There are 4 stand-alone Medicare Part D plans in Guam 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
PANTOPRAZOLE SODIUM 40MG TABLET DELAYED RELEASE 90 CRC BOT (90 CRC BOT) (NDC: 62756058081) 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 |
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---|---|---|---|---|---|---|---|---|---|
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Order |
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AARP MedicareRx Saver |
$28.20 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $58.90 | $161.70 | S | |
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AARP MedicareRx Preferred |
$31.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.30 | $237.90 | S | |
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UnitedHealth Rx Basic |
$41.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $93.00 | $264.00 | S | |
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AARP MedicareRx Enhanced |
$69.90 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | S | |
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