2024 Medicare Part D Plan Formulary Information |
Blue Cross Blue Shield Nebraska MA Core (HMO) (H3170-003-2)
Benefits & Contact Info
![Email Prescription and/or Health Benefit details for Blue Cross Blue Shield Nebraska MA Core (HMO). This function does not email the formulary drug list.](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. |
The Blue Cross Blue Shield Nebraska MA Core (HMO) (H3170-003-2) Formulary Drugs Starting with the Letter N in Seward County, NE: CMS MA Region 19 which includes: NE
|
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 NE cover NABUMETONE 500 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:120 /30Days |
NABUMETONE 750 MG TABLET [Relafen] ![Compare how all Medicare Part D PDP plans in NE cover NABUMETONE 750 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:60 /30Days |
NADOLOL 20 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NADOLOL 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NADOLOL 40 MG TABLET [Corgard] ![Compare how all Medicare Part D PDP plans in NE cover NADOLOL 40 MG TABLET [Corgard].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NADOLOL 80 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NADOLOL 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NAFCILLIN 1 GM VIAL ![Compare how all Medicare Part D PDP plans in NE cover NAFCILLIN 1 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NAFCILLIN 10 GM BULK VIAL ![Compare how all Medicare Part D PDP plans in NE cover NAFCILLIN 10 GM BULK VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NAFCILLIN 2 GM VIAL ![Compare how all Medicare Part D PDP plans in NE cover NAFCILLIN 2 GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan] ![Compare how all Medicare Part D PDP plans in NE cover NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NALOXONE 0.4 MG/ML VIAL [Narcan] ![Compare how all Medicare Part D PDP plans in NE cover NALOXONE 0.4 MG/ML VIAL [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
naloxone 1 mg/ml syringe ![Compare how all Medicare Part D PDP plans in NE cover naloxone 1 mg/ml syringe.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NALOXONE HCL 4 MG NASAL SPRAY [Narcan] ![Compare how all Medicare Part D PDP plans in NE cover NALOXONE HCL 4 MG NASAL SPRAY [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NALTREXONE 50 MG TABLET [ReVia] ![Compare how all Medicare Part D PDP plans in NE cover NALTREXONE 50 MG TABLET [ReVia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NAPROXEN 125 MG/5 ML ORAL SUSPENSION [Naprosyn] ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN 125 MG/5 ML ORAL SUSPENSION [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:1800 /30Days |
NAPROXEN 250 MG TABLET [Naprosyn] ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN 250 MG TABLET [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | Q:180 /30Days |
NAPROXEN 375 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN 375 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | Q:120 /30Days |
NAPROXEN 500 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN 500 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$4.00 | $0.00 | Q:90 /30Days |
NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:120 /30Days |
NAPROXEN SODIUM 275 MG TABLET [Anaprox] ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN SODIUM 275 MG TABLET [Anaprox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:150 /30Days |
NAPROXEN SODIUM 550 MG TABLET [Anaprox DS] ![Compare how all Medicare Part D PDP plans in NE cover NAPROXEN SODIUM 550 MG TABLET [Anaprox DS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:90 /30Days |
NARATRIPTAN HCL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NARATRIPTAN HCL 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:18 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NARATRIPTAN HCL 2.5 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NARATRIPTAN HCL 2.5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:18 /30Days |
NATACYN 5% EYE DROPS/EYE DROPPER ![Compare how all Medicare Part D PDP plans in NE cover NATACYN 5% EYE DROPS/EYE DROPPER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NATEGLINIDE 120 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in NE cover NATEGLINIDE 120 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:90 /30Days |
NATEGLINIDE 60 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in NE cover NATEGLINIDE 60 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:180 /30Days |
NAYZILAM 5 MG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in NE cover NAYZILAM 5 MG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:10 /30Days |
NEBIVOLOL 10 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in NE cover NEBIVOLOL 10 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NEBIVOLOL 2.5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in NE cover NEBIVOLOL 2.5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NEBIVOLOL 20 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in NE cover NEBIVOLOL 20 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NEBIVOLOL 5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in NE cover NEBIVOLOL 5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NECON 0.5-35-28 TABLET [WERA] ![Compare how all Medicare Part D PDP plans in NE cover NECON 0.5-35-28 TABLET [WERA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 250MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HCL 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE ![Compare how all Medicare Part D PDP plans in NE cover NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NEO-POLYCIN EYE OINTMENT [Polymycin] ![Compare how all Medicare Part D PDP plans in NE cover NEO-POLYCIN EYE OINTMENT [Polymycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort] ![Compare how all Medicare Part D PDP plans in NE cover NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in NE cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex] ![Compare how all Medicare Part D PDP plans in NE cover NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex] ![Compare how all Medicare Part D PDP plans in NE cover NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in NE cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in NE 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 |
