There are 13 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
KYTRIL 1MG TABLET (20 BLPK) (NDC: 00004024126) 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![]() ![]() |
$24.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$27.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$30.70 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value![]() ![]() |
$31.70 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$34.80 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
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 |
|
AARP MedicareRx Preferred![]() ![]() |
$37.50 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:6 /3Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$39.80 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
RxBLUE![]() ![]() |
$45.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $73.00 | $219.00 | P Q:8 /4Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$59.70 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$59.80 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$73.60 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:6 /3Days | |
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 |
|
SilverScript Complete![]() ![]() |
$79.90 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$92.10 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:2 /1Days | |
Browse Plan Formulary |
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