2025 Medicare Part D Plan Formulary Information |
Wellcare Medicare Rx Value Plus (PDP) (S4802-219-0)
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 Wellcare Medicare Rx Value Plus (PDP) (S4802-219-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 16 which includes: WI
|
Drugs Starting with Letter N
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
NABUMETONE 500 MG TABLET [Relafen] ![Compare how all Medicare Part D PDP plans in WI cover NABUMETONE 500 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NABUMETONE 750 MG TABLET [Relafen] ![Compare how all Medicare Part D PDP plans in WI cover NABUMETONE 750 MG TABLET [Relafen].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NADOLOL 20 MG TABLET  |
2* |
Generic |
$4.00 | $10.00 | None |
NADOLOL 40 MG TABLET [Corgard] ![Compare how all Medicare Part D PDP plans in WI cover NADOLOL 40 MG TABLET [Corgard].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NADOLOL 80 MG TABLET  |
2* |
Generic |
$4.00 | $10.00 | None |
NAFCILLIN 1 GM VIAL  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NAFCILLIN 10 GM BULK VIAL  |
5 |
Specialty Tier |
25% | N/A | None |
NAFCILLIN 2 GM VIAL  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan] ![Compare how all Medicare Part D PDP plans in WI cover NALOXONE 0.4 MG/ML CARPUJECT CARTRIDGE [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NALOXONE 0.4 MG/ML VIAL [Narcan] ![Compare how all Medicare Part D PDP plans in WI cover NALOXONE 0.4 MG/ML VIAL [Narcan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
naloxone 1 mg/ml syringe  |
2* |
Generic |
$4.00 | $10.00 | None |
NALTREXONE 50 MG TABLET [ReVia] ![Compare how all Medicare Part D PDP plans in WI cover NALTREXONE 50 MG TABLET [ReVia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NAMZARIC 14 MG-10 MG CAPSULE  |
3* |
Preferred Brand |
15% | 15% | None |
NAMZARIC 21 MG-10 MG CAPSULE  |
3* |
Preferred Brand |
15% | 15% | None |
NAMZARIC 28 MG-10 MG CAPSULE  |
3* |
Preferred Brand |
15% | 15% | None |
NAMZARIC 7 MG-10 MG CAPSULE  |
3* |
Preferred Brand |
15% | 15% | None |
NAMZARIC TITRATION PACK  |
3* |
Preferred Brand |
15% | 15% | None |
NAPROXEN 250 MG TABLET [Naprosyn] ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN 250 MG TABLET [Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
NAPROXEN 375 MG TABLET  |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
NAPROXEN 500 MG TABLET  |
1* |
Preferred Generic |
$0.00 | $0.00 | None |
NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn] ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN DR 375 MG TABLET DR [EC-Naprosyn].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | Q:120 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN SODIUM 275 MG TABLET [Anaprox] ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN SODIUM 275 MG TABLET [Anaprox].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NAPROXEN SODIUM 550 MG TABLET [Anaprox DS] ![Compare how all Medicare Part D PDP plans in WI cover NAPROXEN SODIUM 550 MG TABLET [Anaprox DS].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NARATRIPTAN HCL 1 MG TABLET  |
4 |
Non-Preferred Drug |
50% | 50% | Q:18 /28Days |
NARATRIPTAN HCL 2.5 MG TABLET  |
4 |
Non-Preferred Drug |
50% | 50% | Q:18 /28Days |
NATEGLINIDE 120 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in WI cover NATEGLINIDE 120 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:90 /30Days |
NATEGLINIDE 60 MG TABLET [Starlix] ![Compare how all Medicare Part D PDP plans in WI cover NATEGLINIDE 60 MG TABLET [Starlix].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$0.00 | $0.00 | Q:180 /30Days |
NAYZILAM 5 MG NASAL SPRAY  |
4 |
Non-Preferred Drug |
50% | 50% | P Q:10 /30Days |
NEBIVOLOL 10 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in WI cover NEBIVOLOL 10 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | Q:30 /30Days |
NEBIVOLOL 2.5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in WI cover NEBIVOLOL 2.5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | Q:30 /30Days |
NEBIVOLOL 20 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in WI cover NEBIVOLOL 20 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | Q:60 /30Days |
