2025 Medicare Part D Plan Formulary Information |
Cigna Healthcare Saver Rx (PDP) (S5617-354-0)
Benefits & Contact Info
 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 Cigna Healthcare Saver Rx (PDP) (S5617-354-0) Formulary Drugs Starting with the Letter C in CMS PDP Region 4 which includes: NJ
|
Drugs Starting with Letter C
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
CABERGOLINE 0.5 MG TABLET [Dostinex] ![Compare how all Medicare Part D PDP plans in NJ cover CABERGOLINE 0.5 MG TABLET [Dostinex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CABOMETYX 20 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
CABOMETYX 40 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
CABOMETYX 60 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
CALCIPOTRIENE 0.005% CREAM (G) [Dovonex] ![Compare how all Medicare Part D PDP plans in NJ cover CALCIPOTRIENE 0.005% CREAM (G) [Dovonex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /30Days |
CALCIPOTRIENE 0.005% OINTMENT [Dovonex] ![Compare how all Medicare Part D PDP plans in NJ cover CALCIPOTRIENE 0.005% OINTMENT [Dovonex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /30Days |
CALCIPOTRIENE 0.005% SOLUTION [Dovonex Scalp] ![Compare how all Medicare Part D PDP plans in NJ cover CALCIPOTRIENE 0.005% SOLUTION [Dovonex Scalp].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:120 /30Days |
CALCITONIN SALMON NASAL SPRAY 200IU/SPRY  |
3 |
Preferred Brand |
17% | 17% | None |
CALCITRIOL 0.25 MCG CAPSULE [Rocaltrol] ![Compare how all Medicare Part D PDP plans in NJ cover CALCITRIOL 0.25 MCG CAPSULE [Rocaltrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CALCITRIOL 0.5 MCG CAPSULE [Rocaltrol] ![Compare how all Medicare Part D PDP plans in NJ cover CALCITRIOL 0.5 MCG CAPSULE [Rocaltrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CALCITRIOL 1 MCG/ML SOLUTION ORAL  |
3 |
Preferred Brand |
17% | 17% | None |
CALQUENCE 100 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
CALQUENCE 100 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
CAMILA 0.35 MG TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in NJ cover CAMILA 0.35 MG TABLET [Sharobel 28-Day].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CAMRESE LO TABLET  |
3 |
Preferred Brand |
17% | 17% | None |
CANDESARTAN CILEXETIL 16 MG TABLET [Atacand] ![Compare how all Medicare Part D PDP plans in NJ cover CANDESARTAN CILEXETIL 16 MG TABLET [Atacand].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:60 /30Days |
CANDESARTAN CILEXETIL 32 MG TABLET [Atacand] ![Compare how all Medicare Part D PDP plans in NJ cover CANDESARTAN CILEXETIL 32 MG TABLET [Atacand].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:30 /30Days |
CANDESARTAN CILEXETIL 4 MG TABLET [Atacand] ![Compare how all Medicare Part D PDP plans in NJ cover CANDESARTAN CILEXETIL 4 MG TABLET [Atacand].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:60 /30Days |
CANDESARTAN CILEXETIL 8 MG TABLET [Atacand] ![Compare how all Medicare Part D PDP plans in NJ cover CANDESARTAN CILEXETIL 8 MG TABLET [Atacand].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:60 /30Days |
CANDESARTAN-HCTZ 16-12.5 MG TABLET [Atacand HCT] ![Compare how all Medicare Part D PDP plans in NJ cover CANDESARTAN-HCTZ 16-12.5 MG TABLET [Atacand HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CANDESARTAN-HCTZ 32-12.5 MG TABLET [Atacand HCT] ![Compare how all Medicare Part D PDP plans in NJ cover CANDESARTAN-HCTZ 32-12.5 MG TABLET [Atacand HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CANDESARTAN-HCTZ 32-25 MG TABLET [Atacand HCT] ![Compare how all Medicare Part D PDP plans in NJ cover CANDESARTAN-HCTZ 32-25 MG TABLET [Atacand HCT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CAPLYTA 10.5 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
CAPLYTA 21 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
CAPLYTA 42 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
CAPRELSA 100 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
CAPRELSA 300 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
CAPTOPRIL 100 MG TABLET [Capoten] ![Compare how all Medicare Part D PDP plans in NJ cover CAPTOPRIL 100 MG TABLET [Capoten].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CAPTOPRIL 12.5 MG TABLET [Capoten] ![Compare how all Medicare Part D PDP plans in NJ cover CAPTOPRIL 12.5 MG TABLET [Capoten].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CAPTOPRIL 25 MG TABLET  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CAPTOPRIL 50 MG TABLET [Capoten] ![Compare how all Medicare Part D PDP plans in NJ cover CAPTOPRIL 50 MG TABLET [Capoten].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBAMAZEPINE 100 MG TABLET CHEW  |
3 |
Preferred Brand |
