There are 38 stand-alone Medicare Part D plans in Arizona 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
STRATTERA 25MG CAPSULE (30 BOT) (NDC: 00002322830) 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 |
||||||
SierraRx Basic |
$11.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$14.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $80.00 | Q:2 /1Days | |
Browse Plan Formulary | |||||||||
SierraRx UnitedHealth Rx Value |
$15.30 | $0 | No Gap Coverage | 2 | Brand | $45.00 | $135.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Fox Value Plan |
$21.20 | $295 | No Gap Coverage | 3 | Tier 3 | $36.00 | $108.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$21.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 60% | n/a | S Q:60 /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 |
|
CIGNA Medicare Rx Plan One |
$23.20 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 28 |
$23.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$24.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $57.00 | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$24.80 | $200 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | S Q:2 /1Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$25.20 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-086 |
$26.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 48% | 48% | Q:60 /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 |
|
AARP MedicareRx Saver |
$26.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $50.25 | $135.75 | S Q:62 /31Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$26.90 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $21.00 | $63.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$32.60 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.70 | $239.10 | S Q:62 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$32.90 | $295 | No Gap Coverage | 2 | Preferred Brand | $27.25 | $61.25 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$35.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | S Q:62 /31Days | |
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 2 |
$36.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:2 /1Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $71.00 | $213.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Fox Grand Plan |
$38.90 | $295 | Some Generics | 3 | Tier 3 | $35.00 | $70.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$40.30 | $115 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-026 |
$41.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | S | |
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 |
$45.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$47.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $33.00 | $66.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$47.70 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$52.20 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.30 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$54.80 | $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 |
|
Aetna Medicare Rx - Costco Plus Plan |
$54.90 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | S Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$55.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | S Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$73.90 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$75.30 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | S Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.40 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | S Q:62 /31Days | |
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 |
$86.50 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$101.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | S Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-056 |
$102.20 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:60 /30Days | |
Browse Plan Formulary |
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