2024 Medicare Part D Plan Formulary Information |
HealthPartners UnityPoint Health Symmetry (PPO) (H3416-002-5)
Benefits & Contact Info
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Symmetry (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 HealthPartners UnityPoint Health Symmetry (PPO) (H3416-002-5) Formulary Drugs Starting with the Letter T in Wright County, IA: CMS MA Region 19 which includes: IA
|
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 IA cover TABLOID 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TABRECTA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TABRECTA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TABRECTA 200 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TABRECTA 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TACROLIMUS 0.03% OINTMENT [Protopic] ![Compare how all Medicare Part D PDP plans in IA cover TACROLIMUS 0.03% OINTMENT [Protopic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | Q:100 /30Days |
TACROLIMUS 0.1% OINTMENT [Protopic] ![Compare how all Medicare Part D PDP plans in IA cover TACROLIMUS 0.1% OINTMENT [Protopic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | Q:100 /30Days |
TACROLIMUS 0.5 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in IA cover TACROLIMUS 0.5 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TACROLIMUS 1 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in IA cover TACROLIMUS 1 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TACROLIMUS 5 MG CAPSULE (IR) [Prograf] ![Compare how all Medicare Part D PDP plans in IA cover TACROLIMUS 5 MG CAPSULE (IR) [Prograf].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TADALAFIL 20 MG TABLET [Cialis] ![Compare how all Medicare Part D PDP plans in IA cover TADALAFIL 20 MG TABLET [Cialis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAFINLAR 10 MG TABLET FOR SUSPENSION ![Compare how all Medicare Part D PDP plans in IA cover TAFINLAR 10 MG TABLET FOR SUSPENSION.](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 |
TAFINLAR 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TAFINLAR 50 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAFINLAR 75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TAFINLAR 75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAGRISSO 40 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TAGRISSO 40 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAGRISSO 80 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TAGRISSO 80 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAKHZYRO 150 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA cover TAKHZYRO 150 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAKHZYRO 300 MG/2 ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA cover TAKHZYRO 300 MG/2 ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAKHZYRO 300 MG/2 ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover TAKHZYRO 300 MG/2 ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TALICIA DR 10-250-12.5 MG CAPSULE IR ![Compare how all Medicare Part D PDP plans in IA cover TALICIA DR 10-250-12.5 MG CAPSULE IR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TALZENNA 0.1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TALZENNA 0.1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TALZENNA 0.25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TALZENNA 0.25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TALZENNA 0.35 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TALZENNA 0.35 MG CAPSULE.](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 |
TALZENNA 0.5 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TALZENNA 0.5 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TALZENNA 0.75 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TALZENNA 0.75 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TALZENNA 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TALZENNA 1 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TAMOXIFEN 10 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in IA cover TAMOXIFEN 10 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TAMOXIFEN 20 MG TABLET [Nolvadex] ![Compare how all Medicare Part D PDP plans in IA cover TAMOXIFEN 20 MG TABLET [Nolvadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TAMSULOSIN HCL 0.4 MG CAPSULE [Flomax] ![Compare how all Medicare Part D PDP plans in IA 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 |
TARINA 24 FE 1 MG-20 MCG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TARINA 24 FE 1 MG-20 MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TARINA FE 1-20 EQ TABLET ![Compare how all Medicare Part D PDP plans in IA cover TARINA FE 1-20 EQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Tasigna 150mg/1 4 BLISTER PACK per CARTON / 28 CAPSULE per BLISTER PACK ![Compare how all Medicare Part D PDP plans in IA 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 |
Tier 5 |
33% | N/A | P |
TASIGNA 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TASIGNA 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TASIGNA 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TASIGNA 50 MG CAPSULE.](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 |
TAZAROTENE 0.05% GEL [TAZORAC] ![Compare how all Medicare Part D PDP plans in IA cover TAZAROTENE 0.05% GEL [TAZORAC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:30 /30Days |
