [Protopic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:100 /30Days |
TACROLIMUS 0.1% OINTMENT [Protopic] ![Compare how all Medicare Part D PDP plans in LA cover TACROLIMUS 0.1% OINTMENT [Protopic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:100 /30Days |
TACROLIMUS 0.5 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in LA cover TACROLIMUS 0.5 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TACROLIMUS 1 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in LA cover TACROLIMUS 1 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TACROLIMUS 5 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in LA cover TACROLIMUS 5 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TADALAFIL 20 MG TABLET [Cialis] ![Compare how all Medicare Part D PDP plans in LA cover TADALAFIL 20 MG TABLET [Cialis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TAFINLAR 10 MG TABLET FOR SUSPENSION ![Compare how all Medicare Part D PDP plans in LA cover TAFINLAR 10 MG TABLET FOR SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:840 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAFINLAR 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TAFINLAR 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TAFINLAR 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TAFINLAR 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TAFLUPROST 0.0015% EYE DROP DROPERETTE [ZIOPTAN] ![Compare how all Medicare Part D PDP plans in LA cover TAFLUPROST 0.0015% EYE DROP DROPERETTE [ZIOPTAN].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | S Q:30 /30Days |
TAGRISSO 40 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TAGRISSO 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
TAGRISSO 80 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TAGRISSO 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
TAKHZYRO 300 MG/2 ML SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TAKHZYRO 300 MG/2 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:4 /28Days |
TAKHZYRO 300 MG/2 ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover TAKHZYRO 300 MG/2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:4 /28Days |
TALZENNA 0.25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TALZENNA 0.25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:90 /30Days |
TALZENNA 0.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TALZENNA 0.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
TALZENNA 0.75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TALZENNA 0.75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
TALZENNA 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TALZENNA 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAMOXIFEN 10 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in LA cover TAMOXIFEN 10 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TAMOXIFEN 20 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in LA cover TAMOXIFEN 20 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TAMSULOSIN HCL 0.4 MG CAPSULE [Flomax] ![Compare how all Medicare Part D PDP plans in LA cover TAMSULOSIN HCL 0.4 MG CAPSULE [Flomax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TARGRETIN 1% GEL ![Compare how all Medicare Part D PDP plans in LA cover TARGRETIN 1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
TARINA 24 FE 1 MG-20 MCG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TARINA 24 FE 1 MG-20 MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TARINA FE 1-20 EQ TABLET ![Compare how all Medicare Part D PDP plans in LA cover TARINA FE 1-20 EQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK ![Compare how all Medicare Part D PDP plans in LA 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) |
5 |
Specialty Tier |
25% | N/A | P |
TASIGNA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TASIGNA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
TASIGNA 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TASIGNA 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
TASIMELTEON 20 MG CAPSULE [HETLIOZ] ![Compare how all Medicare Part D PDP plans in LA cover TASIMELTEON 20 MG CAPSULE [HETLIOZ].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
TAVALISSE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TAVALISSE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAVALISSE 150 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TAVALISSE 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
TAVNEOS 10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TAVNEOS 10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:180 /30Days |
TAZAROTENE 0.1% CREAM [Tazorac] ![Compare how all Medicare Part D PDP plans in LA cover TAZAROTENE 0.1% CREAM [Tazorac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:60 /30Days |
TAZICEF 1GM VIAL ![Compare how all Medicare Part D PDP plans in LA cover TAZICEF 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TAZICEF 2 GRAM VIAL ![Compare how all Medicare Part D PDP plans in LA cover TAZICEF 2 GRAM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TAZICEF 6 GRAM VIAL ![Compare how all Medicare Part D PDP plans in LA cover TAZICEF 6 GRAM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TAZORAC 0.05% CREAM (G) ![Compare how all Medicare Part D PDP plans in LA cover TAZORAC 0.05% CREAM (G).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | P Q:60 /30Days |
TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TAZTIA XT 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TAZTIA XT 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TAZTIA XT 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TAZTIA XT 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TAZVERIK 200 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TAZVERIK 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:240 /30Days |
TDVAX VIAL ![Compare how all Medicare Part D PDP plans in LA cover TDVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | 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 LA 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) |
5 |
Specialty Tier |
25% | N/A | None |
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 LA 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) |
5 |
Specialty Tier |
25% | N/A | None |
TEGSEDI 284 MG/1.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TEGSEDI 284 MG/1.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:6 /28Days |
TELMISARTAN 20 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN 20 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN 40 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN 40 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN 80 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN 80 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN-AMLODIPINE 40-10 TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN-AMLODIPINE 40-10 TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN-AMLODIPINE 40-5 MG TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN-AMLODIPINE 40-5 MG TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TELMISARTAN-AMLODIPINE 80-10 TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN-AMLODIPINE 80-10 TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN-AMLODIPINE 80-5 MG TABLET [Twynsta] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN-AMLODIPINE 80-5 MG TABLET [Twynsta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in LA cover TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TEMAZEPAM 15 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in LA cover TEMAZEPAM 15 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:30 /30Days |
TEMAZEPAM 30 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in LA cover TEMAZEPAM 30 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:30 /30Days |
TENIVAC SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TENIVAC SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | P |
TENIVAC VIAL ![Compare how all Medicare Part D PDP plans in LA cover TENIVAC VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | P |
TENOFOVIR DISOP FUM 300 MG TABLET [Viread] ![Compare how all Medicare Part D PDP plans in LA cover TENOFOVIR DISOP FUM 300 MG TABLET [Viread].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TEPMETKO 225 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TEPMETKO 225 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TERAZOSIN 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TERAZOSIN 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TERAZOSIN 10 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in LA cover TERAZOSIN 10 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TERAZOSIN 2 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TERAZOSIN 2 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TERAZOSIN 5 MG CAPSULE [Hytrin] ![Compare how all Medicare Part D PDP plans in LA cover TERAZOSIN 5 MG CAPSULE [Hytrin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TERBINAFINE HCL 250 MG TABLET [Terbinex] ![Compare how all Medicare Part D PDP plans in LA cover TERBINAFINE HCL 250 MG TABLET [Terbinex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TERBUTALINE SULFATE 2.5 MG TABLET [Brethine] ![Compare how all Medicare Part D PDP plans in LA cover TERBUTALINE SULFATE 2.5 MG TABLET [Brethine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TERBUTALINE SULFATE 5 MG TABLET [Brethine] ![Compare how all Medicare Part D PDP plans in LA cover TERBUTALINE SULFATE 5 MG TABLET [Brethine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TERCONAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in LA cover TERCONAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TERCONAZOLE 0.8% CREAM ![Compare how all Medicare Part D PDP plans in LA cover TERCONAZOLE 0.8% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TERCONAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in LA cover TERCONAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TERIFLUNOMIDE 14 MG TABLET [AUBAGIO] ![Compare how all Medicare Part D PDP plans in LA cover TERIFLUNOMIDE 14 MG TABLET [AUBAGIO].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TERIFLUNOMIDE 7 MG TABLET [AUBAGIO] ![Compare how all Medicare Part D PDP plans in LA cover TERIFLUNOMIDE 7 MG TABLET [AUBAGIO].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TESTOSTERONE 1.62% (2.5 G) GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE 1.62% (2.5 G) GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:150 /30Days |
TESTOSTERONE 1.62% GEL MD PUMP [AndroGel] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE 1.62% GEL MD PUMP [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:150 /30Days |
TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:75 /30Days |
TESTOSTERONE 12.5 MG/1.25 GRAM GEL MD PMP [Vogelxo] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE 12.5 MG/1.25 GRAM GEL MD PMP [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:300 /30Days |
TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:300 /30Days |
