There are 40 stand-alone Medicare Part D plans in Ohio meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
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MEPROBAMATE 400MG TABLET (100 CT) (100 BOT) (NDC: 00591523801) 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![]() ![]() |
$16.90 | $175 | No Gap Coverage | 1 | Preferred Generic | $4.00 | n/a | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$23.00 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $56.00 | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$23.40 | $0 | No Gap Coverage | 1 | Preferred Generic | $8.00 | $16.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$25.10 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$25.80 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $62.20 | $171.60 | 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 |
|
Prescriba Rx Bronze![]() ![]() |
$27.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$27.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | n/a | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$28.60 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 14![]() ![]() |
$29.60 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver![]() ![]() |
$30.30 | $295 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $4.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$31.20 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $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 |
|
Aetna Medicare Rx Essentials![]() ![]() |
$31.80 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value![]() ![]() |
$32.00 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $10.00 | $15.00 | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$32.10 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Signature![]() ![]() |
$33.50 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$37.00 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$38.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.10 | $237.30 | 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 |
|
Sterling Rx![]() ![]() |
$38.20 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$39.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $10.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-012![]() ![]() |
$39.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$41.10 | $295 | No Gap Coverage | 1 | Tier 1 | $2.50 | $6.25 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$41.40 | $0 | No Gap Coverage | 2 | Tier 2 | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus![]() ![]() |
$42.40 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:180 /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 Standard S5884-072![]() ![]() |
$42.70 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$42.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | P | |
Browse Plan Formulary | |||||||||
UPMC for Life Prescription Drug Plan![]() ![]() |
$44.10 | $0 | No Gap Coverage | 1 | Generic | $5.00 | $12.50 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$46.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$50.10 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$51.60 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | 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 |
|
AdvantraRx Premier Plus![]() ![]() |
$56.10 | $0 | Many Generics | 1 | Preferred Generic | $4.00 | $8.00 | None | |
Browse Plan Formulary | |||||||||
SierraRx Basic![]() ![]() |
$61.40 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | S Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$65.40 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$65.50 | $0 | Some Generics | 1 | Tier 1 | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$67.50 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$70.40 | $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 |
|
AARP MedicareRx Enhanced![]() ![]() |
$73.30 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier![]() ![]() |
$77.80 | $0 | Many Generics | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$78.40 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$94.90 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-042![]() ![]() |
$97.50 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary |
|