TAZAROTENE 0.1% CREAM [Tazorac] ![Compare how all Medicare Part D PDP plans in IA cover TAZAROTENE 0.1% CREAM [Tazorac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | Q:30 /30Days |
TAZAROTENE 0.1% GEL [TAZORAC] ![Compare how all Medicare Part D PDP plans in IA cover TAZAROTENE 0.1% GEL [TAZORAC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:30 /30Days |
TAZORAC 0.05% CREAM (G) ![Compare how all Medicare Part D PDP plans in IA cover TAZORAC 0.05% CREAM (G).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | S Q:30 /30Days |
TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TAZTIA XT 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TAZTIA XT 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TAZTIA XT 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TAZTIA XT 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TAZTIA XT 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TAZTIA XT 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TAZTIA XT 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TAZVERIK 200 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TAZVERIK 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TDVAX VIAL ![Compare how all Medicare Part D PDP plans in IA cover TDVAX VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
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 IA 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 |
Tier 5 |
33% | 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 IA 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 |
Tier 5 |
33% | N/A | None |
TELMISARTAN 20 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in IA cover TELMISARTAN 20 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TELMISARTAN 40 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in IA cover TELMISARTAN 40 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TELMISARTAN 80 MG TABLET [Micardis] ![Compare how all Medicare Part D PDP plans in IA cover TELMISARTAN 80 MG TABLET [Micardis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in IA cover TELMISARTAN-HCTZ 40-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in IA cover TELMISARTAN-HCTZ 80-12.5 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT] ![Compare how all Medicare Part D PDP plans in IA cover TELMISARTAN-HCTZ 80-25 MG TABLET [Micardis HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TEMAZEPAM 15 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in IA cover TEMAZEPAM 15 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | Q:30 /30Days |
TEMAZEPAM 30 MG CAPSULE [Restoril] ![Compare how all Medicare Part D PDP plans in IA cover TEMAZEPAM 30 MG CAPSULE [Restoril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | Q:30 /30Days |
Tencon 50-325 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover Tencon 50-325 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | Q:12 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TENIVAC SYRINGE ![Compare how all Medicare Part D PDP plans in IA cover TENIVAC SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TENIVAC VIAL ![Compare how all Medicare Part D PDP plans in IA cover TENIVAC VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TENOFOVIR DISOP FUM 300 MG TABLET [Viread] ![Compare how all Medicare Part D PDP plans in IA cover TENOFOVIR DISOP FUM 300 MG TABLET [Viread].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TEPMETKO 225 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TEPMETKO 225 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TERAZOSIN 1 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA 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 IA 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 IA 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 IA 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 IA cover TERBINAFINE HCL 250 MG TABLET [Terbinex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TERCONAZOLE 0.4% CREAM WITH APPLICATOR ![Compare how all Medicare Part D PDP plans in IA cover TERCONAZOLE 0.4% CREAM WITH APPLICATOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TERCONAZOLE 0.8% CREAM ![Compare how all Medicare Part D PDP plans in IA cover TERCONAZOLE 0.8% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TERCONAZOLE 80MG SUPPOSITORY VAGINAL ![Compare how all Medicare Part D PDP plans in IA cover TERCONAZOLE 80MG SUPPOSITORY VAGINAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TERIFLUNOMIDE 14 MG TABLET [AUBAGIO] ![Compare how all Medicare Part D PDP plans in IA cover TERIFLUNOMIDE 14 MG TABLET [AUBAGIO].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | Q:30 /30Days |
TERIFLUNOMIDE 7 MG TABLET [AUBAGIO] ![Compare how all Medicare Part D PDP plans in IA cover TERIFLUNOMIDE 7 MG TABLET [AUBAGIO].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | Q:30 /30Days |
TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERON ENAN 1,000 MG/5 ML VIAL [Delatestryl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | P |
