There are 22 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
REMODULIN 2.5MG/ML VIAL (20 VIALMD) (NDC: 66302010201) 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 | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$27.80 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$27.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$28.60 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$30.20 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | 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 |
|
Blue Medicare Rx - Value![]() ![]() |
$30.50 | $0 | No Gap Coverage | 4 | Specialty | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$31.30 | $190 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$34.50 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Standard![]() ![]() |
$37.90 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-075![]() ![]() |
$39.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 43% | 43% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$39.60 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | 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 Two![]() ![]() |
$43.80 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-015![]() ![]() |
$44.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$50.10 | $50 | Many Generics | 6 | Specialty | 31% | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2![]() ![]() |
$53.00 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$59.30 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$65.10 | $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![]() ![]() |
$69.10 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$70.70 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus![]() ![]() |
$77.50 | $0 | All Generics | 4 | Specialty | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-045![]() ![]() |
$101.10 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$103.30 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary |
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