There are 28 stand-alone Medicare Part D plans in Arizona 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
NALBUPHINE 10MG/ML VIAL (NDC: 00409146401) 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 |
$13.90 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $50.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$14.10 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$18.90 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$22.90 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$23.20 | $295 | No Gap Coverage | 1 | Tier 1 | $3.00 | $7.50 | 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 |
|
HealthSpring Prescription Drug Plan-Reg 28 |
$23.90 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$24.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $57.00 | n/a | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$24.60 | $130 | No Gap Coverage | 4 | Tier 4 Non-Specialty Injectable | 29% | 29% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$24.80 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $13.00 | $26.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-086 |
$26.40 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$26.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $50.25 | $135.75 | 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 Signature |
$27.10 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$32.60 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.70 | $239.10 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$32.90 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$35.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$36.50 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $71.00 | $213.00 | 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 |
|
Humana PDP Enhanced S5884-026 |
$41.00 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.00 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$47.70 | $0 | No Gap Coverage | 2 | Tier 2 | $6.00 | $15.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$52.20 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.30 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$54.90 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | 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 |
|
SilverScript Complete |
$73.90 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.40 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$86.50 | $0 | Some Generics | 1 | Tier 1 | $6.00 | $15.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$101.00 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-056 |
$102.20 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | P | |
Browse Plan Formulary |
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