17% | 17% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CARBAMAZEPINE 100 MG/5 ML SUSP  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBAMAZEPINE 200 MG TABLET [Tegretol] ![Compare how all Medicare Part D PDP plans in NJ cover CARBAMAZEPINE 200 MG TABLET [Tegretol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CARBAMAZEPINE ER 100 MG CAPSULE CPMP 12HR [Carbatrol] ![Compare how all Medicare Part D PDP plans in NJ cover CARBAMAZEPINE ER 100 MG CAPSULE CPMP 12HR [Carbatrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBAMAZEPINE ER 100 MG TABLET 12H [Tegretol -XR] ![Compare how all Medicare Part D PDP plans in NJ cover CARBAMAZEPINE ER 100 MG TABLET 12H [Tegretol -XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CARBAMAZEPINE ER 200 MG CAPSULE CPMP 12HR [Carbatrol] ![Compare how all Medicare Part D PDP plans in NJ cover CARBAMAZEPINE ER 200 MG CAPSULE CPMP 12HR [Carbatrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBAMAZEPINE ER 200 MG TABLET 12H [Tegretol -XR] ![Compare how all Medicare Part D PDP plans in NJ cover CARBAMAZEPINE ER 200 MG TABLET 12H [Tegretol -XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBAMAZEPINE ER 300 MG CAPSULE CPMP 12HR [Carbatrol] ![Compare how all Medicare Part D PDP plans in NJ cover CARBAMAZEPINE ER 300 MG CAPSULE CPMP 12HR [Carbatrol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBAMAZEPINE ER 400 MG TABLET 12H [Tegretol -XR] ![Compare how all Medicare Part D PDP plans in NJ cover CARBAMAZEPINE ER 400 MG TABLET 12H [Tegretol -XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBIDOPA 25 MG TABLET [Lodosyn] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA 25 MG TABLET [Lodosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBIDOPA-LEVO 10-100 MG ODT TABLET RAPDIS [Parcopa] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVO 10-100 MG ODT TABLET RAPDIS [Parcopa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBIDOPA-LEVO 25-100 MG ODT TABLET RAPDIS [Parcopa] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVO 25-100 MG ODT TABLET RAPDIS [Parcopa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CARBIDOPA-LEVO 25-250 MG ODT TABLET RAPDIS [Parcopa] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVO 25-250 MG ODT TABLET RAPDIS [Parcopa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CARBIDOPA-LEVO ER 25-100 TABLET [SINEMET CR] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVO ER 25-100 TABLET [SINEMET CR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CARBIDOPA-LEVO ER 50-200 TABLET [SINEMET CR] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVO ER 50-200 TABLET [SINEMET CR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CARBIDOPA-LEVODOPA 10-100 TABLET [SINEMET] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 10-100 TABLET [SINEMET].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CARBIDOPA-LEVODOPA 100 MG-ENTA TABLET [Stalevo] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 100 MG-ENTA TABLET [Stalevo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBIDOPA-LEVODOPA 125 MG-ENTA TABLET [Stalevo] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 125 MG-ENTA TABLET [Stalevo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBIDOPA-LEVODOPA 150 MG-ENTA TABLET [Stalevo] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 150 MG-ENTA TABLET [Stalevo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBIDOPA-LEVODOPA 200 MG-ENTA TABLET [Stalevo] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 200 MG-ENTA TABLET [Stalevo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARBIDOPA-LEVODOPA 25-100 TABLET [SINEMET] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 25-100 TABLET [SINEMET].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CARBIDOPA-LEVODOPA 25-250 TABLET [SINEMET] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 25-250 TABLET [SINEMET].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CARBIDOPA-LEVODOPA 50 MG-ENTA TABLET [Stalevo] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 50 MG-ENTA TABLET [Stalevo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CARBIDOPA-LEVODOPA 75 MG-ENTA TABLET [Stalevo] ![Compare how all Medicare Part D PDP plans in NJ cover CARBIDOPA-LEVODOPA 75 MG-ENTA TABLET [Stalevo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CARGLUMIC ACID 200 MG TABLET SUSP TABLET DISPER [Carbaglu] ![Compare how all Medicare Part D PDP plans in NJ cover CARGLUMIC ACID 200 MG TABLET SUSP TABLET DISPER [Carbaglu].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
CARTEOLOL HCL 1% EYE DROPS  |
2* |
Generic |
$5.00 | $3.00 | None |
CARTIA XT 120MG CAPSULE SA  |
2* |
Generic |
$5.00 | $3.00 | None |
CARTIA XT 180 MG CAPSULE ER 24H [Tiazac] ![Compare how all Medicare Part D PDP plans in NJ cover CARTIA XT 180 MG CAPSULE ER 24H [Tiazac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CARTIA XT 240MG CAPSULE SA  |
2* |
Generic |
$5.00 | $3.00 | None |
CARTIA XT 300 MG CAPSULE  |
2* |
Generic |
$5.00 | $3.00 | None |
CARVEDILOL 12.5 MG TABLET [Coreg] ![Compare how all Medicare Part D PDP plans in NJ cover CARVEDILOL 12.5 MG TABLET [Coreg].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
CARVEDILOL 25 MG TABLET [Coreg] ![Compare how all Medicare Part D PDP plans in NJ cover CARVEDILOL 25 MG TABLET [Coreg].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
CARVEDILOL 3.125 MG TABLET [Coreg] ![Compare how all Medicare Part D PDP plans in NJ cover CARVEDILOL 3.125 MG TABLET [Coreg].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