$47.00 | $141.00 | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in NE cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NERLYNX 40 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NERLYNX 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:180 /30Days |
NEUPRO 1 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NEUPRO 1 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEUPRO 2 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NEUPRO 2 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEUPRO 3 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NEUPRO 3 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEUPRO 4 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NEUPRO 4 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEUPRO 6 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NEUPRO 6 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEUPRO 8 MG/24 HR PATCH ![Compare how all Medicare Part D PDP plans in NE cover NEUPRO 8 MG/24 HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NEVIRAPINE 200 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NEVIRAPINE 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:60 /30Days |
NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune] ![Compare how all Medicare Part D PDP plans in NE cover NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:1200 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in NE cover NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | Q:30 /30Days |
NIACIN ER 1,000 MG TABLET 24H [Niaspan] ![Compare how all Medicare Part D PDP plans in NE cover NIACIN ER 1,000 MG TABLET 24H [Niaspan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:60 /30Days |
NIACIN ER 500 MG TABLET 24H [Slo-Niacin] ![Compare how all Medicare Part D PDP plans in NE cover NIACIN ER 500 MG TABLET 24H [Slo-Niacin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:30 /30Days |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in NE cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | Q:60 /30Days |
Nicardipine hydrochloride 20 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in NE cover Nicardipine hydrochloride 20 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
Nicardipine hydrochloride 30 MG Oral Capsule ![Compare how all Medicare Part D PDP plans in NE cover Nicardipine hydrochloride 30 MG Oral Capsule.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL ![Compare how all Medicare Part D PDP plans in NE cover NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in NE 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 | $300.00 | None |
NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NIFEDIPINE ER 30 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 30 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $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 NE cover NIFEDIPINE ER 60 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in NE cover NIFEDIPINE ER 90 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NIKKI 3 MG-0.02 MG TABLET [Yaz] ![Compare how all Medicare Part D PDP plans in NE cover NIKKI 3 MG-0.02 MG TABLET [Yaz].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in NE cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NIMODIPINE 30 MG CAPSULE [Nimotop] ![Compare how all Medicare Part D PDP plans in NE cover NIMODIPINE 30 MG CAPSULE [Nimotop].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NINLARO 2.3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NINLARO 2.3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:3 /28Days |
NINLARO 3 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NINLARO 3 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:3 /28Days |
NINLARO 4 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NINLARO 4 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:3 /28Days |
NISOLDIPINE ER 17 MG TABLET ER 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 17 MG TABLET ER 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NISOLDIPINE ER 25.5 MG TABLET 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 25.5 MG TABLET 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NISOLDIPINE ER 34 MG TABLET ER 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 34 MG TABLET ER 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NISOLDIPINE ER 8.5 MG TABLET ER 24H [Sular] ![Compare how all Medicare Part D PDP plans in NE cover NISOLDIPINE ER 8.5 MG TABLET ER 24H [Sular].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NITAZOXANIDE 500 MG TABLET [Alinia] ![Compare how all Medicare Part D PDP plans in NE cover NITAZOXANIDE 500 MG TABLET [Alinia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:20 /30Days |
NITISINONE 10 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in NE cover NITISINONE 10 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NITISINONE 2 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in NE cover NITISINONE 2 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NITISINONE 20 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in NE cover NITISINONE 20 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NITISINONE 5 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in NE cover NITISINONE 5 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NITRO-BID 2% OINTMENT ![Compare how all Medicare Part D PDP plans in NE cover NITRO-BID 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in NE cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in NE cover NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in NE cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc] ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROGLYCERIN 0.3 MG TABLET SL ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.3 MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NITROGLYCERIN 400 MCG SPRAY [Nitrolingual] ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN 400 MCG SPRAY [Nitrolingual].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX ![Compare how all Medicare Part D PDP plans in NE cover NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NIVESTYM 300 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in NE cover NIVESTYM 300 MCG/0.5 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | P |