TESTOSTERONE 1.62% (2.5 G) GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE 1.62% (2.5 G) GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TESTOSTERONE 1.62% GEL MD PUMP [AndroGel] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE 1.62% GEL MD PUMP [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE 1.62%(1.25 G) GEL PACKET [AndroGel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TESTOSTERONE 10 MG GEL MD PUMP [FORTESTA] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE 10 MG GEL MD PUMP [FORTESTA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TESTOSTERONE 12.5 MG/1.25 GRAM GEL MD PMP [Vogelxo] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE 12.5 MG/1.25 GRAM GEL MD PMP [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE 25 MG/2.5 GM GEL PACKET [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TESTOSTERONE 50 MG/5 GRAM GEL PACKET [Vogelxo] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE 50 MG/5 GRAM GEL PACKET [Vogelxo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Testosterone cyp 100 mg/ml ![Compare how all Medicare Part D PDP plans in IA cover Testosterone cyp 100 mg/ml.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | P |
TESTOSTERONE CYP 2,000 MG/10ML VIAL [Virilon] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE CYP 2,000 MG/10ML VIAL [Virilon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | P |
TESTOSTERONE CYP 200 MG/ML VIAL [Virilon] ![Compare how all Medicare Part D PDP plans in IA cover TESTOSTERONE CYP 200 MG/ML VIAL [Virilon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | P |
TETRABENAZINE 12.5 MG TABLET [Xenazine] ![Compare how all Medicare Part D PDP plans in IA cover TETRABENAZINE 12.5 MG TABLET [Xenazine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TETRABENAZINE 25 MG TABLET [Xenazine] ![Compare how all Medicare Part D PDP plans in IA cover TETRABENAZINE 25 MG TABLET [Xenazine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TETRACYCLINE 250 MG CAPSULE [Panmycin] ![Compare how all Medicare Part D PDP plans in IA cover TETRACYCLINE 250 MG CAPSULE [Panmycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TETRACYCLINE 500 MG CAPSULE [Sumycin] ![Compare how all Medicare Part D PDP plans in IA cover TETRACYCLINE 500 MG CAPSULE [Sumycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
THALOMID 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover THALOMID 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
THALOMID 150 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover THALOMID 150 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
THALOMID 200 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover THALOMID 200 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
THALOMID 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover THALOMID 50 MG CAPSULE.](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 |
THEOPHYLLINE ER 300 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover THEOPHYLLINE ER 300 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl] ![Compare how all Medicare Part D PDP plans in IA cover THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
THEOPHYLLINE ER 450 MG TABLET 12H ![Compare how all Medicare Part D PDP plans in IA cover THEOPHYLLINE ER 450 MG TABLET 12H.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl] ![Compare how all Medicare Part D PDP plans in IA cover THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
THIOLA EC 100 MG TABLET DR ![Compare how all Medicare Part D PDP plans in IA cover THIOLA EC 100 MG TABLET DR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
THIOLA EC 300 MG TABLET DR ![Compare how all Medicare Part D PDP plans in IA cover THIOLA EC 300 MG TABLET DR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
THIORIDAZINE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover THIORIDAZINE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
THIORIDAZINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover THIORIDAZINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
THIORIDAZINE 25 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover THIORIDAZINE 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
THIORIDAZINE 50 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover THIORIDAZINE 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
THIOTHIXENE 1 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in IA cover THIOTHIXENE 1 MG CAPSULE [Navane].](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 |
THIOTHIXENE 10 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in IA cover THIOTHIXENE 10 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
THIOTHIXENE 2 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in IA cover THIOTHIXENE 2 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
THIOTHIXENE 5 MG CAPSULE [Navane] ![Compare how all Medicare Part D PDP plans in IA cover THIOTHIXENE 5 MG CAPSULE [Navane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TIADYLT ER 360 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in IA cover TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIAGABINE HCL 12 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in IA cover TIAGABINE HCL 12 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIAGABINE HCL 16 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in IA cover TIAGABINE HCL 16 MG TABLET [Gabitril].](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 |
TIAGABINE HCL 2 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in IA cover TIAGABINE HCL 2 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIAGABINE HCL 4 MG TABLET [Gabitril] ![Compare how all Medicare Part D PDP plans in IA cover TIAGABINE HCL 4 MG TABLET [Gabitril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIBSOVO 250 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIBSOVO 250 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TICOVAC 1.2 MCG/0.25 ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | None |
