There are 15 stand-alone Medicare Part D plans in Puerto Rico 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
ADVAIR DISKU MIS 250/50 (60 DOSE BLPK) (NDC: 00173069600) 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 |
||||||
Community CCRx Basic |
$1.30 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$15.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $23.25 | $52.25 | Q:60 /25Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$16.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S2874-001 |
$18.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S2874-002 |
$20.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | 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 |
|
AARP MedicareRx Saver |
$27.00 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | S | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$31.40 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$33.60 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$34.80 | $50 | Many Generics | 4 | Preferred Brand | $26.00 | $61.00 | Q:60 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$36.10 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | S | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$41.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | S | |
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 Complete |
$44.80 | $0 | Many Generics | 3 | Preferred Brand | $30.00 | $70.50 | Q:60 /25Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$45.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$69.80 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | S | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$79.40 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:180 /90Days | |
Browse Plan Formulary |
|