2023 Medicare Part D Plan Formulary Information |
BlueCross Total Value (PPO) (H8003-004-0)
Benefit Details
![Email Prescription and/or Health Benefit details for BlueCross Total Value (PPO). 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 BlueCross Total Value (PPO) (H8003-004-0) Formulary Drugs Starting with the Letter N in Cherokee County, SC: CMS MA Region 8 which includes: SC
|
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 SC 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 SC 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 SC cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NADOLOL 40 MG TABLET [Corgard] ![Compare how all Medicare Part D PDP plans in SC cover NADOLOL 40 MG TABLET [Corgard].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NAFCILLIN 1 GM VIAL ![Compare how all Medicare Part D PDP plans in SC cover NAFCILLIN 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in SC cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NAFCILLIN 2 GM VIAL ![Compare how all Medicare Part D PDP plans in SC cover NAFCILLIN 2 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NAFTIFINE HCL 2% GEL [Naftin] ![Compare how all Medicare Part D PDP plans in SC cover NAFTIFINE HCL 2% GEL [Naftin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan] ![Compare how all Medicare Part D PDP plans in SC cover NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan].](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 |
NALOXONE 0.4 MG/ML VIAL [Narcan] ![Compare how all Medicare Part D PDP plans in SC cover NALOXONE 0.4 MG/ML VIAL [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | None |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in SC cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NALOXONE HCL 4 MG NASAL SPRAY [Narcan] ![Compare how all Medicare Part D PDP plans in SC cover NALOXONE HCL 4 MG NASAL SPRAY [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NALTREXONE 50 MG TABLET [ReVia] ![Compare how all Medicare Part D PDP plans in SC 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 SC cover NAMZARIC 14 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:30 /30Days |
NAMZARIC 21 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NAMZARIC 21 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:30 /30Days |
NAMZARIC 28 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NAMZARIC 28 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:30 /30Days |
NAMZARIC 7 MG-10 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NAMZARIC 7 MG-10 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:30 /30Days |
NAMZARIC TITRATION PACK ![Compare how all Medicare Part D PDP plans in SC cover NAMZARIC TITRATION PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:56 /365Days |
NAPROXEN 250 MG TABLET [Naprosyn] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN 250 MG TABLET [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN 375 MG TABLET.](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 |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | None |
NAPROXEN DR 500 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN DR 500 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NAPROXEN SODIUM 275 MG TABLET [Anaprox] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN SODIUM 275 MG TABLET [Anaprox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NAPROXEN SODIUM 550 MG TABLET [Anaprox DS] ![Compare how all Medicare Part D PDP plans in SC cover NAPROXEN SODIUM 550 MG TABLET [Anaprox DS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | Q:9 /30Days |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | Q:9 /30Days |
NATACYN 5% EYE DROPS/EYE DROPPER ![Compare how all Medicare Part D PDP plans in SC cover NATACYN 5% EYE DROPS/EYE DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NATEGLINIDE 120 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in SC 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 | None |
NATEGLINIDE 60 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in SC 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 | None |
NATPARA 100 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 100 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:2 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NATPARA 25 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 25 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:2 /28Days |
NATPARA 50 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 50 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:2 /28Days |
NATPARA 75 MCG DOSE CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NATPARA 75 MCG DOSE CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:2 /28Days |
NAYZILAM 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in SC cover NAYZILAM 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | Q:10 /30Days |
NEBIVOLOL 10 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in SC cover NEBIVOLOL 10 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEBIVOLOL 2.5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in SC cover NEBIVOLOL 2.5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEBIVOLOL 20 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in SC cover NEBIVOLOL 20 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEBIVOLOL 5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in SC cover NEBIVOLOL 5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NECON 0.5-35-28 TABLET [WERA] ![Compare how all Medicare Part D PDP plans in SC cover NECON 0.5-35-28 TABLET [WERA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in SC cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEO-POLYCIN EYE OINTMENT [Polymycin] ![Compare how all Medicare Part D PDP plans in SC cover NEO-POLYCIN EYE OINTMENT [Polymycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort] ![Compare how all Medicare Part D PDP plans in SC cover NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in SC cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex] ![Compare how all Medicare Part D PDP plans in SC 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 SC 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 SC 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 SC cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in SC 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 | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in SC cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:180 /30Days |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in SC cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune] ![Compare how all Medicare Part D PDP plans in SC cover NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVIRAPINE ER 100 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in SC 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 |
$100.00 | $250.00 | None |
NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in SC 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 |
$100.00 | $250.00 | None |
NIACIN ER 1,000 MG TABLET 24H [Niaspan] ![Compare how all Medicare Part D PDP plans in SC cover NIACIN ER 1,000 MG TABLET 24H [Niaspan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NIACIN ER 500 MG TABLET 24H [Slo-Niacin] ![Compare how all Medicare Part D PDP plans in SC cover NIACIN ER 500 MG TABLET 24H [Slo-Niacin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in SC cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
Nicardipine hydrochloride 20 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in SC cover Nicardipine hydrochloride 20 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
Nicardipine hydrochloride 30 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in SC cover Nicardipine hydrochloride 30 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in SC cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | Q:360 /365Days |
NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in SC 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 SC 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 |
NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in SC 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 |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 60 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in SC 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 SC 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 SC 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 |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in SC cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | None |
