There are 29 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
XIFAXAN 200MG TABLET (30 BOT) (NDC: 65649030103) 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 | |||||||||
AARP MedicareRx Saver |
$27.00 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $65.45 | $181.35 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$27.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | 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 |
|
Medco Medicare Prescription Plan - Value |
$29.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 5 |
$30.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $205 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $72.00 | $144.00 | P Q:9 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$33.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P Q:9 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$34.20 | $180 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$35.70 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | 75% | 75% | Q:9 /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 Preferred |
$37.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $79.95 | $224.85 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-004 |
$38.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | S Q:42 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$38.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$41.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-063 |
$41.60 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 43% | 43% | S Q:42 /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 |
|
UA Medicare Part D Prescription Drug Cov |
$44.40 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $64.00 | $128.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Blue Rx Standard |
$52.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $66.00 | n/a | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.00 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
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 | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | P Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$67.00 | $0 | All Generics | 3 | Non-Preferred Brand | 75% | 75% | Q:9 /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 Three |
$71.30 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$74.30 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$76.00 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Blue Rx Enhanced |
$85.10 | $0 | Many Generics | 3 | Non-Preferred Brand | $66.00 | n/a | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-033 |
$95.20 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | S Q:42 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.80 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P Q:9 /30Days | |
Browse Plan Formulary |
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