TESTOSTERONE 30 MG/1.5 ML SOL MD PUMP [AXIRON] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE 30 MG/1.5 ML SOL MD PUMP [AXIRON].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:180 /30Days |
TESTOSTERONE 50 MG/5 GRAM GEL PACKET [Vogelxo] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE 50 MG/5 GRAM GEL PACKET [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:300 /30Days |
Testosterone cyp 100 mg/ml ![Compare how all Medicare Part D PDP plans in LA cover Testosterone cyp 100 mg/ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TESTOSTERONE CYP 2,000 MG/10ML VIAL [Virilon] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE CYP 2,000 MG/10ML VIAL [Virilon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TESTOSTERONE CYP 200 MG/ML VIAL [Virilon] ![Compare how all Medicare Part D PDP plans in LA cover TESTOSTERONE CYP 200 MG/ML VIAL [Virilon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TETRABENAZINE 12.5 MG TABLET [Xenazine] ![Compare how all Medicare Part D PDP plans in LA cover TETRABENAZINE 12.5 MG TABLET [Xenazine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TETRABENAZINE 25 MG TABLET [Xenazine] ![Compare how all Medicare Part D PDP plans in LA cover TETRABENAZINE 25 MG TABLET [Xenazine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TETRACYCLINE 250 MG CAPSULE [Panmycin] ![Compare how all Medicare Part D PDP plans in LA cover TETRACYCLINE 250 MG CAPSULE [Panmycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TETRACYCLINE 500 MG CAPSULE [Sumycin] ![Compare how all Medicare Part D PDP plans in LA cover TETRACYCLINE 500 MG CAPSULE [Sumycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
THALOMID 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THALOMID 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
THALOMID 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THALOMID 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
THALOMID 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THALOMID 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
THALOMID 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THALOMID 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
THEO-24 ER 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THEO-24 ER 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
THEO-24 ER 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THEO-24 ER 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THEO-24 ER 300 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THEO-24 ER 300 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
THEO-24 ER 400 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover THEO-24 ER 400 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
THEOPHYLLINE 80 MG/15 ML SOLUTION ![Compare how all Medicare Part D PDP plans in LA cover THEOPHYLLINE 80 MG/15 ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
THEOPHYLLINE ER 300 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover THEOPHYLLINE ER 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl] ![Compare how all Medicare Part D PDP plans in LA cover THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
THEOPHYLLINE ER 450 MG TABLET 12H ![Compare how all Medicare Part D PDP plans in LA cover THEOPHYLLINE ER 450 MG TABLET 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl] ![Compare how all Medicare Part D PDP plans in LA cover THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
THIORIDAZINE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover THIORIDAZINE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
THIORIDAZINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover THIORIDAZINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
THIORIDAZINE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover THIORIDAZINE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
THIORIDAZINE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover THIORIDAZINE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
THIOTHIXENE 1 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in LA cover THIOTHIXENE 1 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
THIOTHIXENE 10 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in LA cover THIOTHIXENE 10 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
THIOTHIXENE 2 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in LA cover THIOTHIXENE 2 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
THIOTHIXENE 5 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in LA cover THIOTHIXENE 5 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in LA cover TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIAGABINE HCL 12 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in LA cover TIAGABINE HCL 12 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIAGABINE HCL 16 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in LA cover TIAGABINE HCL 16 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIAGABINE HCL 2 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in LA cover TIAGABINE HCL 2 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIAGABINE HCL 4 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in LA cover TIAGABINE HCL 4 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIBSOVO 250 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIBSOVO 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
