There are 45 stand-alone Medicare Part D plans in West Virginia 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
NORDITROPIN NORDIFLEX 5MG/1.5 (1.5 ML CTG BOX) (NDC: 00169770411) 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![]() ![]() |
$13.70 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$22.20 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$22.40 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$25.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 45% | n/a | P Q:39 /28Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$28.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | 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 |
|
AmeriHealth Advantage Rx Option I![]() ![]() |
$28.60 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$28.70 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$28.70 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$28.80 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:39 /28Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 6![]() ![]() |
$29.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$30.00 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | 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 |
|
BravoRx![]() ![]() |
$31.60 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$32.10 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:39 /28Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$32.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value![]() ![]() |
$32.90 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:28 /28Days | |
Browse Plan Formulary | |||||||||
BlueRx Value![]() ![]() |
$33.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$33.40 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | 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![]() ![]() |
$34.80 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$35.30 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$36.90 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$39.00 | $150 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$39.50 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$42.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | 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 |
|
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$42.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | $62.00 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$42.60 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:39 /28Days | |
Browse Plan Formulary | |||||||||
SecureRx - Option 4![]() ![]() |
$43.00 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$43.10 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
UPMC for Life Prescription Drug Plan![]() ![]() |
$44.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
SecureRx - Option 3![]() ![]() |
$44.60 | $0 | No Gap Coverage | 3 | Specialty Drugs | 30% | n/a | 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 |
|
Health Net Value Orange Option 2![]() ![]() |
$46.60 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
BlueRx Plus![]() ![]() |
$49.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$51.50 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$52.80 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option I![]() ![]() |
$54.30 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option II![]() ![]() |
$58.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | 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 |
|
Aetna Medicare Rx Plus![]() ![]() |
$63.90 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$65.00 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:39 /28Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$68.30 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$69.10 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$72.60 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$75.10 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:39 /28Days | |
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![]() ![]() |
$76.40 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
SecureRx - Option 1![]() ![]() |
$86.90 | $0 | Many Generics | 4 | Specialty Drugs | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$99.90 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
BlueRx Complete![]() ![]() |
$108.00 | $0 | Many Generics | 4 | Specialty | 33% | 33% | P | |
Browse Plan Formulary |
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