TICOVAC 2.4 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | None |
TIGECYCLINE 50 MG VIAL [Tygacil] ![Compare how all Medicare Part D PDP plans in IA cover TIGECYCLINE 50 MG VIAL [Tygacil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TILIA FE 28 TABLET [Tri-Legest Fe] ![Compare how all Medicare Part D PDP plans in IA cover TILIA FE 28 TABLET [Tri-Legest Fe].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIMOLOL 0.25% GEL-SOLUTION [Timoptic-XE] ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL 0.25% GEL-SOLUTION [Timoptic-XE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIMOLOL 0.5% EYE DROPS ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL 0.5% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIMOLOL 0.5% GEL-SOLUTION [Timoptic-XE] ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL 0.5% GEL-SOLUTION [Timoptic-XE].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIMOLOL MALEATE 0.25% EYE DROPS [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL MALEATE 0.25% EYE DROPS [Timoptic Ocumeter].](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 |
TIMOLOL MALEATE 0.5% EYE DROPS [Timoptic Ocumeter] ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL MALEATE 0.5% EYE DROPS [Timoptic Ocumeter].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$0.00 | $0.00 | None |
TIMOLOL MALEATE 10MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL MALEATE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIMOLOL MALEATE 20MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL MALEATE 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIMOLOL MALEATE 5MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIMOLOL MALEATE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TINIDAZOLE 250 MG TABLET [Tindamax] ![Compare how all Medicare Part D PDP plans in IA cover TINIDAZOLE 250 MG TABLET [Tindamax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TINIDAZOLE 500 MG TABLET [Tindamax] ![Compare how all Medicare Part D PDP plans in IA cover TINIDAZOLE 500 MG TABLET [Tindamax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TIOPRONIN 100 MG TABLET [Thiola] ![Compare how all Medicare Part D PDP plans in IA cover TIOPRONIN 100 MG TABLET [Thiola].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TIVICAY 10 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIVICAY 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TIVICAY 25 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIVICAY 25 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TIVICAY 50 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIVICAY 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TIVICAY PD 5 MG TABLET FOR SUSPENSION ![Compare how all Medicare Part D PDP plans in IA cover TIVICAY PD 5 MG TABLET FOR SUSPENSION.](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 |
TIZANIDINE HCL 2 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIZANIDINE HCL 2 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TIZANIDINE HCL 4 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TIZANIDINE HCL 4 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TOBI PODHALER 28 MG INHALE CAPSULE W/DEV ![Compare how all Medicare Part D PDP plans in IA cover TOBI PODHALER 28 MG INHALE CAPSULE W/DEV.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TOBRAMYCIN 0.3% EYE DROPS [Tobrex] ![Compare how all Medicare Part D PDP plans in IA cover TOBRAMYCIN 0.3% EYE DROPS [Tobrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in IA cover TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TOBRAMYCIN 300 MG/4 ML AMPULE-NEB [BETHKIS] ![Compare how all Medicare Part D PDP plans in IA cover TOBRAMYCIN 300 MG/4 ML AMPULE-NEB [BETHKIS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in IA 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 |
Tier 5 |
33% | N/A | P |
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] ![Compare how all Medicare Part D PDP plans in IA cover TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TOBRAMYCIN-DEXAMETH OPTH SUSP ![Compare how all Medicare Part D PDP plans in IA cover TOBRAMYCIN-DEXAMETH OPTH SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TOLTERODINE TART ER 2 MG CAPSULE 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in IA cover TOLTERODINE TART ER 2 MG CAPSULE 24H [Detrol LA].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TOLTERODINE TART ER 4 MG CAPSULE 24H [Detrol LA] ![Compare how all Medicare Part D PDP plans in IA cover TOLTERODINE TART ER 4 MG CAPSULE 24H [Detrol LA].](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 |
