There are 33 stand-alone Medicare Part D plans in Texas meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
Click here to see 2024 Medicare Part D plans
ADDERALL XR 20MG CAPSULE SA (100 BOT) (NDC: 54092038701) 2009 Medicare Prescription Drug Plan (PDP) Information Click here for the Chart Legend | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Does Plan Offer Gap Coverage |
Drug Tier Information | Cost-Sharing | Drug Usage Mgmt |
|||
---|---|---|---|---|---|---|---|---|---|
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Order |
||||||
First Health Part D-Premier |
$13.70 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $67.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Secure |
$18.70 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $50.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SierraRx |
$22.70 | $0 | No Gap Coverage | 2 | Brand | $50.00 | $150.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$23.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $57.20 | $156.60 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$23.50 | $295 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $85.50 | P | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
BravoRx |
$24.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$25.20 | $195 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $68.00 | $136.00 | P S Q:2 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$25.80 | $295 | No Gap Coverage | 3 | Tier 3 | $75.00 | $187.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$26.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$36.80 | $170 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-020 |
$37.70 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
CIGNA Medicare Rx Plan Two |
$38.30 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $73.30 | $204.90 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-080 |
$38.80 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 41% | 41% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$38.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | P | |
Browse Plan Formulary | |||||||||
Scott and White Health Plan Texas Rx Value |
$39.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$40.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
UnitedHealth Rx Basic |
$40.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $96.00 | $273.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$43.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$45.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$47.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $33.00 | $66.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$48.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$53.10 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $74.00 | $148.00 | P S Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
SilverScript Plus |
$54.40 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$59.90 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$65.40 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.50 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.60 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $93.00 | $264.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$75.70 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | P | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Medco Medicare Prescription Plan - Access |
$79.60 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$80.50 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-050 |
$90.10 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Scott and White Health PlanTexas Rx Enhanc |
$97.10 | $0 | Many Generics | 2 | Preferred Brand | $35.00 | $70.00 | None | |
Browse Plan Formulary |
|