NIMODIPINE 30 MG CAPSULE [Nimotop] ![Compare how all Medicare Part D PDP plans in SC cover NIMODIPINE 30 MG CAPSULE [Nimotop].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NITAZOXANIDE 500 MG TABLET [Alinia] ![Compare how all Medicare Part D PDP plans in SC cover NITAZOXANIDE 500 MG TABLET [Alinia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | None |
NITISINONE 10 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in SC cover NITISINONE 10 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | None |
NITISINONE 2 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in SC cover NITISINONE 2 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITISINONE 20 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in SC cover NITISINONE 20 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | None |
NITISINONE 5 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in SC cover NITISINONE 5 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | None |
NITRO-BID 2% OINTMENT ![Compare how all Medicare Part D PDP plans in SC cover NITRO-BID 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in SC cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in SC cover NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in SC cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | None |
NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc] ![Compare how all Medicare Part D PDP plans in SC 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 SC 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 |
NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in SC 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 SC 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 SC 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 |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in SC 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 TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in SC 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 |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NORETH-EE-FE 1-0.02(21)-75 TABLET [Tarina Fe 1/20] ![Compare how all Medicare Part D PDP plans in SC 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 | $105.00 | None |
NORETHIN-ETH ESTRAD 1 MG-5 MCG ![Compare how all Medicare Part D PDP plans in SC cover NORETHIN-ETH ESTRAD 1 MG-5 MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique] ![Compare how all Medicare Part D PDP plans in SC cover NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NORETHIND-ETH ESTRAD 1-0.02 MG ![Compare how all Medicare Part D PDP plans in SC cover NORETHIND-ETH ESTRAD 1-0.02 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in SC 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 | $105.00 | None |
NORETHINDRONE 5 MG TABLET [Aygestin] ![Compare how all Medicare Part D PDP plans in SC cover NORETHINDRONE 5 MG TABLET [Aygestin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | None |
NORG-EE 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in SC cover NORG-EE 0.18-0.215-0.25/0.035.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NORG-ETHIN ESTRA 0.25-0.035 MG TABLET [VyLibra] ![Compare how all Medicare Part D PDP plans in SC 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 | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in SC 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) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in SC 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 | $105.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in SC cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | 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 SC 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 | $105.00 | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in SC cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in SC cover NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | None |
NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in SC cover NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | None |
NORTRIPTYLINE HCL 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC 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 SC 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 SC cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in SC cover Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in SC cover Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLIN 70-30 FLEXPEN INSULN PEN ![Compare how all Medicare Part D PDP plans in SC cover NOVOLIN 70-30 FLEXPEN INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLIN N 100 UNIT/ML FLEXPEN INSULN PEN ![Compare how all Medicare Part D PDP plans in SC cover NOVOLIN N 100 UNIT/ML FLEXPEN INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLIN R 100 UNIT/ML FLEXPEN INSULN PEN ![Compare how all Medicare Part D PDP plans in SC cover NOVOLIN R 100 UNIT/ML FLEXPEN INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in SC cover Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLOG 100 UNIT/ML CARTRIDGE ![Compare how all Medicare Part D PDP plans in SC cover NOVOLOG 100 UNIT/ML CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLOG FLEXPEN SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NOVOLOG FLEXPEN SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in SC cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in SC cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$35 max* | $105.00 | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in SC cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUBEQA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUBEQA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NUCALA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in SC cover NUCALA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:3 /28Days |
NUCALA 100 MG/ML AUTO-INJECTOR AUTO INJCT ![Compare how all Medicare Part D PDP plans in SC cover NUCALA 100 MG/ML AUTO-INJECTOR AUTO INJCT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:3 /28Days |
NUCALA 100 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NUCALA 100 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P Q:3 /28Days |
NUCALA 40 MG/0.4 ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover NUCALA 40 MG/0.4 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in SC cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NUPLAZID 10 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover NUPLAZID 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NUPLAZID 34 MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover NUPLAZID 34 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
32% | 32% | P |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in SC cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | P |
NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in SC cover NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | Q:120 /30Days |
NYLIA 1-35 28 TABLET [Pirmella] ![Compare how all Medicare Part D PDP plans in SC cover NYLIA 1-35 28 TABLET [Pirmella].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYLIA 7-7-7-28 TABLET [Pirmella] ![Compare how all Medicare Part D PDP plans in SC cover NYLIA 7-7-7-28 TABLET [Pirmella].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NYMYO 0.25-0.035 MG (28) TABLET [VyLibra] ![Compare how all Medicare Part D PDP plans in SC cover NYMYO 0.25-0.035 MG (28) TABLET [VyLibra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in SC 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 SC 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 SC cover NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$10.00 | $0.00 | Q:120 /30Days |
NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [Nystex] ![Compare how all Medicare Part D PDP plans in SC 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 SC cover NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NYSTATIN-TRIAMCINOLONE CREAM (G) [N.T.A.] ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN-TRIAMCINOLONE CREAM (G) [N.T.A.].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex] ![Compare how all Medicare Part D PDP plans in SC cover NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$42.00 | $105.00 | None |
NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in SC 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 | Q:120 /30Days |