TICOVAC 1.2 MCG/0.25 ML SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TICOVAC 1.2 MCG/0.25 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TICOVAC 2.4 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TICOVAC 2.4 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TIGECYCLINE 50 MG VIAL [Tygacil] ![Compare how all Medicare Part D PDP plans in LA cover TIGECYCLINE 50 MG VIAL [Tygacil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
TILIA FE 28 TABLET [Tri-Legest Fe] ![Compare how all Medicare Part D PDP plans in LA cover TILIA FE 28 TABLET [Tri-Legest Fe].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL 0.25% GEL-SOLUTION [Timoptic-XE] ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL 0.25% GEL-SOLUTION [Timoptic-XE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL 0.5% GEL-SOLUTION [Timoptic-XE] ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL 0.5% GEL-SOLUTION [Timoptic-XE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIMOLOL MALEATE 0.25% EYE DROP DROPERETTE [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL MALEATE 0.25% EYE DROP DROPERETTE [Timoptic Ocumeter].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL MALEATE 0.25% EYE DROPS [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL MALEATE 0.25% EYE DROPS [Timoptic Ocumeter].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL MALEATE 0.5% EYE DROP DROPERETTE [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL MALEATE 0.5% EYE DROP DROPERETTE [Timoptic Ocumeter].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL MALEATE 0.5% EYE DROPS [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL MALEATE 0.5% EYE DROPS [Timoptic Ocumeter].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL MALEATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL MALEATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOLOL MALEATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIMOLOL MALEATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIMOPTIC 0.25% OCUDOSE DROP ![Compare how all Medicare Part D PDP plans in LA cover TIMOPTIC 0.25% OCUDOSE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
TINIDAZOLE 250 MG TABLET [Tindamax] ![Compare how all Medicare Part D PDP plans in LA cover TINIDAZOLE 250 MG TABLET [Tindamax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TINIDAZOLE 500 MG TABLET [Tindamax] ![Compare how all Medicare Part D PDP plans in LA cover TINIDAZOLE 500 MG TABLET [Tindamax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIOPRONIN 100 MG TABLET [Thiola] ![Compare how all Medicare Part D PDP plans in LA cover TIOPRONIN 100 MG TABLET [Thiola].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIVICAY 10 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIVICAY 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TIVICAY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIVICAY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
TIVICAY 50 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIVICAY 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
TIVICAY PD 5 MG TABLET FOR SUSPENSION ![Compare how all Medicare Part D PDP plans in LA cover TIVICAY PD 5 MG TABLET FOR SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TIZANIDINE HCL 2 MG CAPSULE [Zanaflex] ![Compare how all Medicare Part D PDP plans in LA cover TIZANIDINE HCL 2 MG CAPSULE [Zanaflex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIZANIDINE HCL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIZANIDINE HCL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TIZANIDINE HCL 4 MG CAPSULE [Zanaflex] ![Compare how all Medicare Part D PDP plans in LA cover TIZANIDINE HCL 4 MG CAPSULE [Zanaflex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TIZANIDINE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TIZANIDINE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TIZANIDINE HCL 6 MG CAPSULE [Zanaflex] ![Compare how all Medicare Part D PDP plans in LA cover TIZANIDINE HCL 6 MG CAPSULE [Zanaflex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOBRADEX EYE OINTMENT ![Compare how all Medicare Part D PDP plans in LA cover TOBRADEX EYE OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TOBRADEX ST 0.3-0.05% EYE DROP EYE DROPPER ![Compare how all Medicare Part D PDP plans in LA cover TOBRADEX ST 0.3-0.05% EYE DROP EYE DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
TOBRAMYCIN 0.3% EYE DROPS [Tobrex] ![Compare how all Medicare Part D PDP plans in LA cover TOBRAMYCIN 0.3% EYE DROPS [Tobrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in LA cover TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in LA cover TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:300 /30Days |
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in LA cover TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOBRAMYCIN-DEXAMETH OPTH SUSP ![Compare how all Medicare Part D PDP plans in LA cover TOBRAMYCIN-DEXAMETH OPTH SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOBREX 0.3% EYE OINTMENT ![Compare how all Medicare Part D PDP plans in LA cover TOBREX 0.3% EYE OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | Q:7 /7Days |
