There are 32 stand-alone Medicare Part D plans in Michigan 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
PREMARIN 25MG VIAL (1 PKGCOM) (NDC: 00046074905) 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 |
||||||
AARP MedicareRx Saver |
$25.40 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.90 | $295 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $87.75 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 13 |
$30.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$30.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | 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 |
|
WellCare Classic |
$31.80 | $295 | No Gap Coverage | 2 | Tier 2 | $32.00 | $96.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$32.80 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $22.00 | $66.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$32.90 | $295 | No Gap Coverage | 3 | Tier 3 | $88.00 | $220.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$33.60 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$34.10 | $130 | No Gap Coverage | 4 | Tier 4 Non-Specialty Injectable | 29% | 29% | None | |
Browse Plan Formulary | |||||||||
Alliance Medicare RX |
$35.00 | $0 | No Gap Coverage | 2 | Tier 2 | $40.00 | $100.00 | Q:30 /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 |
|
Sterling Rx |
$38.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$38.70 | $0 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-011 |
$38.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$39.30 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$39.40 | $0 | No Gap Coverage | 4 | Tier 4 | $85.00 | $212.50 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-071 |
$40.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | 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 |
|
Advantage Freedom Plan by RxAmerica |
$40.60 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.60 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$44.10 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$44.80 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Prescription Blue Option A |
$47.50 | $20 | No Gap Coverage | 5 | Non Self Administered Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Alliance Medicare RX |
$50.00 | $150 | No Gap Coverage | 2 | Tier 2 | $17.00 | $50.00 | Q:30 /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 |
|
Prescription Blue Option B |
$50.00 | $0 | Many Generics | 5 | Non Self Administered Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$56.00 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$63.10 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | None | |
Browse Plan Formulary | |||||||||
Alliance Medicare RX |
$64.00 | $0 | All Generics, Few Brands | 2 | Tier 2 | $35.00 | $87.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$68.90 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.20 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | 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 |
|
CIGNA Medicare Rx Plan Three |
$76.20 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-041 |
$97.80 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$106.00 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P | |
Browse Plan Formulary |
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