There are 48 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
REVLIMID 5MG CAPSULE (100 BOT) (NDC: 59572040500) 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 |
$16.20 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$24.90 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$25.50 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$27.30 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$27.80 | $295 | No Gap Coverage | 4 | 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 |
|
UnitedHealth Rx Basic |
$27.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.50 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.60 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$28.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$29.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 60% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$29.50 | $295 | No Gap Coverage | 3 | Tier 3 | 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 |
|
Medco Medicare Prescription Plan - Value |
$29.60 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 17 |
$29.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$30.20 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Value |
$30.50 | $0 | No Gap Coverage | 4 | Specialty | 30% | n/a | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$30.50 | $295 | No Gap Coverage | 5 | Tier 5 Specialty Drugs | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.30 | $190 | No Gap Coverage | 5 | Tier 5 - 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 |
|
Medco Medicare Prescription Plan - Choice |
$33.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$33.70 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$33.70 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.50 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$35.20 | $0 | No Gap Coverage | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$36.20 | $0 | No Gap Coverage | 3 | Specialty | 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 |
|
Blue Medicare Rx - Standard |
$37.90 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-075 |
$39.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 43% | 43% | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.60 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.70 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
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 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 Rx Covg - Silver Plan |
$44.30 | $125 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$49.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.10 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$50.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$53.00 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$57.30 | $0 | Many Generics | 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 |
|
Advantage Freedom Plan by RxAmerica |
$58.10 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
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 | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$67.90 | $0 | No Gap Coverage | 5 | Tier 5 Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$68.50 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.10 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | 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 |
|
AARP MedicareRx Enhanced |
$70.70 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.20 | $0 | All Generics | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$71.90 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$73.00 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus |
$77.50 | $0 | All Generics | 4 | Specialty | 30% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-045 |
$101.10 | $0 | Many Generics | 4 | Specialty | 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 |
|
Aetna Medicare Rx Premier |
$103.30 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary |
|