TOLTERODINE TARTRATE 1 MG TABLET [Detrol] ![Compare how all Medicare Part D PDP plans in IA cover TOLTERODINE TARTRATE 1 MG TABLET [Detrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TOLTERODINE TARTRATE 2 MG TABLET [Detrol] ![Compare how all Medicare Part D PDP plans in IA cover TOLTERODINE TARTRATE 2 MG TABLET [Detrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TOPIRAMATE 100 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in IA cover TOPIRAMATE 100 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TOPIRAMATE 15 MG SPRINKLE CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TOPIRAMATE 15 MG SPRINKLE CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TOPIRAMATE 200 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in IA cover TOPIRAMATE 200 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TOPIRAMATE 25 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in IA cover TOPIRAMATE 25 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Topiramate 25mg/1 ![Compare how all Medicare Part D PDP plans in IA cover Topiramate 25mg/1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TOPIRAMATE 50 MG TABLET [Topiragen] ![Compare how all Medicare Part D PDP plans in IA cover TOPIRAMATE 50 MG TABLET [Topiragen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TOREMIFENE CITRATE 60 MG TABLET [Fareston] ![Compare how all Medicare Part D PDP plans in IA cover TOREMIFENE CITRATE 60 MG TABLET [Fareston].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TORSEMIDE 10 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TORSEMIDE 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TORSEMIDE 100 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TORSEMIDE 100 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TORSEMIDE 20 MG TABLET [SOAANZ] ![Compare how all Medicare Part D PDP plans in IA cover TORSEMIDE 20 MG TABLET [SOAANZ].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TORSEMIDE 5 MG TABLET [Demadex] ![Compare how all Medicare Part D PDP plans in IA cover TORSEMIDE 5 MG TABLET [Demadex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN ![Compare how all Medicare Part D PDP plans in IA cover TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TOUJEO SOLOSTAR 300 UNITS/ML ![Compare how all Medicare Part D PDP plans in IA cover TOUJEO SOLOSTAR 300 UNITS/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRACLEER 32 MG TABLET FOR SUSPENSION TABLET SUSP ![Compare how all Medicare Part D PDP plans in IA cover TRACLEER 32 MG TABLET FOR SUSPENSION TABLET SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRADJENTA 5 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRADJENTA 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | Q:1 /1Days |
TRAMADOL HCL 50 MG TABLET [Ultram] ![Compare how all Medicare Part D PDP plans in IA cover TRAMADOL HCL 50 MG TABLET [Ultram].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | Q:8 /1Days |
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet] ![Compare how all Medicare Part D PDP plans in IA cover TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | P |
TRANDOLAPRIL 1 MG TABLET ![Compare how all Medicare Part D PDP plans in IA 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 IA 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 IA 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 |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRANEXAMIC ACID 650 MG TABLET [Lysteda] ![Compare how all Medicare Part D PDP plans in IA cover TRANEXAMIC ACID 650 MG TABLET [Lysteda].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | Q:30 /30Days |
TRANYLCYPROMINE SULF 10 MG TABLET [Parnate] ![Compare how all Medicare Part D PDP plans in IA cover TRANYLCYPROMINE SULF 10 MG TABLET [Parnate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRAVOPROST 0.004% EYE DROPS [Travatan Z] ![Compare how all Medicare Part D PDP plans in IA cover TRAVOPROST 0.004% EYE DROPS [Travatan Z].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRAZODONE 100 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in IA 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 IA 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 300 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in IA cover TRAZODONE 300 MG TABLET [Desyrel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRAZODONE 50 MG TABLET [Desyrel] ![Compare how all Medicare Part D PDP plans in IA 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 |
TRECATOR 250MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRECATOR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRELEGY ELLIPTA 100-62.5-25 ![Compare how all Medicare Part D PDP plans in IA cover TRELEGY ELLIPTA 100-62.5-25.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRELEGY ELLIPTA 200-62.5-25 BLST W/DEV ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | None |
TRELSTAR 11.25 MG VIAL ![Compare how all Medicare Part D PDP plans in IA cover TRELSTAR 11.25 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRELSTAR 22.5 MG VIAL ![Compare how all Medicare Part D PDP plans in IA cover TRELSTAR 22.5 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TRELSTAR 3.75 MG VIAL ![Compare how all Medicare Part D PDP plans in IA cover TRELSTAR 3.75 MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TREMFYA 100 MG/ML AUTOINJECTOR ![Compare how all Medicare Part D PDP plans in IA cover TREMFYA 100 MG/ML AUTOINJECTOR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TREMFYA 100 MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA cover TREMFYA 100 MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRETINOIN 0.01% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in IA cover TRETINOIN 0.01% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRETINOIN 0.025% CREAM (G) [Tretin-X] ![Compare how all Medicare Part D PDP plans in IA cover TRETINOIN 0.025% CREAM (G) [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRETINOIN 0.025% GEL [Tretin-X] ![Compare how all Medicare Part D PDP plans in IA cover TRETINOIN 0.025% GEL [Tretin-X].