NIVESTYM 300 MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in NE cover NIVESTYM 300 MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NIVESTYM 480 MCG/0.8 ML SYRINGE ![Compare how all Medicare Part D PDP plans in NE cover NIVESTYM 480 MCG/0.8 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIVESTYM 480 MCG/1.6 ML VIAL ![Compare how all Medicare Part D PDP plans in NE cover NIVESTYM 480 MCG/1.6 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NIZATIDINE 150 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in NE cover NIZATIDINE 150 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NIZATIDINE 300 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in NE cover NIZATIDINE 300 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
noret-estr-fe 0.4-0.035(21)-75 ![Compare how all Medicare Part D PDP plans in NE cover noret-estr-fe 0.4-0.035(21)-75.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NORETH-EE-FE 1 MG/20-30-35 MCG TABLET [Tri-Legest Fe] ![Compare how all Medicare Part D PDP plans in NE cover NORETH-EE-FE 1 MG/20-30-35 MCG TABLET [Tri-Legest Fe].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NORETH-EE-FE 1-0.02(21)-75 TABLET [Tarina Fe 1/20] ![Compare how all Medicare Part D PDP plans in NE 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 |
$47.00 | $141.00 | None |
NORETH-EE-FE 1-0.02(24)-75 CAPSULE [Taytulla] ![Compare how all Medicare Part D PDP plans in NE cover NORETH-EE-FE 1-0.02(24)-75 CAPSULE [Taytulla].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
Norethin-Estrad-Ferr 0.8-0.025 MG ![Compare how all Medicare Part D PDP plans in NE cover Norethin-Estrad-Ferr 0.8-0.025 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NORETHIND-ETH ESTRAD 1-0.02 MG ![Compare how all Medicare Part D PDP plans in NE cover NORETHIND-ETH ESTRAD 1-0.02 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in NE cover NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORETHINDRONE 5 MG TABLET [Aygestin] ![Compare how all Medicare Part D PDP plans in NE cover NORETHINDRONE 5 MG TABLET [Aygestin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NORG-EE 0.18-0.215-0.25/0.025 TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in NE cover NORG-EE 0.18-0.215-0.25/0.025 TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NORG-EE 0.18-0.215-0.25/0.035 ![Compare how all Medicare Part D PDP plans in NE 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 |
$47.00 | $141.00 | None |
NORG-ETHIN ESTRA 0.25-0.035 MG TABLET [VyLibra] ![Compare how all Medicare Part D PDP plans in NE 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 |
$47.00 | $141.00 | None |
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK ![Compare how all Medicare Part D PDP plans in NE 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 |
$47.00 | $141.00 | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK ![Compare how all Medicare Part D PDP plans in NE 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 |
$47.00 | $141.00 | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in NE cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | 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 NE 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 |
$47.00 | $141.00 | None |
NORTRIPTYLINE 10 MG/5 ML SOL ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE 10 MG/5 ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | None |
NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTRIPTYLINE HCL 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE HCL 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in NE cover NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NORVIR 100 MG POWDER PACKET ![Compare how all Medicare Part D PDP plans in NE cover NORVIR 100 MG POWDER PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:360 /30Days |
NOXAFIL 300 MG POWDERMIX SUSPDR PACKET ![Compare how all Medicare Part D PDP plans in NE cover NOXAFIL 300 MG POWDERMIX SUSPDR PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
NUBEQA 300 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUBEQA 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:120 /30Days |
NUEDEXTA 20; 10mg/1; mg/1 ![Compare how all Medicare Part D PDP plans in NE cover NUEDEXTA 20; 10mg/1; mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:60 /30Days |
NUPLAZID 10 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUPLAZID 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:30 /30Days |
NUPLAZID 34 MG CAPSULE ![Compare how all Medicare Part D PDP plans in NE cover NUPLAZID 34 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P Q:30 /30Days |
NURTEC ODT 75 MG TABLET RAPDIS ![Compare how all Medicare Part D PDP plans in NE cover NURTEC ODT 75 MG TABLET RAPDIS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | P Q:16 /30Days |
NUTRILIPID 20 % EMULSION ![Compare how all Medicare Part D PDP plans in NE cover NUTRILIPID 20 % EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | P |
NUZYRA 100 MG VIAL ![Compare how all Medicare Part D PDP plans in NE cover NUZYRA 100 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NUZYRA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in NE cover NUZYRA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in NE cover NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NYLIA 1-35 28 TABLET [Pirmella] ![Compare how all Medicare Part D PDP plans in NE cover NYLIA 1-35 28 TABLET [Pirmella].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NYLIA 7-7-7-28 TABLET [Pirmella] ![Compare how all Medicare Part D PDP plans in NE cover NYLIA 7-7-7-28 TABLET [Pirmella].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NYMYO 0.25-0.035 MG (28) TABLET [VyLibra] ![Compare how all Medicare Part D PDP plans in NE cover NYMYO 0.25-0.035 MG (28) TABLET [VyLibra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $141.00 | None |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex] ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [Nystex] ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin] ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
Nystatin and Triamcinolone Acetonide 30G Topical Cream ![Compare how all Medicare Part D PDP plans in NE cover Nystatin and Triamcinolone Acetonide 30G Topical Cream.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex] ![Compare how all Medicare Part D PDP plans in NE cover NYSTATIN-TRIAMCINOLONE OINTMENT [Mytrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |
NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in NE cover NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$14.00 | $0.00 | None |