There are 37 stand-alone Medicare Part D plans in Illinois 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
PULMICORT 0.5MG/2ML RESPULE (NDC: 00186198904) 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 |
$24.90 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$27.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$27.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P Q:120 /25Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$27.90 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $61.00 | 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 |
|
Health Net Orange Option 1 |
$28.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $42.00 | $84.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$29.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 60% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$29.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.60 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Standard |
$29.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | Q:120 /30Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 17 |
$29.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | 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 |
|
CIGNA Medicare Rx Plan One |
$30.20 | $295 | No Gap Coverage | 3 | Tier 3 | $80.00 | $200.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.30 | $190 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $69.00 | $138.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$33.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$33.70 | $130 | No Gap Coverage | 3 | Tier 3 Non-Preferred Brand or Generic | $85.00 | $212.50 | Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$36.20 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | 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 |
|
Humana PDP Standard S5884-075 |
$39.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 43% | 43% | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.70 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$43.80 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-015 |
$44.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$44.30 | $125 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | 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 |
$50.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P Q:120 /25Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$50.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$53.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$57.30 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$59.30 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$65.10 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P Q:120 /25Days | |
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 |
|
EnvisionRxPlus Gold |
$67.90 | $0 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$70.70 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.20 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$71.90 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$73.00 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | 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 |
|
Humana PDP Complete S5884-045 |
$101.10 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$103.30 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P | |
Browse Plan Formulary |
|