CARVEDILOL 6.25 MG TABLET [Coreg] ![Compare how all Medicare Part D PDP plans in NJ cover CARVEDILOL 6.25 MG TABLET [Coreg].](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 |
CASPOFUNGIN ACETATE 50 MG VIAL [Cancidas] ![Compare how all Medicare Part D PDP plans in NJ cover CASPOFUNGIN ACETATE 50 MG VIAL [Cancidas].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CASPOFUNGIN ACETATE 70 MG VIAL [Cancidas] ![Compare how all Medicare Part D PDP plans in NJ cover CASPOFUNGIN ACETATE 70 MG VIAL [Cancidas].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CAYSTON KIT 75 MG/VIAL  |
5 |
Specialty Tier |
25% | N/A | P Q:84 /28Days |
CEFACLOR 250 MG CAPSULE [Ceclor] ![Compare how all Medicare Part D PDP plans in NJ cover CEFACLOR 250 MG CAPSULE [Ceclor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFACLOR 250 MG/5 ML ORAL SUSPENSION [Ceclor] ![Compare how all Medicare Part D PDP plans in NJ cover CEFACLOR 250 MG/5 ML ORAL SUSPENSION [Ceclor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFACLOR 500 MG CAPSULE [Ceclor] ![Compare how all Medicare Part D PDP plans in NJ cover CEFACLOR 500 MG CAPSULE [Ceclor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFACLOR ER 500MG TABLET SR 12HR  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFADROXIL 1 GM TABLET [Duricef] ![Compare how all Medicare Part D PDP plans in NJ cover CEFADROXIL 1 GM TABLET [Duricef].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFADROXIL 250 MG/5 ML ORAL SUSPENSION [Duricef] ![Compare how all Medicare Part D PDP plans in NJ cover CEFADROXIL 250 MG/5 ML ORAL SUSPENSION [Duricef].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFADROXIL 500 MG CAPSULE  |
2* |
Generic |
$5.00 | $3.00 | None |
CEFADROXIL 500 MG/5 ML SUSPENSION  |
3 |
Preferred Brand |
17% | 17% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CEFAZOLIN 1 GM VIAL [Kefzol] ![Compare how all Medicare Part D PDP plans in NJ cover CEFAZOLIN 1 GM VIAL [Kefzol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFAZOLIN 10 GM VIAL [Kefzol] ![Compare how all Medicare Part D PDP plans in NJ cover CEFAZOLIN 10 GM VIAL [Kefzol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFAZOLIN 500 MG VIAL [Ancef] ![Compare how all Medicare Part D PDP plans in NJ cover CEFAZOLIN 500 MG VIAL [Ancef].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFDINIR 125 MG/5 ML ORAL SUSPENSION [Omnicef] ![Compare how all Medicare Part D PDP plans in NJ cover CEFDINIR 125 MG/5 ML ORAL SUSPENSION [Omnicef].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [Omnicef] ![Compare how all Medicare Part D PDP plans in NJ cover CEFDINIR 250 MG/5 ML ORAL SUSPENSION [Omnicef].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFDINIR 300 MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFEPIME HCL 1 GM VIAL [Maxipime] ![Compare how all Medicare Part D PDP plans in NJ cover CEFEPIME HCL 1 GM VIAL [Maxipime].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFEPIME HCL 2 GRAM VIAL [Maxipime] ![Compare how all Medicare Part D PDP plans in NJ cover CEFEPIME HCL 2 GRAM VIAL [Maxipime].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFIXIME 100 MG/5 ML SUSPENSION [Suprax] ![Compare how all Medicare Part D PDP plans in NJ cover CEFIXIME 100 MG/5 ML SUSPENSION [Suprax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFIXIME 200 MG/5 ML SUSPENSION [Suprax] ![Compare how all Medicare Part D PDP plans in NJ cover CEFIXIME 200 MG/5 ML SUSPENSION [Suprax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFIXIME 400 MG CAPSULE [Suprax] ![Compare how all Medicare Part D PDP plans in NJ cover CEFIXIME 400 MG CAPSULE [Suprax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CEFOTETAN 1GM VIAL 1EA x 10  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFOTETAN 2GM VIAL 1EA x 10  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFOXITIN 1 GM VIAL [Mefoxin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFOXITIN 1 GM VIAL [Mefoxin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFOXITIN 10 GM VIAL  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFOXITIN 2 GM VIAL [Mefoxin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFOXITIN 2 GM VIAL [Mefoxin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFPODOXIME 100 MG TABLET [Vantin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFPODOXIME 100 MG TABLET [Vantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [Vantin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [Vantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFPODOXIME 200 MG TABLET  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFPODOXIME 50 MG/5 ML SUSPENSION  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFPROZIL 125 MG/5 ML SUSPENSION  |
3 |
Preferred Brand |
17% | 17% | None |
CEFPROZIL 250 MG TABLET  |
3 |
Preferred Brand |
17% | 17% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CEFPROZIL 250 MG/5 ML SUSPENSION  |
3 |
Preferred Brand |
17% | 17% | None |
CEFPROZIL 500 MG TABLET  |
3 |
Preferred Brand |
17% | 17% | None |
