There are 46 stand-alone Medicare Part D plans in Louisiana 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
KETOPROFEN 75MG CAPSULE (100 CAPSULES BOT) (NDC: 00093319501) 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 |
$17.90 | $175 | No Gap Coverage | 1 | Preferred Generic | $4.00 | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$24.00 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.60 | $0 | No Gap Coverage | 1 | Preferred Generic | $8.00 | $16.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$24.70 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 21 |
$25.60 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | 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 |
|
Prescriba Rx Bronze |
$26.80 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$27.00 | $295 | No Gap Coverage | 1 | Generic | $0.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$27.40 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$27.60 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$28.40 | $295 | No Gap Coverage | 1 | Tier 1 | $2.50 | $6.25 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | n/a | 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 |
|
WellCare Classic |
$28.50 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$30.00 | $295 | No Gap Coverage | 1 | Preferred Generic | $2.00 | $4.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.70 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $13.00 | $26.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$30.70 | $295 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $4.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$31.70 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$32.10 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | 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 |
|
Advantage Freedom Plan by RxAmerica |
$34.80 | $0 | No Gap Coverage | 1 | Preferred Generic | $4.75 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$34.90 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$35.40 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$37.30 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$37.50 | $0 | No Gap Coverage | 1 | Tier 1-Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$38.30 | $130 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | 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 Two |
$39.80 | $0 | No Gap Coverage | 2 | Tier 2 | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.80 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$40.30 | $0 | No Gap Coverage | 1 | Preferred Generic | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$40.50 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$41.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $10.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-079 |
$43.70 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | 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 |
|
UA Medicare Part D Prescription Drug Cov |
$44.50 | $0 | No Gap Coverage | 1 | Generic | $7.00 | $18.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$44.80 | $0 | No Gap Coverage | 1 | Generic | $5.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-019 |
$45.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
RxBLUE |
$45.30 | $0 | No Gap Coverage | 1 | Generic | $8.00 | $24.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$47.20 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$47.60 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generics | $0.00 | $0.00 | 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 |
|
AdvantraRx Premier Plus |
$55.90 | $0 | Many Generics | 1 | Preferred Generic | $4.00 | $8.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.70 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$59.80 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$63.80 | $0 | All Generics | 1 | Generic | $5.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.10 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.90 | $0 | Some Generics | 1 | Tier 1 | $6.00 | $15.00 | 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 |
|
Prescriba Rx Platinum |
$71.40 | $0 | All Generics | 1 | Generic | $6.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.60 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$79.90 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$92.10 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-049 |
$93.60 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary |
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