There are 42 stand-alone Medicare Part D plans in Tennessee 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
IMITREX 100MG TABLET (9 BLPK) (NDC: 00173073701) 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![]() ![]() |
$17.60 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $48.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$24.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$24.70 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $51.85 | $140.55 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$25.00 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$25.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $44.00 | $88.00 | Q:9 /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 |
|
Community CCRx Basic![]() ![]() |
$26.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$27.70 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:27 /90Days | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$27.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$28.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $28.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$29.00 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$29.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | Q:9 /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 |
|
HealthSpring Prescription Drug Plan -Reg12![]() ![]() |
$29.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx![]() ![]() |
$30.60 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:27 /90Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$31.20 | $205 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $28.00 | $56.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
BlueRx Option I![]() ![]() |
$31.20 | $175 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $105.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$31.40 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $99.00 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value![]() ![]() |
$31.90 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $42.50 | $106.25 | Q:9 /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 |
|
Prescriba Rx Gold![]() ![]() |
$36.40 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$37.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:27 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$38.30 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$38.40 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Signature![]() ![]() |
$39.30 | $0 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$39.90 | $150 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:27 /90Days | |
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 |
|
AdvantraRx Premier![]() ![]() |
$41.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$41.40 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$43.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $91.00 | $258.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$43.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | Q:18 /28Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$45.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | Q:27 /90Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$47.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:12 /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 |
|
Health Net Value Orange Option 2![]() ![]() |
$49.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
BlueRx Option II![]() ![]() |
$53.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $105.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$55.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$56.40 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$65.70 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$66.80 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $37.00 | $74.00 | Q:18 /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 |
|
Medco Medicare Prescription Plan - Access![]() ![]() |
$70.30 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:27 /90Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$71.70 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$72.00 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$72.40 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$72.70 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$73.90 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | Q:9 /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 |
|
Aetna Medicare Rx Premier![]() ![]() |
$100.70 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:18 /30Days | |
Browse Plan Formulary |
|