2025 Medicare Part D Plan Formulary Information |
Blue Cross MedicareRx Value (PDP) (S5715-010-0)
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 Blue Cross MedicareRx Value (PDP) (S5715-010-0) Formulary Drugs Starting with the Letter R in CMS PDP Region 23 which includes: OK
|
Drugs Starting with Letter R
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
RabAvert Kit Single Dose 1.0ml Syringe w/diluent  |
1* |
Preferred Generic |
$1.00 | $3.00 | P |
RABEPRAZOLE SOD DR 20 MG TABLET DR [AcipHex] ![Compare how all Medicare Part D PDP plans in OK cover RABEPRAZOLE SOD DR 20 MG TABLET DR [AcipHex].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:30 /30Days |
RALOXIFENE HCL 60 MG TABLET [Evista] ![Compare how all Medicare Part D PDP plans in OK cover RALOXIFENE HCL 60 MG TABLET [Evista].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RAMELTEON 8 MG TABLET [Rozerem] ![Compare how all Medicare Part D PDP plans in OK cover RAMELTEON 8 MG TABLET [Rozerem].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | Q:30 /30Days |
RAMIPRIL 1.25 MG CAPSULE  |
1* |
Preferred Generic |
$1.00 | $3.00 | None |
RAMIPRIL 10 MG CAPSULE [Altace] ![Compare how all Medicare Part D PDP plans in OK cover RAMIPRIL 10 MG CAPSULE [Altace].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $3.00 | None |
RAMIPRIL 2.5 MG CAPSULE [Altace] ![Compare how all Medicare Part D PDP plans in OK cover RAMIPRIL 2.5 MG CAPSULE [Altace].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $3.00 | None |
RAMIPRIL 5 MG CAPSULE [Altace] ![Compare how all Medicare Part D PDP plans in OK cover RAMIPRIL 5 MG CAPSULE [Altace].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $3.00 | None |
RANOLAZINE ER 1,000 MG TABLET 12H [Ranexa] ![Compare how all Medicare Part D PDP plans in OK cover RANOLAZINE ER 1,000 MG TABLET 12H [Ranexa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:60 /30Days |
RANOLAZINE ER 500 MG TABLET 12H [Ranexa] ![Compare how all Medicare Part D PDP plans in OK cover RANOLAZINE ER 500 MG TABLET 12H [Ranexa].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RASAGILINE MESYLATE 0.5 MG TABLET [Azilect] ![Compare how all Medicare Part D PDP plans in OK cover RASAGILINE MESYLATE 0.5 MG TABLET [Azilect].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RASAGILINE MESYLATE 1 MG TABLET [Azilect] ![Compare how all Medicare Part D PDP plans in OK cover RASAGILINE MESYLATE 1 MG TABLET [Azilect].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RECLIPSEN 28 DAY TABLET [Solia] ![Compare how all Medicare Part D PDP plans in OK cover RECLIPSEN 28 DAY TABLET [Solia].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RECOMBIVAX HB 10 MCG/ML SYR  |
1* |
Preferred Generic |
$1.00 | $3.00 | P |
RECOMBIVAX HB 10 MCG/ML VIAL  |
1* |
Preferred Generic |
$1.00 | $3.00 | P |
RECOMBIVAX HB 40MCG/ML VIAL  |
1* |
Preferred Generic |
$1.00 | $3.00 | P |
RECOMBIVAX HB 5 MCG/0.5 ML VL VIAL  |
1* |
Preferred Generic |
$1.00 | $3.00 | P |
REGRANEX 0.01% GEL  |
5 |
Specialty Tier |
25% | N/A | P Q:15 /30Days |
RELENZA 5MG DISKHALER  |
4 |
Non-Preferred Drug |
47% | 47% | Q:120 /365Days |
REPAGLINIDE 0.5 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in OK cover REPAGLINIDE 0.5 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:960 /30Days |
REPAGLINIDE 1 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in OK cover REPAGLINIDE 1 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:480 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REPAGLINIDE 2 MG TABLET [Prandin] ![Compare how all Medicare Part D PDP plans in OK cover REPAGLINIDE 2 MG TABLET [Prandin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:240 /30Days |
REPATHA 140 MG/ML SURECLICK PEN INJCTR  |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:2 /28Days |
REPATHA 140 MG/ML SYRINGE  |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:2 /28Days |
REPATHA 420 MG/3.5ML PUSHTRONX WEAR INJCT  |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:7 /28Days |
RESTASIS 0.05% EYE EMULSION  |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:60 /30Days |
RESTASIS MULTIDOSE 0.05% EYE DROPS  |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:11 /30Days |
RETACRIT 10,000 UNIT/ML VIAL  |
4 |
Non-Preferred Drug |
47% | 47% | P |
RETACRIT 2,000 UNIT/ML VIAL  |
4 |
Non-Preferred Drug |
47% | 47% | P |
RETACRIT 20,000 UNIT/2 ML VIAL  |
4 |
Non-Preferred Drug |
47% | 47% | P |
RETACRIT 20,000 UNIT/ML VIAL  |
4 |
Non-Preferred Drug |
47% | 47% | P |
RETACRIT 3,000 UNIT/ML VIAL  |
4 |
Non-Preferred Drug |