TOLCAPONE 100 MG TABLET [Tasmar] ![Compare how all Medicare Part D PDP plans in LA cover TOLCAPONE 100 MG TABLET [Tasmar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOLTERODINE TART ER 2 MG CAPSULE 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in LA cover TOLTERODINE TART ER 2 MG CAPSULE 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOLTERODINE TART ER 4 MG CAPSULE 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in LA cover TOLTERODINE TART ER 4 MG CAPSULE 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOLTERODINE TARTRATE 1 MG TABLET [Detrol] ![Compare how all Medicare Part D PDP plans in LA cover TOLTERODINE TARTRATE 1 MG TABLET [Detrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOLTERODINE TARTRATE 2 MG TABLET [Detrol] ![Compare how all Medicare Part D PDP plans in LA cover TOLTERODINE TARTRATE 2 MG TABLET [Detrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOPIRAMATE 100 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in LA cover TOPIRAMATE 100 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOPIRAMATE 15 MG SPRINKLE CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TOPIRAMATE 15 MG SPRINKLE CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOPIRAMATE 200 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in LA cover TOPIRAMATE 200 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TOPIRAMATE 25 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in LA cover TOPIRAMATE 25 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
Topiramate 25mg/1 ![Compare how all Medicare Part D PDP plans in LA cover Topiramate 25mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TOPIRAMATE 50 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in LA cover TOPIRAMATE 50 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TOREMIFENE CITRATE 60 MG TABLET [Fareston] ![Compare how all Medicare Part D PDP plans in LA cover TOREMIFENE CITRATE 60 MG TABLET [Fareston].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TORSEMIDE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TORSEMIDE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TORSEMIDE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TORSEMIDE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TORSEMIDE 20 MG TABLET [SOAANZ] ![Compare how all Medicare Part D PDP plans in LA cover TORSEMIDE 20 MG TABLET [SOAANZ].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TORSEMIDE 5 MG TABLET [Demadex] ![Compare how all Medicare Part D PDP plans in LA cover TORSEMIDE 5 MG TABLET [Demadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN ![Compare how all Medicare Part D PDP plans in LA cover TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$35 max* | $141.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TOUJEO SOLOSTAR 300 UNITS/ML ![Compare how all Medicare Part D PDP plans in LA cover TOUJEO SOLOSTAR 300 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$35 max* | $141.00 | None |
TPN ELECTROLYTES16.5/25.4 VIAL ![Compare how all Medicare Part D PDP plans in LA cover TPN ELECTROLYTES16.5/25.4 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRACLEER 32 MG TABLET FOR SUSPENSION TABLET SUSP ![Compare how all Medicare Part D PDP plans in LA cover TRACLEER 32 MG TABLET FOR SUSPENSION TABLET SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TRADJENTA 5 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRADJENTA 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:30 /30Days |
TRAMADOL ER 100 MG TABLET TBMP 24HR [Ultram ER] ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL ER 100 MG TABLET TBMP 24HR [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
TRAMADOL ER 200 MG TABLET TBMP 24HR [Ultram ER] ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL ER 200 MG TABLET TBMP 24HR [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER] ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
TRAMADOL HCL 50 MG TABLET [Ultram] ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL HCL 50 MG TABLET [Ultram].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:240 /30Days |
TRAMADOL HCL ER 100 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL HCL ER 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
TRAMADOL HCL ER 200 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL HCL ER 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER] ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet] ![Compare how all Medicare Part D PDP plans in LA cover TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:360 /30Days |
TRANDOLAPRIL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRANDOLAPRIL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRANDOLAPRIL 2 MG TABLET [Mavik] ![Compare how all Medicare Part D PDP plans in LA cover TRANDOLAPRIL 2 MG TABLET [Mavik].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRANDOLAPRIL 4 MG TABLET [Mavik] ![Compare how all Medicare Part D PDP plans in LA cover TRANDOLAPRIL 4 MG TABLET [Mavik].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRANEXAMIC ACID 650 MG TABLET [Lysteda] ![Compare how all Medicare Part D PDP plans in LA cover TRANEXAMIC ACID 650 MG TABLET [Lysteda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRANYLCYPROMINE SULF 10 MG TABLET [Parnate] ![Compare how all Medicare Part D PDP plans in LA cover TRANYLCYPROMINE SULF 10 MG TABLET [Parnate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRAVASOL 10% SOLUTION VIAFLEX ![Compare how all Medicare Part D PDP plans in LA cover TRAVASOL 10% SOLUTION VIAFLEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | P |
TRAVOPROST 0.004% EYE DROPS [Travatan Z] ![Compare how all Medicare Part D PDP plans in LA cover TRAVOPROST 0.004% EYE DROPS [Travatan Z].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:5 /30Days |