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRETINOIN 0.05% CREAM ![Compare how all Medicare Part D PDP plans in IA cover TRETINOIN 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRETINOIN 0.1% CREAM ![Compare how all Medicare Part D PDP plans in IA cover TRETINOIN 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRETINOIN 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TRETINOIN 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRI-ESTARYLLA TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in IA cover TRI-ESTARYLLA TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRI-LEGEST FE 5-7-9-7 TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRI-LEGEST FE 5-7-9-7 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRI-LO-ESTARYLLA TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in IA cover TRI-LO-ESTARYLLA TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRI-LO-SPRINTEC TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRI-LO-SPRINTEC TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRI-MILI 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in IA cover TRI-MILI 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRI-SPRINTEC 7DAYSX3 28 TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRI-SPRINTEC 7DAYSX3 28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRI-VYLIBRA 28 TABLET [Trinessa] ![Compare how all Medicare Part D PDP plans in IA cover TRI-VYLIBRA 28 TABLET [Trinessa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRI-VYLIBRA LO TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in IA cover TRI-VYLIBRA LO TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIAMCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIAMCINOLONE 0.025% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.025% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRIAMCINOLONE 0.025% OINT ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.025% OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIAMCINOLONE 0.05% OINTMENT [Trianex] ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.05% OINTMENT [Trianex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIAMCINOLONE 0.1% CREAM (G) [Triderm] ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.1% CREAM (G) [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIAMCINOLONE 0.1% LOTION [Kenalog] ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.1% LOTION [Kenalog].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRIAMCINOLONE 0.1% OINTMENT [Triderm] ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.1% OINTMENT [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIAMCINOLONE 0.1% PASTE (G) [Oralone] ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE 0.1% PASTE (G) [Oralone].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE ![Compare how all Medicare Part D PDP plans in IA cover TRIAMCINOLONE ACETONIDE 0.05% OINTMENT 15GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm] ![Compare how all Medicare Part D PDP plans in IA cover Triamcinolone Acetonide 1 MG/ML Topical Cream [Triderm].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Triamcinolone Acetonide 5mg/g 1 TUBE per CARTON / 15 g in 1 TUBE ![Compare how all Medicare Part D PDP plans in IA 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 |
$0.00 | $0.00 | None |
TRIAMTERENE-HCTZ 37.5-25 MG CAPSULE [Dyazide] ![Compare how all Medicare Part D PDP plans in IA 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 IA 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 IA 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 |
TRIDERM 0.5% CREAM (G) ![Compare how all Medicare Part D PDP plans in IA cover TRIDERM 0.5% CREAM (G).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRIENTINE HCL 250 MG CAPSULE [Syprine] ![Compare how all Medicare Part D PDP plans in IA cover TRIENTINE HCL 250 MG CAPSULE [Syprine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRIFLUOPERAZINE 1 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRIFLUOPERAZINE 1 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRIFLUOPERAZINE HCL 2MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRIFLUOPERAZINE HCL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRIFLUOPERAZINE HCL 5MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRIFLUOPERAZINE HCL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in IA cover TRIFLUOPERAZINE HCL USP 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOTTLE ![Compare how all Medicare Part D PDP plans in IA cover TRIFLURIDINE 1% OPTH SOLUTION 7.5ML BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRIHEXYPHENIDYL 2 MG TABLET [Artane] ![Compare how all Medicare Part D PDP plans in IA cover TRIHEXYPHENIDYL 2 MG TABLET [Artane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIHEXYPHENIDYL 5 MG TABLET [Artane] ![Compare how all Medicare Part D PDP plans in IA cover TRIHEXYPHENIDYL 5 MG TABLET [Artane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE ![Compare how all Medicare Part D PDP plans in IA cover Trihexyphenidyl Hydrochloride 2mg/5mL 473 mL in 1 BOTTLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIJARDY XR 10-5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | Q:30 /30Days |
TRIJARDY XR 12.5-2.5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | 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 IA 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 | $117.50 | Q:30 /30Days |