NEBIVOLOL 5 MG TABLET [Bystolic] ![Compare how all Medicare Part D PDP plans in WI cover NEBIVOLOL 5 MG TABLET [Bystolic].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEFAZODONE HCL 150MG TABLET (60 CT)  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEFAZODONE HCL 250MG TABLET  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEFAZODONE HCL 50MG TABLET  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEFAZODONE HYDROCHLORIDE TABLETS 100MG 60 BOTTLE  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEFAZODONE HYDROCHLORIDE TABLETS 200MG 60 BOTTLE  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex] ![Compare how all Medicare Part D PDP plans in WI cover NEOMYC-POLYM-DEXAMET EYE OINTMENT [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex] ![Compare how all Medicare Part D PDP plans in WI cover NEOMYC-POLYM-DEXAMETH EYE DROPPER [Poly-Dex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NEOMYCIN SULFATE 500MG TABLET  |
2* |
Generic |
$4.00 | $10.00 | None |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS  |
4 |
Non-Preferred Drug |
50% | 50% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NERLYNX 40 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P |
NEUPRO 1 MG/24 HR PATCH  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEUPRO 2 MG/24 HR PATCH  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEUPRO 3 MG/24 HR PATCH  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEUPRO 4 MG/24 HR PATCH  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEUPRO 6 MG/24 HR PATCH  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEUPRO 8 MG/24 HR PATCH  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEVIRAPINE 200 MG TABLET  |
2* |
Generic |
$4.00 | $10.00 | None |
NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune] ![Compare how all Medicare Part D PDP plans in WI cover NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION [Viramune].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR] ![Compare how all Medicare Part D PDP plans in WI cover NEVIRAPINE ER 400 MG TABLET ER 24H [Viramune XR].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NEXPLANON 68 MG IMPLANT  |
3* |
Preferred Brand |
15% | 15% | None |
NIACIN ER 1,000 MG TABLET 24H [Niaspan] ![Compare how all Medicare Part D PDP plans in WI cover NIACIN ER 1,000 MG TABLET 24H [Niaspan].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NIACIN ER 500 MG TABLET 24H [Slo-Niacin] ![Compare how all Medicare Part D PDP plans in WI cover NIACIN ER 500 MG TABLET 24H [Slo-Niacin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NIACIN ER 750 MG TABLET [Niaspan ER] ![Compare how all Medicare Part D PDP plans in WI cover NIACIN ER 750 MG TABLET [Niaspan ER].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
Nicardipine hydrochloride 20 MG Oral Capsule  |
4 |
Non-Preferred Drug |
50% | 50% | None |
Nicardipine hydrochloride 30 MG Oral Capsule  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NICOTROL INHALER 10MG 168 X 10MG/CARTRIDGE INHL  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 30 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NIFEDIPINE ER 30 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 30 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 60 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NIFEDIPINE ER 60 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 60 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC] ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 90 MG TABLET ER [Nifediac CC].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NIFEDIPINE ER 90 MG TABLET ER [Procardia XL] ![Compare how all Medicare Part D PDP plans in WI cover NIFEDIPINE ER 90 MG TABLET ER [Procardia XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NIKKI 3 MG-0.02 MG TABLET [Yaz] ![Compare how all Medicare Part D PDP plans in WI cover NIKKI 3 MG-0.02 MG TABLET [Yaz].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NILUTAMIDE 150 MG TABLET [Nilandron] ![Compare how all Medicare Part D PDP plans in WI cover NILUTAMIDE 150 MG TABLET [Nilandron].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
