There are 27 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
VIDEX EC 250MG CAPSULE SA (30 BOT) (NDC: 00087667317) 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 | 2 | Preferred Brand | $20.00 | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$25.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$27.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $42.00 | $84.00 | 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 |
|
Advantage Star Plan by RxAmerica |
$28.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | 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 | 2 | Tier 2 | $33.00 | $82.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.30 | $190 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $29.00 | $58.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$33.70 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $80.40 | $226.20 | 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 |
|
WellCare Signature |
$35.20 | $0 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-075 |
$39.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $26.00 | $52.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$43.80 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-015 |
$44.30 | $0 | 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 |
|
SilverScript Plus |
$50.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$53.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$57.30 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$58.10 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$59.30 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$65.10 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | 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 |
|
CIGNA Medicare Rx Plan Three |
$69.10 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$70.70 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-045 |
$101.10 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$103.30 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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