There are 34 stand-alone Medicare Part D plans in South Carolina 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
ORAL TRANSMUCOSAL FENTANYL CITRATE LOZENGES (30 BLPK CRTN) (NDC: 00555108101) 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 | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$23.10 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$27.00 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$27.80 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Windsor Rx |
$28.20 | $170 | No Gap Coverage | 3 | Tier 3 - NonPreferred Brand, NonPreferred Generic | $50.00 | n/a | Q:120 /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 |
|
SilverScript Value |
$28.30 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$28.50 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 9 |
$28.60 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:120 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$28.70 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.30 | $215 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$31.50 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P Q:120 /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 |
|
InStil Rx |
$32.50 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$34.70 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$36.00 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$36.80 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.80 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$40.00 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
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 |
$40.30 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$41.00 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$41.20 | $130 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-067 |
$42.20 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 46% | 46% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$44.60 | $0 | No Gap Coverage | 1 | Generic | $5.00 | $13.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-008 |
$46.70 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:120 /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 |
|
SilverScript Plus |
$52.80 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.60 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.60 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
InStil Rx Plus |
$65.90 | $0 | No Gap Coverage | 1 | Preferred Generic | $6.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$66.00 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.50 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P Q:120 /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 |
|
Medco Medicare Prescription Plan - Access |
$68.10 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.00 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
MedBlue Rx Plus |
$73.80 | $0 | Many Generics | 1 | Generic | $8.00 | $16.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-037 |
$97.90 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$100.50 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:4 /1Days | |
Browse Plan Formulary |
|