There are 17 stand-alone Medicare Part D plans in Maryland 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
DITROPAN XL 5MG TABLET SA (NDC: 17314850001) 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 |
||||||
SilverScript Value |
$27.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$29.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$30.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $205 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $72.00 | $144.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$37.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $79.95 | $224.85 | 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 |
|
Prescriba Rx Gold |
$38.30 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | S Q:34 /34Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Blue Rx Standard |
$52.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $66.00 | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.00 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$64.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | 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 |
|
Community CCRx Gold |
$66.60 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$72.10 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$74.30 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$76.00 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Blue Rx Enhanced |
$85.10 | $0 | Many Generics | 3 | Non-Preferred Brand | $66.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.80 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
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