CEFTAZIDIME 1 GM VIAL [Tazidime] ![Compare how all Medicare Part D PDP plans in NJ cover CEFTAZIDIME 1 GM VIAL [Tazidime].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFTAZIDIME FOR INJECTION 2GM/VIAL 10 X 2 CRTN  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFTAZIDIME FOR INJECTION 6GM/VIAL 6 X 6 CRTN  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFTRIAXONE 1 GM VIAL [Rocephin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFTRIAXONE 1 GM VIAL [Rocephin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFTRIAXONE 10 GM VIAL [Rocephin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFTRIAXONE 10 GM VIAL [Rocephin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFTRIAXONE 2 GM VIAL [Rocephin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFTRIAXONE 2 GM VIAL [Rocephin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFTRIAXONE 250 MG VIAL [Rocephin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFTRIAXONE 250 MG VIAL [Rocephin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFTRIAXONE 500 MG VIAL [Rocephin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFTRIAXONE 500 MG VIAL [Rocephin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CEFUROXIME 1.5 GM/VIAL FOR INJECTION  |
4 |
Non-Preferred Drug |
45% | 45% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CEFUROXIME 750 MG FOR INJECTION  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CEFUROXIME AXETIL 250 MG TABLET [Ceftin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFUROXIME AXETIL 250 MG TABLET [Ceftin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CEFUROXIME AXETIL 500 MG TABLET [Ceftin] ![Compare how all Medicare Part D PDP plans in NJ cover CEFUROXIME AXETIL 500 MG TABLET [Ceftin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CELECOXIB 100 MG CAPSULE [Celebrex] ![Compare how all Medicare Part D PDP plans in NJ cover CELECOXIB 100 MG CAPSULE [Celebrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:60 /30Days |
CELECOXIB 200 MG CAPSULE [Celebrex] ![Compare how all Medicare Part D PDP plans in NJ cover CELECOXIB 200 MG CAPSULE [Celebrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:60 /30Days |
CELECOXIB 400 MG CAPSULE [Celebrex] ![Compare how all Medicare Part D PDP plans in NJ cover CELECOXIB 400 MG CAPSULE [Celebrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:60 /30Days |
CELECOXIB 50 MG CAPSULE [Celebrex] ![Compare how all Medicare Part D PDP plans in NJ cover CELECOXIB 50 MG CAPSULE [Celebrex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:60 /30Days |
CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex] ![Compare how all Medicare Part D PDP plans in NJ cover CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CEPHALEXIN 250 MG CAPSULE  |
2* |
Generic |
$5.00 | $3.00 | None |
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex] ![Compare how all Medicare Part D PDP plans in NJ cover CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CEPHALEXIN 500 MG CAPSULE  |
2* |
Generic |
$5.00 | $3.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CHEMET 100 MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CHLORHEXIDINE GLUCONATE 0.12% RINSE  |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
CHLOROQUINE PH 250 MG TABLET  |
3 |
Preferred Brand |
17% | 17% | None |
CHLOROQUINE PH 500 MG TABLET  |
3 |
Preferred Brand |
17% | 17% | None |
CHLORPROMAZINE 10 MG TABLET  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CHLORPROMAZINE 100 MG TABLET [Thorazine] ![Compare how all Medicare Part D PDP plans in NJ cover CHLORPROMAZINE 100 MG TABLET [Thorazine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CHLORPROMAZINE 100 MG/ML ORAL CONC  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CHLORPROMAZINE 200 MG TABLET [Thorazine] ![Compare how all Medicare Part D PDP plans in NJ cover CHLORPROMAZINE 200 MG TABLET [Thorazine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CHLORPROMAZINE 25 MG TABLET  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CHLORPROMAZINE 30 MG/ML ORAL CONC  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CHLORPROMAZINE 50 MG TABLET [Thorazine] ![Compare how all Medicare Part D PDP plans in NJ cover CHLORPROMAZINE 50 MG TABLET [Thorazine].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CHLORTHALIDONE 25 MG TABLET  |
2* |
Generic |
$5.00 | $3.00 | None |
CHLORTHALIDONE 50 MG TABLET  |
2* |
Generic |
$5.00 | $3.00 | None |
CHOLESTYRAMINE LIGHT POWDER PACKET [Questran Light] ![Compare how all Medicare Part D PDP plans in NJ cover CHOLESTYRAMINE LIGHT POWDER PACKET [Questran Light].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CHOLESTYRAMINE PACKET  |
3 |
Preferred Brand |
17% | 17% | None |
CICLOPIROX 0.77% CREAM (G) [Loprox] ![Compare how all Medicare Part D PDP plans in NJ cover CICLOPIROX 0.77% CREAM (G) [Loprox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:90 /28Days |
CICLOPIROX 0.77% TOPICAL SUSPENSION  |
3 |
Preferred Brand |
17% | 17% | Q:60 /28Days |
CICLOPIROX 1% SHAMPOO [Loprox] ![Compare how all Medicare Part D PDP plans in NJ cover CICLOPIROX 1% SHAMPOO [Loprox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:120 /28Days |
CICLOPIROX 8% SOLUTION [Penlac] ![Compare how all Medicare Part D PDP plans in NJ cover CICLOPIROX 8% SOLUTION [Penlac].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:6.6 /28Days |
Cilastatin 250 MG / Imipenem 250 MG Injection  |
