There are 13 stand-alone Medicare Part D plans in Wyoming 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
MOXATAG 775 MG ER TABLET (30 BOT) (NDC: 11042014203) 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 |
$15.20 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $50.00 | n/a | Q:10 /10Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | Q:10 /10Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$26.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $71.55 | $199.65 | S | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$30.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $54.00 | n/a | Q:10 /10Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.20 | $180 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $62.00 | $124.00 | 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 Preferred |
$40.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $76.20 | $213.60 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $65.00 | $195.00 | Q:10 /10Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.30 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $78.00 | $219.00 | S | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$47.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$57.40 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | Q:10 /10Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | 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 |
$71.90 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$106.70 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
|