There are 44 stand-alone Medicare Part D plans in Nevada 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 4MG/0.5ML KIT REFILL (2 SYR) (NDC: 00173073902) 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![]() ![]() |
$19.40 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $50.00 | n/a | Q:8 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$20.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $25.00 | n/a | Q:8 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$23.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $36.75 | $82.75 | Q:4 /25Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 29![]() ![]() |
$23.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:8 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$25.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $26.00 | $52.00 | Q:8 /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![]() ![]() |
$25.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:3 /30Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value![]() ![]() |
$26.20 | $130 | No Gap Coverage | 4 | Tier 4 Non-Specialty Injectable | 29% | 29% | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver![]() ![]() |
$27.90 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $22.00 | $66.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$28.30 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$29.10 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:12 /90Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$29.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P Q:4 /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 |
|
BravoRx![]() ![]() |
$29.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:12 /90Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$30.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:3 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$32.20 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P Q:4 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$33.30 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $56.10 | $153.30 | Q:4 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$33.40 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$34.20 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:4 /31Days | |
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![]() ![]() |
$38.80 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:3 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$39.20 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$40.70 | $180 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:12 /90Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$41.40 | $195 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-087![]() ![]() |
$41.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 44% | 44% | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$42.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:4 /31Days | |
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 Enhanced S5884-027![]() ![]() |
$44.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$44.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:12 /90Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$44.50 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$46.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:8 /30Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus![]() ![]() |
$46.80 | $0 | No Gap Coverage | 4 | Tier 4 Non-Specialty Injectable | 33% | 33% | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$47.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | Q:12 /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 |
|
Health Net Orange Option 2![]() ![]() |
$49.10 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$53.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:3 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$56.80 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$57.10 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:4 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$62.70 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | Q:8 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$66.40 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | Q:4 /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![]() ![]() |
$69.60 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:12 /90Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$72.50 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:3 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$72.80 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:3 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$75.40 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:4 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$77.00 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:4 /31Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier![]() ![]() |
$78.80 | $0 | Many Generics | 4 | Tier 4 Non-Specialty Injectable | 33% | 33% | Q:4 /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 |
|
CIGNA Medicare Rx Plan Three![]() ![]() |
$80.40 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-057![]() ![]() |
$104.30 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$116.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:4 /30Days | |
Browse Plan Formulary |
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