4 |
Non-Preferred Drug |
45% | 45% | None |
Cilastatin 500 MG / Imipenem 500 MG Injection  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CILOSTAZOL 100 MG TABLET  |
2* |
Generic |
$5.00 | $3.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CILOSTAZOL 50 MG TABLET  |
2* |
Generic |
$5.00 | $3.00 | None |
CIMDUO 300-300 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | None |
CINACALCET HCL 30 MG TABLET [Sensipar] ![Compare how all Medicare Part D PDP plans in NJ cover CINACALCET HCL 30 MG TABLET [Sensipar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:60 /30Days |
CINACALCET HCL 60 MG TABLET [Sensipar] ![Compare how all Medicare Part D PDP plans in NJ cover CINACALCET HCL 60 MG TABLET [Sensipar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:60 /30Days |
CINACALCET HCL 90 MG TABLET [Sensipar] ![Compare how all Medicare Part D PDP plans in NJ cover CINACALCET HCL 90 MG TABLET [Sensipar].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /30Days |
CIPROFLOX-DEXAMETH OTIC SUSPENSION EYE DROPPER [Ciprodex Otic] ![Compare how all Medicare Part D PDP plans in NJ cover CIPROFLOX-DEXAMETH OTIC SUSPENSION EYE DROPPER [Ciprodex Otic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CIPROFLOXACIN 0.3% EYE DROPS [Ciloxan] ![Compare how all Medicare Part D PDP plans in NJ cover CIPROFLOXACIN 0.3% EYE DROPS [Ciloxan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CIPROFLOXACIN 200 MG/100ML-D5W PIGGYBACK [Cipro] ![Compare how all Medicare Part D PDP plans in NJ cover CIPROFLOXACIN 200 MG/100ML-D5W PIGGYBACK [Cipro].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CIPROFLOXACIN HCL 250 MG TABLET [Cipro] ![Compare how all Medicare Part D PDP plans in NJ cover CIPROFLOXACIN HCL 250 MG TABLET [Cipro].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CIPROFLOXACIN HCL 500 MG TABLET [Cipro] ![Compare how all Medicare Part D PDP plans in NJ cover CIPROFLOXACIN HCL 500 MG TABLET [Cipro].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CIPROFLOXACIN HCL 750 MG TABLET [Cipro] ![Compare how all Medicare Part D PDP plans in NJ cover CIPROFLOXACIN HCL 750 MG TABLET [Cipro].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CITALOPRAM HBR 10 MG TABLET [Celexa] ![Compare how all Medicare Part D PDP plans in NJ cover CITALOPRAM HBR 10 MG TABLET [Celexa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:60 /30Days |
CITALOPRAM HBR 10 MG/5 ML SOLUTION [Celexa] ![Compare how all Medicare Part D PDP plans in NJ cover CITALOPRAM HBR 10 MG/5 ML SOLUTION [Celexa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CITALOPRAM HBR 20 MG TABLET [Celexa] ![Compare how all Medicare Part D PDP plans in NJ cover CITALOPRAM HBR 20 MG TABLET [Celexa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:60 /30Days |
CITALOPRAM HBR 40 MG TABLET  |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
CLARAVIS 10 MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLARAVIS 20 MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | None |
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLARAVIS 40 MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLARITHROMYCIN 125 MG/5ML FOR ORAL SUSPENSION  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLARITHROMYCIN 250 MG TABLET  |
3 |
Preferred Brand |
17% | 17% | None |
CLARITHROMYCIN 250 MG/5MLFOR ORAL SUSPENSION  |
4 |
Non-Preferred Drug |
45% | 45% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CLARITHROMYCIN 500 MG TABLET [Biaxin] ![Compare how all Medicare Part D PDP plans in NJ cover CLARITHROMYCIN 500 MG TABLET [Biaxin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLARITHROMYCIN ER 500 MG TABLET ER 24H [Biaxin XL] ![Compare how all Medicare Part D PDP plans in NJ cover CLARITHROMYCIN ER 500 MG TABLET ER 24H [Biaxin XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLENPIQ 175 ML SOLUTION  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLENPIQ SOLUTION  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLINDAMYCIN 2% VAGINAL CREAM w/APPL [Clindesse] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN 2% VAGINAL CREAM w/APPL [Clindesse].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLINDAMYCIN HCL 150 MG CAPSULE [Cleocin] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN HCL 150 MG CAPSULE [Cleocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CLINDAMYCIN HCL 300 MG CAPSULE [Cleocin] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN HCL 300 MG CAPSULE [Cleocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CLINDAMYCIN HCL 75 MG CAPSULE [Cleocin] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN HCL 75 MG CAPSULE [Cleocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | None |
CLINDAMYCIN PEDIATR 75 MG/5 ML SOLUTION RECON [Cleocin Pediatric] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN PEDIATR 75 MG/5 ML SOLUTION RECON [Cleocin Pediatric].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLINDAMYCIN PH 1% SOLUTION  |
3 |
Preferred Brand |
17% | 17% | Q:120 /30Days |