47% | 47% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RETACRIT 4,000 UNIT/ML VIAL  |
4 |
Non-Preferred Drug |
47% | 47% | P |
RETACRIT 40,000 UNIT/ML VIAL  |
4 |
Non-Preferred Drug |
47% | 47% | P |
RETEVMO 120 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
RETEVMO 160 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
RETEVMO 40 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:180 /30Days |
RETEVMO 40 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:90 /30Days |
RETEVMO 80 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
RETEVMO 80 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
REVCOVI 2.4 MG/1.5 ML VIAL  |
5 |
Specialty Tier |
25% | N/A | None |
REXULTI 0.25 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
REXULTI 0.5 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REXULTI 1 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
REXULTI 2 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
REXULTI 3 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
REXULTI 4 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
REYATAZ 50 MG POWDER PACKET  |
5 |
Specialty Tier |
25% | N/A | Q:240 /30Days |
REZLIDHIA 150 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:60 /30Days |
REZUROCK 200 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:30 /30Days |
RHOPRESSA 0.02% OPHTH SOLUTION Drops  |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:15 /75Days |
RIBAVIRIN 200 MG CAPSULE [Ribasphere] ![Compare how all Medicare Part D PDP plans in OK cover RIBAVIRIN 200 MG CAPSULE [Ribasphere].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RIBAVIRIN 200 MG TABLET [Ribasphere] ![Compare how all Medicare Part D PDP plans in OK cover RIBAVIRIN 200 MG TABLET [Ribasphere].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RIDAURA 3 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 |
RIFABUTIN 150 MG CAPSULE [Mycobutin] ![Compare how all Medicare Part D PDP plans in OK cover RIFABUTIN 150 MG CAPSULE [Mycobutin].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RIFAMPIN 150 MG CAPSULE  |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RIFAMPIN 300 MG CAPSULE [Rimactane] ![Compare how all Medicare Part D PDP plans in OK cover RIFAMPIN 300 MG CAPSULE [Rimactane].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RIFAMPIN IV 600 MG VIAL [Rifadin IV] ![Compare how all Medicare Part D PDP plans in OK cover RIFAMPIN IV 600 MG VIAL [Rifadin IV].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RILUZOLE 50 MG TABLET [Rilutek] ![Compare how all Medicare Part D PDP plans in OK cover RILUZOLE 50 MG TABLET [Rilutek].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RINVOQ ER 15 MG TABLET ER 24H  |
5 |
Specialty Tier |
25% | N/A | P |
RINVOQ ER 30 MG TABLET 24H  |
5 |
Specialty Tier |
25% | N/A | P |
RINVOQ ER 45 MG TABLET ER 24H  |
5 |
Specialty Tier |
25% | N/A | P |
RISEDRONATE SODIUM 150 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in OK cover RISEDRONATE SODIUM 150 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:1 /28Days |
RISEDRONATE SODIUM 30 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in OK cover RISEDRONATE SODIUM 30 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:30 /30Days |
RISEDRONATE SODIUM 35 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in OK cover RISEDRONATE SODIUM 35 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:4 /28Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISEDRONATE SODIUM 35 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in OK cover RISEDRONATE SODIUM 35 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:4 /28Days |
RISEDRONATE SODIUM 35 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in OK cover RISEDRONATE SODIUM 35 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:4 /28Days |
RISEDRONATE SODIUM 5 MG TABLET [Actonel] ![Compare how all Medicare Part D PDP plans in OK cover RISEDRONATE SODIUM 5 MG TABLET [Actonel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:30 /30Days |
RISPERIDONE 0.25 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 0.25 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
RISPERIDONE 0.5 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 0.5 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | P Q:60 /30Days |
RISPERIDONE 0.5 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 0.5 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
RISPERIDONE 1 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 1 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | P Q:60 /30Days |
