There are 33 stand-alone Medicare Part D plans in Missouri 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
RAZADYNE ER 8MG CAPSULE (30 CAPSULES BOT) (NDC: 50458038730) 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 |
$14.50 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $50.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$23.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$27.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $51.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$28.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.80 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | 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 |
|
Blue MedicareRx Value |
$32.30 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $40.00 | $100.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$32.60 | $295 | No Gap Coverage | 3 | Tier 3 | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$35.30 | $0 | No Gap Coverage | 3 | Tier 3 | $79.00 | $237.00 | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$36.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$36.30 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$36.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | 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 |
|
AARP MedicareRx Preferred |
$37.80 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.90 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$41.70 | $295 | No Gap Coverage | 3 | Tier 3 | $86.00 | $215.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.40 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$42.50 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | S 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 |
|
Blue MedicareRx Plus |
$42.60 | $0 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$43.10 | $140 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$44.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$48.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | $62.00 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.50 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$56.00 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | 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 |
|
Aetna Medicare Rx Plus |
$61.00 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $76.00 | $152.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$61.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$64.40 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$68.90 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$69.10 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$70.20 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | 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 |
|
Medco Medicare Prescription Plan - Access |
$75.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$75.30 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$77.10 | $0 | Many Generics | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$106.80 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
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