There are 47 stand-alone Medicare Part D plans in Washington DC 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
ROTATEQ VACCINE (10 X 2 ML TUBE) (NDC: 00006404741) 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 |
$18.40 | $175 | No Gap Coverage | 2 | Preferred Brand | $20.00 | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$26.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $29.00 | n/a | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$26.50 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $23.00 | $69.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$27.00 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | 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 |
|
SilverScript Value |
$27.20 | $295 | No Gap Coverage | 2 | Preferred Brand | $42.00 | $94.50 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $45.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$29.40 | $295 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$29.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 5 |
$30.10 | $295 | No Gap Coverage | 2 | Tier 2 | 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 |
|
Community CCRx Basic |
$30.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$31.60 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$31.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $205 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $32.00 | $64.00 | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$33.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$34.20 | $180 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | 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 |
|
MedicareRx Rewards Value |
$34.40 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $47.00 | $117.50 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$35.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$36.30 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$36.40 | $0 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$37.00 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-004 |
$38.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | 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 |
|
UnitedHealth Rx Basic |
$38.20 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$38.30 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$39.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$40.70 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$41.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | 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 |
|
Humana PDP Standard S5884-063 |
$41.60 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 43% | 43% | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$44.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Blue Rx Standard |
$52.00 | $0 | No Gap Coverage | 4 | Non-Self-Administered Medical Injectables | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.00 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$57.20 | $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 |
|
AdvantraRx Premier Plus |
$58.40 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$64.50 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$66.60 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | None | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$66.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$67.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$71.30 | $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 |
|
Prescriba Rx Platinum |
$72.10 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$74.30 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$76.00 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | None | |
Browse Plan Formulary | |||||||||
Blue Rx Enhanced |
$85.10 | $0 | Many Generics | 4 | Non-Self-Administered Medical Injectables | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-033 |
$95.20 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.80 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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