TRAZODONE 100 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in LA cover TRAZODONE 100 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRAZODONE 150 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in LA cover TRAZODONE 150 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRAZODONE 50 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in LA cover TRAZODONE 50 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRECATOR 250MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRECATOR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | None |
TRELEGY ELLIPTA 100-62.5-25 ![Compare how all Medicare Part D PDP plans in LA cover TRELEGY ELLIPTA 100-62.5-25.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:60 /30Days |
TRELEGY ELLIPTA 200-62.5-25 BLST W/DEV ![Compare how all Medicare Part D PDP plans in LA cover TRELEGY ELLIPTA 200-62.5-25 BLST W/DEV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:60 /30Days |
TRELSTAR 11.25 MG VIAL ![Compare how all Medicare Part D PDP plans in LA cover TRELSTAR 11.25 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:1 /84Days |
TRELSTAR 22.5 MG VIAL ![Compare how all Medicare Part D PDP plans in LA cover TRELSTAR 22.5 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:1 /168Days |
TRELSTAR 3.75 MG VIAL ![Compare how all Medicare Part D PDP plans in LA cover TRELSTAR 3.75 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:1 /28Days |
TREMFYA 100 MG/ML AUTOINJECTOR ![Compare how all Medicare Part D PDP plans in LA cover TREMFYA 100 MG/ML AUTOINJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:2 /28Days |
TREMFYA 100 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TREMFYA 100 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:2 /28Days |
TRESIBA 100 UNIT/ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover TRESIBA 100 UNIT/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$35 max* | $141.00 | None |
TRESIBA FLEXTOUCH 100 UNITS/ML ![Compare how all Medicare Part D PDP plans in LA cover TRESIBA FLEXTOUCH 100 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$35 max* | $141.00 | None |
TRESIBA FLEXTOUCH 200 UNITS/ML ![Compare how all Medicare Part D PDP plans in LA cover TRESIBA FLEXTOUCH 200 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$35 max* | $141.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Tretinoin 0.0004 MG/MG Topical Gel ![Compare how all Medicare Part D PDP plans in LA cover Tretinoin 0.0004 MG/MG Topical Gel.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:50 /30Days |
TRETINOIN 0.01% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN 0.01% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:45 /30Days |
TRETINOIN 0.025% CREAM (G) [Tretin-X] ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN 0.025% CREAM (G) [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:45 /30Days |
TRETINOIN 0.025% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN 0.025% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:45 /30Days |
TRETINOIN 0.05% CREAM ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:45 /30Days |
TRETINOIN 0.05% GEL [Atralin] ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN 0.05% GEL [Atralin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:45 /30Days |
TRETINOIN 0.1% CREAM ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:45 /30Days |
TRETINOIN 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRETINOIN GEL MICRO 0.1% TUBE [Retin-A Micro] ![Compare how all Medicare Part D PDP plans in LA cover TRETINOIN GEL MICRO 0.1% TUBE [Retin-A Micro].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P Q:50 /30Days |
TRI-ESTARYLLA TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in LA cover TRI-ESTARYLLA TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRI-LEGEST FE 5-7-9-7 TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRI-LEGEST FE 5-7-9-7 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRI-LO-ESTARYLLA TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in LA cover TRI-LO-ESTARYLLA TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRI-LO-SPRINTEC TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRI-LO-SPRINTEC TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRI-MILI 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in LA cover TRI-MILI 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRI-NYMYO 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in LA cover TRI-NYMYO 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRI-SPRINTEC 7DAYSX3 28 TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRI-SPRINTEC 7DAYSX3 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRI-VYLIBRA 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in LA cover TRI-VYLIBRA 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRI-VYLIBRA LO TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in LA cover TRI-VYLIBRA LO TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRIAMCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:454 /30Days |
TRIAMCINOLONE 0.025% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE 0.025% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:120 /30Days |
TRIAMCINOLONE 0.025% OINT ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE 0.025% OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:454 /30Days |
TRIAMCINOLONE 0.1% CREAM (G) [Triderm] ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE 0.1% CREAM (G) [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:454 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMCINOLONE 0.1% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE 0.1% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:120 /30Days |
