There are 36 stand-alone Medicare Part D plans in West Virginia 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
SANDOSTATIN 0.5MG/ML AMPUL (NDC: 00078018201) 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 |
||||||
Advantage Star Plan by RxAmerica |
$27.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$28.50 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AmeriHealth Advantage Rx Option I |
$28.60 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.70 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$30.00 | $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 |
|
BravoRx |
$31.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$32.60 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$32.90 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
BlueRx Value |
$33.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.40 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.80 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
Health Net Orange Option 1 |
$35.30 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$38.30 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$39.00 | $150 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$39.50 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-064 |
$39.50 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 46% | 46% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$42.10 | $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 |
|
UA Medicare Part D Prescription Drug Cov |
$42.40 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SecureRx - Option 4 |
$43.00 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
UPMC for Life Prescription Drug Plan |
$44.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
SecureRx - Option 3 |
$44.60 | $0 | No Gap Coverage | 3 | Specialty Drugs | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-005 |
$44.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$46.60 | $0 | No Gap Coverage | 5 | Specialty | 33% | 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 |
|
BlueRx Plus |
$49.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$51.50 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option I |
$54.30 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option II |
$58.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.90 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$68.30 | $0 | All Generics | 4 | Specialty | 33% | 33% | 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 Complete |
$69.10 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$72.60 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$76.40 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
SecureRx - Option 1 |
$86.90 | $0 | Many Generics | 4 | Specialty Drugs | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-034 |
$95.40 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$99.90 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | 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 |
|
BlueRx Complete |
$108.00 | $0 | Many Generics | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary |
|