RISPERIDONE 1 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 1 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
RISPERIDONE 1 MG/ML SOLUTION [Risperdal] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 1 MG/ML SOLUTION [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:480 /30Days |
RISPERIDONE 2 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 2 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | P Q:60 /30Days |
RISPERIDONE 2 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 2 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE 3 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 3 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | P Q:60 /30Days |
RISPERIDONE 3 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 3 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:60 /30Days |
RISPERIDONE 4 MG ODT TABLET RAPDIS [Risperdal M-Tab] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 4 MG ODT TABLET RAPDIS [Risperdal M-Tab].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | P Q:120 /30Days |
RISPERIDONE 4 MG TABLET [Risperdal] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE 4 MG TABLET [Risperdal].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:120 /30Days |
RISPERIDONE ER 12.5 MG VIAL [Risperdal Consta] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE ER 12.5 MG VIAL [Risperdal Consta].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | Q:2 /28Days |
RISPERIDONE ER 25 MG VIAL [Rykindo] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE ER 25 MG VIAL [Rykindo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | Q:2 /28Days |
RISPERIDONE ER 37.5 MG VIAL [Rykindo] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE ER 37.5 MG VIAL [Rykindo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | Q:2 /28Days |
RISPERIDONE ER 50 MG VIAL [Rykindo] ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE ER 50 MG VIAL [Rykindo].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | Q:2 /28Days |
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK  |
4 |
Non-Preferred Drug |
47% | 47% | P Q:60 /30Days |
RITONAVIR 100 MG TABLET [Norvir] ![Compare how all Medicare Part D PDP plans in OK cover RITONAVIR 100 MG TABLET [Norvir].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:360 /30Days |
RIVASTIGMINE 1.5 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in OK cover RIVASTIGMINE 1.5 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIVASTIGMINE 13.3 MG/24HR PATCH [Exelon Patch] ![Compare how all Medicare Part D PDP plans in OK cover RIVASTIGMINE 13.3 MG/24HR PATCH [Exelon Patch].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RIVASTIGMINE 3 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in OK cover RIVASTIGMINE 3 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RIVASTIGMINE 4.5 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in OK cover RIVASTIGMINE 4.5 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RIVASTIGMINE 4.6 MG/24HR PATCH [Exelon Patch] ![Compare how all Medicare Part D PDP plans in OK cover RIVASTIGMINE 4.6 MG/24HR PATCH [Exelon Patch].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RIVASTIGMINE 6 MG CAPSULE [Exelon] ![Compare how all Medicare Part D PDP plans in OK cover RIVASTIGMINE 6 MG CAPSULE [Exelon].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RIVASTIGMINE 9.5 MG/24HR PATCH [Exelon Patch] ![Compare how all Medicare Part D PDP plans in OK cover RIVASTIGMINE 9.5 MG/24HR PATCH [Exelon Patch].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RIZATRIPTAN 10 MG ODT TABLET RAPDIS [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in OK cover RIZATRIPTAN 10 MG ODT TABLET RAPDIS [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:18 /30Days |
RIZATRIPTAN 10 MG TABLET [Maxalt] ![Compare how all Medicare Part D PDP plans in OK cover RIZATRIPTAN 10 MG TABLET [Maxalt].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:18 /30Days |
RIZATRIPTAN 5 MG ODT TABLET RAPDIS [Maxalt-MLT] ![Compare how all Medicare Part D PDP plans in OK cover RIZATRIPTAN 5 MG ODT TABLET RAPDIS [Maxalt-MLT].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:18 /30Days |
RIZATRIPTAN 5 MG TABLET [Maxalt] ![Compare how all Medicare Part D PDP plans in OK cover RIZATRIPTAN 5 MG TABLET [Maxalt].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | Q:18 /30Days |
ROCKLATAN 0.02%-0.005% EYE DROPS  |
3 |
Preferred Brand |
$45.00 | $135.00 | Q:15 /75Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROFLUMILAST 250 MCG TABLET [Daliresp] ![Compare how all Medicare Part D PDP plans in OK cover ROFLUMILAST 250 MCG TABLET [Daliresp].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | P Q:30 /30Days |
