There are 26 stand-alone Medicare Part D plans in West Virginia 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
FENTORA TABLET 800MCG (28 BLPK) (NDC: 63459054828) 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-Secure |
$13.70 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$22.20 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$22.40 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.70 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | Q:120 /25Days | |
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 |
|
MedicareRx Rewards Value |
$32.90 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:28 /28Days | |
Browse Plan Formulary | |||||||||
BlueRx Value |
$33.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.40 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P S Q:8 /1Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.80 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$36.90 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-064 |
$39.50 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 46% | 46% | P Q:120 /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 |
|
Sterling Rx |
$42.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$43.10 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-005 |
$44.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
BlueRx Plus |
$49.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P Q:120 /25Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$51.50 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$52.80 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /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 |
|
AmeriHealth Rx Option I |
$54.30 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option II |
$58.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $140.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.90 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P S Q:8 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$69.10 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$76.40 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
SecureRx - Option 1 |
$86.90 | $0 | Many Generics | 4 | Specialty Drugs | 30% | n/a | S Q:120 /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 |
|
Humana PDP Complete S5884-034 |
$95.40 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$99.90 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P S Q:8 /1Days | |
Browse Plan Formulary | |||||||||
BlueRx Complete |
$108.00 | $0 | Many Generics | 4 | Specialty | 33% | 33% | P Q:120 /25Days | |
Browse Plan Formulary |
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