TRIAMCINOLONE 0.1% OINTMENT [Triderm] ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE 0.1% OINTMENT [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:454 /30Days |
TRIAMCINOLONE 0.1% PASTE (G) [Oralone] ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE 0.1% PASTE (G) [Oralone].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE ![Compare how all Medicare Part D PDP plans in LA cover TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:120 /30Days |
Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm] ![Compare how all Medicare Part D PDP plans in LA cover Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:454 /30Days |
Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in LA 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) |
2* |
Generic |
$16.00 | $48.00 | Q:454 /30Days |
TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide] ![Compare how all Medicare Part D PDP plans in LA cover TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRIAMTERENE-HCTZ 37.5-25 MG TABLET [Maxzide-25] ![Compare how all Medicare Part D PDP plans in LA cover TRIAMTERENE-HCTZ 37.5-25 MG TABLET [Maxzide-25].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRIAMTERENE-HCTZ 75-50 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRIAMTERENE-HCTZ 75-50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
TRIAZOLAM 0.125 MG TABLET [Halcion] ![Compare how all Medicare Part D PDP plans in LA cover TRIAZOLAM 0.125 MG TABLET [Halcion].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:30 /30Days |
TRIAZOLAM 0.25 MG TABLET [Halcion] ![Compare how all Medicare Part D PDP plans in LA cover TRIAZOLAM 0.25 MG TABLET [Halcion].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIDERM 0.5% CREAM (G) ![Compare how all Medicare Part D PDP plans in LA cover TRIDERM 0.5% CREAM (G).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:454 /30Days |
TRIENTINE HCL 250 MG CAPSULE [Syprine] ![Compare how all Medicare Part D PDP plans in LA cover TRIENTINE HCL 250 MG CAPSULE [Syprine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRIFLUOPERAZINE 1 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRIFLUOPERAZINE 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRIFLUOPERAZINE HCL 2MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRIFLUOPERAZINE HCL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRIFLUOPERAZINE HCL 5MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRIFLUOPERAZINE HCL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in LA cover TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOTTLE ![Compare how all Medicare Part D PDP plans in LA cover TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | Q:15 /7Days |
TRIHEXYPHENIDYL 2 MG TABLET [Artane] ![Compare how all Medicare Part D PDP plans in LA cover TRIHEXYPHENIDYL 2 MG TABLET [Artane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRIHEXYPHENIDYL 5 MG TABLET [Artane] ![Compare how all Medicare Part D PDP plans in LA cover TRIHEXYPHENIDYL 5 MG TABLET [Artane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRIJARDY XR 10-5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in LA cover TRIJARDY XR 10-5-1,000 MG TABLET BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:30 /30Days |
TRIJARDY XR 12.5-2.5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in LA cover TRIJARDY XR 12.5-2.5-1,000 MG TABLET BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIJARDY XR 25-5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in LA cover TRIJARDY XR 25-5-1,000 MG TABLET BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:30 /30Days |
TRIJARDY XR 5-2.5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in LA cover TRIJARDY XR 5-2.5-1,000 MG TABLET BP 24H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:60 /30Days |
TRIKAFTA 100-50-75 MG/75MG GRANULES PACKET SQ ![Compare how all Medicare Part D PDP plans in LA cover TRIKAFTA 100-50-75 MG/75MG GRANULES PACKET SQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:56 /28Days |
TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in LA cover TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:90 /30Days |
TRIKAFTA 50-25-37.5 MG/75 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in LA cover TRIKAFTA 50-25-37.5 MG/75 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:84 /28Days |
TRIKAFTA 80-40-60MG/59.5MG GRANULES PACKET SQ ![Compare how all Medicare Part D PDP plans in LA cover TRIKAFTA 80-40-60MG/59.5MG GRANULES PACKET SQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:56 /28Days |
TRIMETHOPRIM 100 MG TABLET [Proloprim] ![Compare how all Medicare Part D PDP plans in LA cover TRIMETHOPRIM 100 MG TABLET [Proloprim].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRIMIPRAMINE MALEATE 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TRIMIPRAMINE MALEATE 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRIMIPRAMINE MALEATE 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TRIMIPRAMINE MALEATE 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRIMIPRAMINE MALEATE 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TRIMIPRAMINE MALEATE 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | P |
TRINTELLIX 10 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRINTELLIX 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | S Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRINTELLIX 20 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRINTELLIX 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | S Q:30 /30Days |