ROFLUMILAST 500 MCG TABLET [Daliresp] ![Compare how all Medicare Part D PDP plans in OK cover ROFLUMILAST 500 MCG TABLET [Daliresp].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | P Q:30 /30Days |
ROPINIROLE HCL 0.25 MG TABLET  |
2* |
Generic |
$8.00 | $24.00 | None |
ROPINIROLE HCL 0.5 MG TABLET  |
2* |
Generic |
$8.00 | $24.00 | None |
ROPINIROLE HCL 1 MG TABLET [Requip] ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL 1 MG TABLET [Requip].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
ROPINIROLE HCL 2 MG TABLET [Requip] ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL 2 MG TABLET [Requip].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2* |
Generic |
$8.00 | $24.00 | None |
ROPINIROLE HCL 3 MG TABLET  |
2* |
Generic |
$8.00 | $24.00 | None |
ROPINIROLE HCL 4 MG TABLET  |
2* |
Generic |
$8.00 | $24.00 | None |
ROPINIROLE HCL 5 MG TABLET  |
2* |
Generic |
$8.00 | $24.00 | None |
ROPINIROLE HCL ER 12 MG TABLET 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL ER 12 MG TABLET 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
ROPINIROLE HCL ER 2 MG TABLET 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL ER 2 MG TABLET 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROPINIROLE HCL ER 4 MG TABLET 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL ER 4 MG TABLET 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
ROPINIROLE HCL ER 6 MG TABLET 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL ER 6 MG TABLET 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
ROPINIROLE HCL ER 8 MG TABLET 24H [Requip XL] ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL ER 8 MG TABLET 24H [Requip XL].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in OK cover ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $3.00 | Q:45 /30Days |
ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in OK cover ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $3.00 | Q:45 /30Days |
ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in OK cover ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $3.00 | Q:30 /30Days |
ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor] ![Compare how all Medicare Part D PDP plans in OK cover ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1* |
Preferred Generic |
$1.00 | $3.00 | Q:45 /30Days |
ROTARIX VACCINE SUSPENSION  |
1* |
Preferred Generic |
$1.00 | $3.00 | None |
ROTATEQ VACCINE SOLUTION  |
1* |
Preferred Generic |
$1.00 | $3.00 | None |
Rotavirus Vaccine, Live, Oral  |
1* |
Preferred Generic |
$1.00 | $3.00 | None |
ROWEEPRA 500 MG TABLET  |
2* |
Generic |
$8.00 | $24.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROZLYTREK 100 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:150 /30Days |
ROZLYTREK 200 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:90 /30Days |
ROZLYTREK 50 MG PELLET PACKET  |
5 |
Specialty Tier |
25% | N/A | P Q:336 /28Days |
RUBRACA 200 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
RUBRACA 250 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
RUBRACA 300 MG TABLET  |
5 |
Specialty Tier |
25% | N/A | P Q:120 /30Days |
RUFINAMIDE 200 MG TABLET [Banzel] ![Compare how all Medicare Part D PDP plans in OK cover RUFINAMIDE 200 MG TABLET [Banzel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Non-Preferred Drug |
47% | 47% | None |
RUFINAMIDE 40 MG/ML ORAL SUSPENSION [Banzel] ![Compare how all Medicare Part D PDP plans in OK cover RUFINAMIDE 40 MG/ML ORAL SUSPENSION [Banzel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
RUFINAMIDE 400 MG TABLET [Banzel] ![Compare how all Medicare Part D PDP plans in OK cover RUFINAMIDE 400 MG TABLET [Banzel].](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty Tier |
25% | N/A | None |
RUKOBIA ER 600 MG TABLETLET 12H  |
5 |
Specialty Tier |
25% | N/A | Q:60 /30Days |
RYBELSUS 14 MG TABLET  |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RYBELSUS 3 MG TABLET  |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:30 /30Days |
RYBELSUS 7 MG TABLET  |
3 |
Preferred Brand |
$45.00 | $135.00 | P Q:30 /30Days |
RYDAPT 25 MG CAPSULE  |
5 |
Specialty Tier |
25% | N/A | P Q:240 /30Days |
RYTARY ER 23.75 MG-95 MG CAPSULE  |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RYTARY ER 36.25 MG-145 MG CAPSULE  |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RYTARY ER 48.75 MG-195 MG CAPSULE  |
3 |
Preferred Brand |
$45.00 | $135.00 | None |
RYTARY ER 61.25 MG-245 MG CAPSULE  |
3 |
Preferred Brand |
$45.00 | $135.00 | None |