CLINDAMYCIN PH 900 MG/6 ML VIAL [Cleocin] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN PH 900 MG/6 ML VIAL [Cleocin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CLINDAMYCIN PHOSP 1% LOTION [ClindaMax] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN PHOSP 1% LOTION [ClindaMax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:120 /30Days |
CLINDAMYCIN PHOSPHATE 1% GEL [ClindaMax] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN PHOSPHATE 1% GEL [ClindaMax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:120 /30Days |
CLINDAMYCIN PHOSPHATE 1% GEL DAILY [ClindaMax] ![Compare how all Medicare Part D PDP plans in NJ cover CLINDAMYCIN PHOSPHATE 1% GEL DAILY [ClindaMax].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:120 /30Days |
CLINDAMYCIN PHOSPHATE TOPICAL SOLUTION USP PLEDGETS 1% 60 BOX  |
4 |
Non-Preferred Drug |
45% | 45% | Q:60 /30Days |
Clindamycin-d5w 300 mg/50 ml  |
4 |
Non-Preferred Drug |
45% | 45% | P |
Clindamycin-d5w 600 mg/50 ml  |
4 |
Non-Preferred Drug |
45% | 45% | P |
Clindamycin-d5w 900 mg/50 ml  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CLINIMIX 4.25%-5% IV SOLUTION  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CLINIMIX 5/20 SOLUTION  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CLINIMIX 5%-15% IV SOLUTION  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CLINISOL 15% SOLUTION  |
4 |
Non-Preferred Drug |
45% | 45% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CLOBAZAM 10 MG TABLET [ONFI] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBAZAM 10 MG TABLET [ONFI].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P Q:120 /30Days |
CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [ONFI] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [ONFI].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P Q:480 /30Days |
CLOBAZAM 20 MG TABLET [ONFI] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBAZAM 20 MG TABLET [ONFI].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P Q:60 /30Days |
CLOBETASOL 0.05% CREAM (g) [Temovate] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL 0.05% CREAM (g) [Temovate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /28Days |
CLOBETASOL 0.05% GEL [Temovate] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL 0.05% GEL [Temovate].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /28Days |
CLOBETASOL 0.05% OINTMENT [Temovate E] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL 0.05% OINTMENT [Temovate E].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /28Days |
CLOBETASOL 0.05% SOLUTION [Temovate Scalp] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL 0.05% SOLUTION [Temovate Scalp].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:100 /28Days |
CLOBETASOL 0.05% TOPICAL LOTION [Clobex] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL 0.05% TOPICAL LOTION [Clobex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:118 /28Days |
CLOBETASOL EMOLLIENT 0.05% CREAM (G) [Temovate E] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL EMOLLIENT 0.05% CREAM (G) [Temovate E].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /28Days |
CLOBETASOL PROP 0.05% FOAM [Olux] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL PROP 0.05% FOAM [Olux].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:100 /28Days |
CLOBETASOL PROP 0.05% SPRAY [Clobex] ![Compare how all Medicare Part D PDP plans in NJ cover CLOBETASOL PROP 0.05% SPRAY [Clobex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:125 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Clobetasol Propionate 0.5 MG/ML Medicated Shampoo  |
4 |
Non-Preferred Drug |
45% | 45% | Q:236 /28Days |
Clodan 0.05% shampoo  |
4 |
Non-Preferred Drug |
45% | 45% | Q:236 /28Days |
CLOMIPRAMINE 25 MG CAPSULE [Anafranil] ![Compare how all Medicare Part D PDP plans in NJ cover CLOMIPRAMINE 25 MG CAPSULE [Anafranil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLOMIPRAMINE 50 MG CAPSULE [Anafranil] ![Compare how all Medicare Part D PDP plans in NJ cover CLOMIPRAMINE 50 MG CAPSULE [Anafranil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLOMIPRAMINE 75 MG CAPSULE [Anafranil] ![Compare how all Medicare Part D PDP plans in NJ cover CLOMIPRAMINE 75 MG CAPSULE [Anafranil].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:90 /30Days |
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:90 /30Days |
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:120 /30Days |
CLONAZEPAM 0.5 MG TABLET [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 0.5 MG TABLET [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | Q:120 /30Days |
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:120 /30Days |
CLONAZEPAM 1 MG TABLET [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 1 MG TABLET [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:300 /30Days |
CLONAZEPAM 2 MG TABLET [Klonopin] ![Compare how all Medicare Part D PDP plans in NJ cover CLONAZEPAM 2 MG TABLET [Klonopin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | Q:300 /30Days |
CLONIDINE 0.1 MG/DAY PATCH [Catapres-TTS] ![Compare how all Medicare Part D PDP plans in NJ cover CLONIDINE 0.1 MG/DAY PATCH [Catapres-TTS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:4 /28Days |