TRINTELLIX 5 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRINTELLIX 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | S Q:30 /30Days |
TRIUMEQ PD 60-5-30 MG TABLET SUSP ![Compare how all Medicare Part D PDP plans in LA cover TRIUMEQ PD 60-5-30 MG TABLET SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
TRIUMEQ TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRIUMEQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
TRIVORA-28 TABLET [Trivora] ![Compare how all Medicare Part D PDP plans in LA cover TRIVORA-28 TABLET [Trivora].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | 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 LA 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) |
5 |
Specialty Tier |
25% | N/A | None |
TROPHAMINE 10% IV SOLUTION ![Compare how all Medicare Part D PDP plans in LA cover TROPHAMINE 10% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Brand |
$100.00 | $300.00 | P |
TROSPIUM CHLORIDE 20 MG TABLET [Sanctura] ![Compare how all Medicare Part D PDP plans in LA cover TROSPIUM CHLORIDE 20 MG TABLET [Sanctura].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TROSPIUM CHLORIDE ER 60 MG CAPSULE 24H [Sanctura XR] ![Compare how all Medicare Part D PDP plans in LA cover TROSPIUM CHLORIDE ER 60 MG CAPSULE 24H [Sanctura XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
TRULANCE 3 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TRULANCE 3 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TRULICITY 0.75 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in LA cover TRULICITY 0.75 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:2 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRULICITY 1.5 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in LA cover TRULICITY 1.5 MG/0.5 ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:2 /28Days |
TRULICITY 3 MG/0.5 ML PEN INJECTOR ![Compare how all Medicare Part D PDP plans in LA cover TRULICITY 3 MG/0.5 ML PEN INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:2 /28Days |
TRULICITY 4.5 MG/0.5 ML PEN INJECTOR ![Compare how all Medicare Part D PDP plans in LA cover TRULICITY 4.5 MG/0.5 ML PEN INJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | Q:2 /28Days |
TRUMENBA 120 MCG/0.5 ML VACCIN Syringe ![Compare how all Medicare Part D PDP plans in LA cover TRUMENBA 120 MCG/0.5 ML VACCIN Syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TUKYSA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TUKYSA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TUKYSA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TUKYSA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TURALIO 125 MG CAPSULE ![Compare how all Medicare Part D PDP plans in LA cover TURALIO 125 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
TWINRIX VACCINE SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TWINRIX VACCINE SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TYBLUME 0.1-0.02 MG CHEWABLE TABLET ![Compare how all Medicare Part D PDP plans in LA cover TYBLUME 0.1-0.02 MG CHEWABLE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TYBOST 150 MG TABLET ![Compare how all Medicare Part D PDP plans in LA cover TYBOST 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TYDEMY 3-0.03-0.451 MG TABLET [Tydemy] ![Compare how all Medicare Part D PDP plans in LA cover TYDEMY 3-0.03-0.451 MG TABLET [Tydemy].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$16.00 | $48.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TYMLOS 80 MCG DOSE PEN INJECTR ![Compare how all Medicare Part D PDP plans in LA cover TYMLOS 80 MCG DOSE PEN INJECTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:2 /30Days |
TYPHIM VI 25 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in LA cover TYPHIM VI 25 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TYPHIM VI 25MCG/0.5ML VIAL ![Compare how all Medicare Part D PDP plans in LA cover TYPHIM VI 25MCG/0.5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
$47.00 | $141.00 | None |
TYVASO DPI 16 MCG CARTRIDGE INHAL ![Compare how all Medicare Part D PDP plans in LA cover TYVASO DPI 16 MCG CARTRIDGE INHAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:112 /28Days |
TYVASO DPI 16-32 MCG TITRAT KIT CARTRIDGE INHAL ![Compare how all Medicare Part D PDP plans in LA cover TYVASO DPI 16-32 MCG TITRAT KIT CARTRIDGE INHAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:196 /28Days |
TYVASO DPI 16-32-48 MCG TITRAT CARTRIDGE INHAL ![Compare how all Medicare Part D PDP plans in LA cover TYVASO DPI 16-32-48 MCG TITRAT CARTRIDGE INHAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:252 /28Days |
TYVASO DPI 32 MCG CARTRIDGE INHAL ![Compare how all Medicare Part D PDP plans in LA cover TYVASO DPI 32 MCG CARTRIDGE INHAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:112 /28Days |
TYVASO DPI 32-48 MCG MAINT KIT CARTRIDGE INHAL ![Compare how all Medicare Part D PDP plans in LA cover TYVASO DPI 32-48 MCG MAINT KIT CARTRIDGE INHAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:224 /28Days |
TYVASO DPI 48 MCG CARTRIDGE INHAL ![Compare how all Medicare Part D PDP plans in LA cover TYVASO DPI 48 MCG CARTRIDGE INHAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:112 /28Days |
TYVASO DPI 64 MCG CARTRIDGE INHAL ![Compare how all Medicare Part D PDP plans in LA cover TYVASO DPI 64 MCG CARTRIDGE INHAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P Q:112 /28Days |