There are 43 stand-alone Medicare Part D plans in Ohio 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
RIBAVIRIN 200MG TABLET 168 BOT (168 BOT) (NDC: 68382004603) 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 |
||||||
SilverScript Value |
$25.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$25.80 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$27.30 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$27.90 | $295 | No Gap Coverage | 1 | Generic | $0.00 | n/a | P Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$28.50 | $295 | No Gap Coverage | 4 | Specialty | 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 |
|
Advantage Star Plan by RxAmerica |
$28.60 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 14 |
$29.60 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$30.30 | $295 | No Gap Coverage | 2 | Tier 2 Non Preferred Generics | $32.00 | $96.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$30.90 | $295 | No Gap Coverage | 1 | Preferred Generic | $2.00 | $4.00 | P | |
Browse Plan Formulary | |||||||||
BravoRx |
$31.00 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P Q:540 /90Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$31.20 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | 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 |
|
Aetna Medicare Rx Essentials |
$31.80 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$32.00 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$32.10 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:180 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$33.50 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$37.00 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$37.80 | $130 | No Gap Coverage | 4 | Specialty | 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 |
|
AARP MedicareRx Preferred |
$38.20 | $0 | No Gap Coverage | 1 | Tier 1-Preferred Generic | $7.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$38.20 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-012 |
$39.50 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:168 /28Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$40.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$41.10 | $295 | No Gap Coverage | 2 | Tier 2 | $31.00 | $77.50 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$41.40 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | 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 |
|
Health Net Value Orange Option 2 |
$41.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $0.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus |
$42.40 | $0 | No Gap Coverage | 5 | Tier 5. | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-072 |
$42.70 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | P Q:168 /28Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.80 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
UPMC for Life Prescription Drug Plan |
$44.10 | $0 | No Gap Coverage | 1 | Generic | $5.00 | $12.50 | Q:186 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$45.80 | $0 | No Gap Coverage | 4 | Specialty | 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 |
|
Community CCRx Choice |
$46.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:180 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.10 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$51.60 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$61.40 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P Q:180 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$65.40 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:180 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$65.50 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | 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 |
|
Medco Medicare Prescription Plan - Access |
$66.40 | $0 | All Generics | 4 | Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$67.50 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$70.40 | $0 | No Gap Coverage | 2 | Tier 2 NonPreferred Generic | $45.00 | $135.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.30 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$77.80 | $0 | Many Generics | 5 | Tier 5. | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$78.40 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:180 /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 |
$94.90 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-042 |
$97.50 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:168 /28Days | |
Browse Plan Formulary |
|