CLONIDINE 0.2 MG/DAY PATCH [Catapres-TTS] ![Compare how all Medicare Part D PDP plans in NJ cover CLONIDINE 0.2 MG/DAY PATCH [Catapres-TTS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:4 /28Days |
CLONIDINE 0.3 MG/DAY PATCH [Catapres-TTS] ![Compare how all Medicare Part D PDP plans in NJ cover CLONIDINE 0.3 MG/DAY PATCH [Catapres-TTS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:4 /28Days |
CLONIDINE HCL 0.1 MG TABLET [Catapres] ![Compare how all Medicare Part D PDP plans in NJ cover CLONIDINE HCL 0.1 MG TABLET [Catapres].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
CLONIDINE HCL 0.2 MG TABLET  |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
CLONIDINE HCL 0.3 MG TABLET [Catapres] ![Compare how all Medicare Part D PDP plans in NJ cover CLONIDINE HCL 0.3 MG TABLET [Catapres].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
CLOPIDOGREL 75 MG TABLET [Plavix] ![Compare how all Medicare Part D PDP plans in NJ cover CLOPIDOGREL 75 MG TABLET [Plavix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:30 /30Days |
CLORAZEPATE 15 MG TABLET [Tranxene] ![Compare how all Medicare Part D PDP plans in NJ cover CLORAZEPATE 15 MG TABLET [Tranxene].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:180 /30Days |
CLORAZEPATE 3.75 MG TABLET [Tranxene] ![Compare how all Medicare Part D PDP plans in NJ cover CLORAZEPATE 3.75 MG TABLET [Tranxene].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CLORAZEPATE 7.5 MG TABLET [Tranxene T-Tab] ![Compare how all Medicare Part D PDP plans in NJ cover CLORAZEPATE 7.5 MG TABLET [Tranxene T-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | Q:360 /30Days |
CLOTRIMAZOLE 1% SOLUTION [Lotrimin AF] ![Compare how all Medicare Part D PDP plans in NJ cover CLOTRIMAZOLE 1% SOLUTION [Lotrimin AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | Q:30 /28Days |
CLOTRIMAZOLE 1% TOPICAL CREAM (G) [Mycozyl AC] ![Compare how all Medicare Part D PDP plans in NJ cover CLOTRIMAZOLE 1% TOPICAL CREAM (G) [Mycozyl AC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$5.00 | $3.00 | Q:45 /28Days |
CLOTRIMAZOLE 10 MG TROCHE [Mycelex Troche] ![Compare how all Medicare Part D PDP plans in NJ cover CLOTRIMAZOLE 10 MG TROCHE [Mycelex Troche].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLOTRIMAZOLE-BETAMETHASONE CREAM (G) [Lotrisone] ![Compare how all Medicare Part D PDP plans in NJ cover CLOTRIMAZOLE-BETAMETHASONE CREAM (G) [Lotrisone].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:45 /28Days |
CLOTRIMAZOLE-BETAMETHASONE LOT  |
4 |
Non-Preferred Drug |
45% | 45% | Q:60 /28Days |
CLOZAPINE 100 MG TABLET [Clozaril] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE 100 MG TABLET [Clozaril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLOZAPINE 200 MG TABLET [Clozaril] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE 200 MG TABLET [Clozaril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLOZAPINE 25 MG TABLET [Clozaril] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE 25 MG TABLET [Clozaril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLOZAPINE 50 MG TABLET [Clozaril] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE 50 MG TABLET [Clozaril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLOZAPINE ODT 100 MG TABLET RAPDIS [Fazaclo] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE ODT 100 MG TABLET RAPDIS [Fazaclo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CLOZAPINE ODT 12.5 MG TABLET RAPDIS [Fazaclo] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE ODT 12.5 MG TABLET RAPDIS [Fazaclo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CLOZAPINE ODT 150 MG TABLET RAPDIS [Fazaclo] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE ODT 150 MG TABLET RAPDIS [Fazaclo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLOZAPINE ODT 200 MG TABLET RAPDIS [Fazaclo] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE ODT 200 MG TABLET RAPDIS [Fazaclo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CLOZAPINE ODT 25 MG TABLET RAPDIS [Fazaclo] ![Compare how all Medicare Part D PDP plans in NJ cover CLOZAPINE ODT 25 MG TABLET RAPDIS [Fazaclo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
COARTEM 20MG-120MG  |
4 |
Non-Preferred Drug |
45% | 45% | Q:24 /30Days |
COLCHICINE 0.6 MG TABLET [Colcrys] ![Compare how all Medicare Part D PDP plans in NJ cover COLCHICINE 0.6 MG TABLET [Colcrys].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | Q:120 /30Days |
COLESEVELAM 625 MG TABLET [WelChol] ![Compare how all Medicare Part D PDP plans in NJ cover COLESEVELAM 625 MG TABLET [WelChol].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
COLESEVELAM HCL 3.75 G POWDER PACKET [Welchol Powder] ![Compare how all Medicare Part D PDP plans in NJ cover COLESEVELAM HCL 3.75 G POWDER PACKET [Welchol Powder].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
COLESTIPOL HCL 1 GM TABLET [Colestid] ![Compare how all Medicare Part D PDP plans in NJ cover COLESTIPOL HCL 1 GM TABLET [Colestid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
COLESTIPOL HCL GRANULES PACKET [Colestid] ![Compare how all Medicare Part D PDP plans in NJ cover COLESTIPOL HCL GRANULES PACKET [Colestid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
