There are 38 stand-alone Medicare Part D plans in Washington State 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
PROMACTA TABLETS 25 MG (30 BOT) (NDC: 00007464013) 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![]() ![]() |
$16.70 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$21.60 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$26.70 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$29.50 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:90 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$29.90 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | 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 |
|
First Health Part D-Premier![]() ![]() |
$30.00 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$30.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$31.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 45% | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$31.40 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$32.20 | $230 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$32.30 | $295 | No Gap Coverage | 5 | Specialty | 25% | 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 |
|
Advantage Freedom Plan by RxAmerica![]() ![]() |
$34.40 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$34.80 | $295 | No Gap Coverage | 3 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value![]() ![]() |
$36.00 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$36.30 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-028![]() ![]() |
$36.50 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-088![]() ![]() |
$37.90 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | P Q:90 /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![]() ![]() |
$37.90 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$38.40 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$41.70 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$42.00 | $130 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:90 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$43.10 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$44.20 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P 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 |
|
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$45.40 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$46.40 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$47.70 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2![]() ![]() |
$48.20 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$49.80 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$56.80 | $50 | Many Generics | 6 | Specialty | 31% | n/a | 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 |
|
AdvantraRx Premier Plus![]() ![]() |
$59.50 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$59.50 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$66.90 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$76.60 | $0 | All Generics | 4 | Specialty | 33% | 33% | P Q:90 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$79.10 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$79.40 | $0 | Many Generics | 5 | Specialty | 33% | n/a | 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![]() ![]() |
$80.10 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-058![]() ![]() |
$104.60 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$120.60 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary |
|