There are 32 stand-alone Medicare Part D plans in Arkansas 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 400MG CAPSULE SA (30 BOT) (NDC: 00087667417) 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 |
||||||
Fox Value Plan![]() ![]() |
$13.00 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Secure![]() ![]() |
$16.10 | $175 | No Gap Coverage | 2 | Preferred Brand | $20.00 | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$18.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
AR Blue Cross - Medi-Pak Rx Basic![]() ![]() |
$21.60 | $185 | No Gap Coverage | 3 | Non-Preferred Brand | $68.00 | $170.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$22.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | 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 Essentials![]() ![]() |
$23.40 | $205 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$24.30 | $295 | No Gap Coverage | 2 | Tier 2 | $38.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$25.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$26.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$27.10 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 19![]() ![]() |
$28.20 | $295 | No Gap Coverage | 2 | Tier 2 | 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 |
|
Health Net Orange Option 1![]() ![]() |
$33.70 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Signature![]() ![]() |
$35.70 | $0 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | None | |
Browse Plan Formulary | |||||||||
Fox Grand Plan![]() ![]() |
$36.00 | $260 | Some Generics | 3 | Tier 3 | $35.00 | $70.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-077![]() ![]() |
$37.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$37.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$38.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $75.85 | $212.55 | 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 Enhanced S5884-017![]() ![]() |
$38.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$38.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
AR Blue Cross - Medi-Pak Rx Classic![]() ![]() |
$39.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $68.00 | $170.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$40.20 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2![]() ![]() |
$40.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$41.20 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | 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![]() ![]() |
$50.40 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$55.20 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$60.50 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | None | |
Browse Plan Formulary | |||||||||
AR Blue Cross - Medi-Pak Rx Premier![]() ![]() |
$64.90 | $0 | Many Generics | 3 | Non-Preferred Brand | $68.00 | $170.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$67.50 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$69.00 | $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 |
|
AARP MedicareRx Enhanced![]() ![]() |
$77.50 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-047![]() ![]() |
$96.10 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$108.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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