COLISTIMETHATE 150 MG VIAL [Coly-Mycin M] ![Compare how all Medicare Part D PDP plans in NJ cover COLISTIMETHATE 150 MG VIAL [Coly-Mycin M].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
COMBIVENT RESPIMAT INHAL SPRAY  |
4 |
Non-Preferred Drug |
45% | 45% | Q:8 /30Days |
COMETRIQ 100 MG DAILY-DOSE PACK  |
5 |
Specialty Tier |
25% | N/A | P Q:56 /28Days |
COMETRIQ 140 MG DAILY-DOSE PACK  |
5 |
Specialty Tier |
25% | N/A | P Q:112 /28Days |
COMETRIQ 60 MG DAILY-DOSE PACK  |
5 |
Specialty Tier |
25% | N/A | P Q:84 /28Days |
COMPLERA 200; 27.5; 300mg/1; mg/1; mg/1  |
5 |
Specialty Tier |
25% | N/A | Q:30 /30Days |
COMPRO 25MG SUPPOSITORY  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CONSTULOSE 10 GM/15 ML SOLUTION  |
3 |
Preferred Brand |
17% | 17% | None |
COPIKTRA 15 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
COPIKTRA 25 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
CORLANOR 5 MG TABLET  |
4 |
Non-Preferred Drug |
45% | 45% | P Q:60 /30Days |
CORLANOR 7.5 MG TABLET  |
4 |
Non-Preferred Drug |
45% | 45% | P Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
COSENTYX 300 MG DOSE-2 PENS  |
5 |
Specialty Tier |
25% | N/A | P Q:10 /28Days |
COSENTYX 300 MG DOSE-2 SYRINGE  |
5 |
Specialty Tier |
25% | N/A | P Q:10 /28Days |
COSENTYX 75 MG/0.5 ML SYRINGE  |
5 |
Specialty Tier |
25% | N/A | P Q:2.5 /28Days |
COSENTYX UNOREADY 300 MG PEN INJCTR  |
5 |
Specialty Tier |
25% | N/A | P Q:10 /28Days |
COTELLIC 20 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:63 /28Days |
Creon 256.11mg/1 1 BOTTLE per CARTON / 70 CAPSULE, DELAYED RELEASE in 1 BOTTLE  |
3 |
Preferred Brand |
17% | 17% | None |
CREON DELAYED RELEASE CAPSULES 24000MG 100 BOTTLE  |
3 |
Preferred Brand |
17% | 17% | None |
CREON DR 12,000 UNIT CAPSULE  |
3 |
Preferred Brand |
17% | 17% | None |
CREON DR 36,000 UNITS CAPSULE  |
3 |
Preferred Brand |
17% | 17% | None |
CREON DR 6,000 UNIT CAPSULE  |
3 |
Preferred Brand |
17% | 17% | None |
CRESEMBA 186 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CRESEMBA 74.5 MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CROMOLYN 100 MG/5 ML ORAL CONC [Gastrocrom] ![Compare how all Medicare Part D PDP plans in NJ cover CROMOLYN 100 MG/5 ML ORAL CONC [Gastrocrom].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CROMOLYN 20 MG/2 ML NEB SOLN AMPUL-NEB [Intal] ![Compare how all Medicare Part D PDP plans in NJ cover CROMOLYN 20 MG/2 ML NEB SOLN AMPUL-NEB [Intal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | P |
CROMOLYN SODIUM 4% 40MG 10ML BOTTLE  |
2* |
Generic |
$5.00 | $3.00 | None |
CUVRIOR 300 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:300 /30Days |
CYCLOBENZAPRINE 10 MG TABLET [Flexeril] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOBENZAPRINE 10 MG TABLET [Flexeril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYCLOBENZAPRINE 5 MG TABLET [Flexeril] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOBENZAPRINE 5 MG TABLET [Flexeril].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYCLOPHOSPHAMIDE 25 MG CAPSULE  |
3 |
Preferred Brand |
17% | 17% | P |
CYCLOPHOSPHAMIDE 25 MG TABLET [Cytoxan] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOPHOSPHAMIDE 25 MG TABLET [Cytoxan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | P |
CYCLOPHOSPHAMIDE 50 MG CAPSULE  |
3 |
Preferred Brand |
17% | 17% | P |
CYCLOPHOSPHAMIDE 50 MG TABLET [Cytoxan] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOPHOSPHAMIDE 50 MG TABLET [Cytoxan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CYCLOSERINE 250 MG CAPSULE [Seromycin] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOSERINE 250 MG CAPSULE [Seromycin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
CYCLOSET 0.8MG TABLETS  |
4 |
Non-Preferred Drug |
45% | 45% | Q:180 /30Days |
CYCLOSPORINE 0.05% EYE EMULS DROPERETTE [Restasis] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOSPORINE 0.05% EYE EMULS DROPERETTE [Restasis].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | None |
CYCLOSPORINE 100MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYCLOSPORINE 25MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYCLOSPORINE MODIFIED 100 MG CAPSULE [Neoral] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOSPORINE MODIFIED 100 MG CAPSULE [Neoral].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYCLOSPORINE MODIFIED 25 MG CAPSULE [Neoral] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOSPORINE MODIFIED 25 MG CAPSULE [Neoral].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYCLOSPORINE MODIFIED 50 MG CAPSULE [Neoral] ![Compare how all Medicare Part D PDP plans in NJ cover CYCLOSPORINE MODIFIED 50 MG CAPSULE [Neoral].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYCLOSPORINE ORAL SOLUTION 100MG 50ML BOTTLE  |
4 |
Non-Preferred Drug |
45% | 45% | P |
CYRED EQ 28 DAY TABLET [Solia] ![Compare how all Medicare Part D PDP plans in NJ cover CYRED EQ 28 DAY TABLET [Solia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
17% | 17% | None |
CYSTAGON 150MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
CYSTAGON 50MG CAPSULE  |
4 |
Non-Preferred Drug |
45% | 45% | None |
CYSTARAN 0.44% EYE DROPS  |
5 |
Specialty Tier |
25% | N/A | P |