There are 22 stand-alone Medicare Part D plans in Washington State 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
CAFERGOT 1-100MG TABLET (100 BOT) (NDC: 00781599501) 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 |
||||||
AARP MedicareRx Saver |
$26.70 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $61.10 | $168.30 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$29.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$32.20 | $230 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$32.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $44.00 | $88.00 | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$36.00 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $42.00 | $105.00 | 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 |
|
CIGNA Medicare Rx Plan One |
$36.30 | $295 | No Gap Coverage | 3 | Tier 3 | $82.00 | $205.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-028 |
$36.50 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-088 |
$37.90 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $81.20 | $228.60 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$43.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $94.00 | $267.00 | 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 |
|
Health Net Orange Option 2 |
$48.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$49.80 | $0 | No Gap Coverage | 4 | Tier 4 | $83.00 | $207.50 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$56.80 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$59.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | None | |
Browse Plan Formulary | |||||||||
Asuris Medicare Script |
$64.50 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $40.00 | $120.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$79.10 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | 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 |
|
SilverScript Complete |
$79.40 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$80.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
Asuris Medicare Script Enhanced |
$81.00 | $0 | Many Generics | 3 | Non-Preferred Brand | $50.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-058 |
$104.60 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$120.60 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
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