TRIJARDY XR 5-2.5-1,000 MG TABLET BP 24H ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | Q:60 /30Days |
TRIKAFTA 100-50-75 MG/75MG GRANULES PACKET SQ ![Compare how all Medicare Part D PDP plans in IA cover TRIKAFTA 100-50-75 MG/75MG GRANULES PACKET SQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in IA cover TRIKAFTA 100/50/75 MG-150 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRIKAFTA 50-25-37.5 MG/75 MG TABLET SEQ ![Compare how all Medicare Part D PDP plans in IA cover TRIKAFTA 50-25-37.5 MG/75 MG TABLET SEQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRIKAFTA 80-40-60MG/59.5MG GRANULES PACKET SQ ![Compare how all Medicare Part D PDP plans in IA cover TRIKAFTA 80-40-60MG/59.5MG GRANULES PACKET SQ.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRIMETHOBENZAMIDE 300 MG CAPSULE [Tigan] ![Compare how all Medicare Part D PDP plans in IA cover TRIMETHOBENZAMIDE 300 MG CAPSULE [Tigan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRIMETHOPRIM 100 MG TABLET [Proloprim] ![Compare how all Medicare Part D PDP plans in IA cover TRIMETHOPRIM 100 MG TABLET [Proloprim].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TRIMIPRAMINE MALEATE 100 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TRIMIPRAMINE MALEATE 100 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRIMIPRAMINE MALEATE 25 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TRIMIPRAMINE MALEATE 25 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRIMIPRAMINE MALEATE 50 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TRIMIPRAMINE MALEATE 50 MG CAPSULE.](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 |
TRINTELLIX 10 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRINTELLIX 10 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TRINTELLIX 20 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRINTELLIX 20 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TRINTELLIX 5 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRINTELLIX 5 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | P |
TRIUMEQ PD 60-5-30 MG TABLET SUSP ![Compare how all Medicare Part D PDP plans in IA cover TRIUMEQ PD 60-5-30 MG TABLET SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRIUMEQ TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRIUMEQ TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | None |
TRIVORA-28 TABLET [Trivora] ![Compare how all Medicare Part D PDP plans in IA cover TRIVORA-28 TABLET [Trivora].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | 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 IA 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 |
Tier 5 |
33% | N/A | None |
TROSPIUM CHLORIDE 20 MG TABLET [Sanctura] ![Compare how all Medicare Part D PDP plans in IA cover TROSPIUM CHLORIDE 20 MG TABLET [Sanctura].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TROSPIUM CHLORIDE ER 60 MG CAPSULE 24H [Sanctura XR] ![Compare how all Medicare Part D PDP plans in IA cover TROSPIUM CHLORIDE ER 60 MG CAPSULE 24H [Sanctura XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
$100.00 | $250.00 | None |
TRULICITY 0.75 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | P Q:2 /28Days |
TRULICITY 1.5 MG/0.5 ML PEN ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | P Q:2 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
TRULICITY 3 MG/0.5 ML PEN INJECTOR ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | P Q:2 /28Days |
TRULICITY 4.5 MG/0.5 ML PEN INJECTOR ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | P Q:2 /28Days |
TRUMENBA 120 MCG/0.5 ML VACCIN Syringe ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | None |
TRUQAP 160 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRUQAP 160 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TRUQAP 200 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TRUQAP 200 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TUKYSA 150 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TUKYSA 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TUKYSA 50 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TUKYSA 50 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TURALIO 125 MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover TURALIO 125 MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TURQOZ-28 TABLET ![Compare how all Medicare Part D PDP plans in IA cover TURQOZ-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Generic |
$0.00 | $0.00 | None |
TWINRIX VACCINE SYRINGE ![Compare how all Medicare Part D PDP plans in IA cover TWINRIX VACCINE SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TYBOST 150 MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover TYBOST 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | 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 IA cover TYMLOS 80 MCG DOSE PEN INJECTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5 |
33% | N/A | P |
TYPHIM VI 25 MCG/0.5 ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA 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 | $117.50 | None |
TYPHIM VI 25MCG/0.5ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover TYPHIM VI 25MCG/0.5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |
TYRVAYA 0.03 MG NASAL SPRAY METR ![Compare how all Medicare Part D PDP plans in IA cover TYRVAYA 0.03 MG NASAL SPRAY METR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$47.00 | $117.50 | None |