NIMODIPINE 30 MG CAPSULE [Nimotop] ![Compare how all Medicare Part D PDP plans in WI cover NIMODIPINE 30 MG CAPSULE [Nimotop].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NINLARO 2.3 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
NINLARO 3 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
NINLARO 4 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:3 /28Days |
NITAZOXANIDE 500 MG TABLET [Alinia] ![Compare how all Medicare Part D PDP plans in WI cover NITAZOXANIDE 500 MG TABLET [Alinia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:12 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITISINONE 10 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in WI cover NITISINONE 10 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
NITISINONE 2 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in WI cover NITISINONE 2 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
NITISINONE 20 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in WI cover NITISINONE 20 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
NITISINONE 5 MG CAPSULE [Orfadin] ![Compare how all Medicare Part D PDP plans in WI cover NITISINONE 5 MG CAPSULE [Orfadin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | P |
NITRO-BID 2% OINTMENT  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in WI cover NITROFURANTOIN MCR 100 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin] ![Compare how all Medicare Part D PDP plans in WI cover NITROFURANTOIN MCR 50 MG CAPSULE [Macrodantin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid] ![Compare how all Medicare Part D PDP plans in WI cover NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc] ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.2 MG/HR PATCH [Nitrodisc].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NITROGLYCERIN 0.3 MG TABLET SL  |
2* |
Generic |
$4.00 | $10.00 | None |
NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.4 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.4 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NITROGLYCERIN 0.4% OINTMENT [RECTIV] ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.4% OINTMENT [RECTIV].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | Q:30 /30Days |
NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab] ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.6 MG SUBLIGUAL TABLET [Nitrotab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG] ![Compare how all Medicare Part D PDP plans in WI cover NITROGLYCERIN 0.6 MG/HR PATCH [Transdermal-NTG].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NITROGLYCERIN TRANSOERMAL SYSTEM .1MG/HR 30 SYSTEM BOX  |
2* |
Generic |
$4.00 | $10.00 | None |
NIVESTYM 300 MCG/0.5 ML SYRINGE  |
5 |
Specialty Tier |
25% | N/A | P |
NIVESTYM 300 MCG/ML VIAL  |
5 |
Specialty Tier |
25% | N/A | P |
NIVESTYM 480 MCG/0.8 ML SYRINGE  |
5 |
Specialty Tier |
25% | N/A | P |
NIVESTYM 480 MCG/1.6 ML VIAL  |
5 |
Specialty Tier |
25% | N/A | P |
NIZATIDINE 150 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in WI cover NIZATIDINE 150 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NIZATIDINE 300 MG CAPSULE [Axid] ![Compare how all Medicare Part D PDP plans in WI cover NIZATIDINE 300 MG CAPSULE [Axid].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORA-BE TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in WI cover NORA-BE TABLET [Sharobel 28-Day].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORELGESTROM-EE 150-35 MCG/DAY PATCH [ZAFEMY] ![Compare how all Medicare Part D PDP plans in WI cover NORELGESTROM-EE 150-35 MCG/DAY PATCH [ZAFEMY].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
15% | 15% | None |
NORETH-EE-FE 1-0.02(21)-75 TABLET [Tarina Fe 1/20] ![Compare how all Medicare Part D PDP plans in WI cover NORETH-EE-FE 1-0.02(21)-75 TABLET [Tarina Fe 1/20].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORETHIN-ETH ESTRAD 1 MG-5 MCG  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique] ![Compare how all Medicare Part D PDP plans in WI cover NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NORETHIND-ETH ESTRAD 1-0.02 MG  |
2* |
Generic |
$4.00 | $10.00 | None |
NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day] ![Compare how all Medicare Part D PDP plans in WI cover NORETHINDRONE 0.35 MG TABLET [Sharobel 28-Day].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORETHINDRONE 5 MG TABLET [Aygestin] ![Compare how all Medicare Part D PDP plans in WI cover NORETHINDRONE 5 MG TABLET [Aygestin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORG-EE 0.18-0.215-0.25/0.025 TABLET [Trinessa Lo] ![Compare how all Medicare Part D PDP plans in WI cover NORG-EE 0.18-0.215-0.25/0.025 TABLET [Trinessa Lo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORG-EE 0.18-0.215-0.25/0.035  |
2* |
Generic |
$4.00 | $10.00 | None |
NORG-ETHIN ESTRA 0.25-0.035 MG TABLET [VyLibra] ![Compare how all Medicare Part D PDP plans in WI cover NORG-ETHIN ESTRA 0.25-0.035 MG TABLET [VyLibra].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Nortrel (21 Day Regimen) 0.035; 1mg/1; mg/1 3 BLISTER PACK per CARTON / 21 TABLET per BLISTER PACK  |
4 |
Non-Preferred Drug |
50% | 50% | None |
Nortrel (28 Day Regimen) 3 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NORTREL 1-0.035MG TABLET 28DAY  |
4 |
Non-Preferred Drug |
50% | 50% | None |
Nortrel 7/7/7 (28 Day Regimen) 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT in 1 BLISTER  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NORTRIPTYLINE 10 MG/5 ML SOL  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in WI cover NORTRIPTYLINE HCL 10 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in WI cover NORTRIPTYLINE HCL 25 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORTRIPTYLINE HCL 50 MG CAPSULE  |
2* |
Generic |
$4.00 | $10.00 | None |
NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor] ![Compare how all Medicare Part D PDP plans in WI cover NORTRIPTYLINE HCL 75 MG CAPSULE [Pamelor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | None |
NORVIR 100 MG POWDER PACKET  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NORVIR 100 MG TABLET  |
3* |
Preferred Brand |
15% | 15% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WI cover Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
15% | 15% | None |
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WI cover Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
15% | 15% | None |
NOVOLIN 70-30 FLEXPEN INSULN PEN  |
3* |
Preferred Brand |
15% | 15% | None |
NOVOLIN N 100 UNIT/ML FLEXPEN INSULN PEN  |
3* |
Preferred Brand |
15% | 15% | None |
NOVOLIN R 100 UNIT/ML FLEXPEN INSULN PEN  |
3* |
Preferred Brand |
15% | 15% | None |
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL ![Compare how all Medicare Part D PDP plans in WI cover Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3* |
Preferred Brand |
15% | 15% | None |
NUBEQA 300 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
NUEDEXTA 20; 10mg/1; mg/1  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
NUPLAZID 10 MG TABLET  |
4 |
Non-Preferred Drug |
50% | 50% | P Q:30 /30Days |
NUPLAZID 34 MG CAPSULE  |
4 |
Non-Preferred Drug |
50% | 50% | P Q:30 /30Days |
NURTEC ODT 75 MG TABLET RAPDIS  |
5 |
Specialty Tier |
25% | N/A | P Q:16 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in WI cover NYAMYC 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | Q:120 /30Days |
NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF] ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 100,000 UNIT/GM CREAM (g) [Pediaderm AF].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | Q:30 /28Days |
NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex] ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 100,000 UNIT/GM OINTMENT [Nystex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | Q:30 /28Days |
NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$4.00 | $10.00 | Q:120 /30Days |
NYSTATIN 100000 UNIT/ML ORAL SUSP  |
4 |
Non-Preferred Drug |
50% | 50% | None |
NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin] ![Compare how all Medicare Part D PDP plans in WI cover NYSTATIN 500,000 UNIT ORAL TABLET [Mycostatin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | None |
NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri] ![Compare how all Medicare Part D PDP plans in WI cover NYSTOP 100,000 UNIT/GM POWDER [Pedi-Dri].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
50% | 50% | Q:120 /30Days |
NYVEPRIA 6 MG/0.6 ML SYRINGE  |
5 |
Specialty Tier |
25% | N/A | P |