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
YASMIN 28 3-0.03MG TABLET (21 YELLOW + 7 WHITE X 3 BOX) (NDC: 50419040203) 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 |
||||||
AARP MedicareRx Saver |
$24.90 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $63.05 | $174.15 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$27.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:28 /28Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$27.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$27.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $64.00 | $177.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $42.00 | $84.00 | Q:1 /1Days | |
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 | |||||||||
Community CCRx Basic |
$29.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 60% | n/a | Q:28 /28Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$30.20 | $295 | No Gap Coverage | 3 | Tier 3 | $80.00 | $200.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.30 | $190 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $69.00 | $138.00 | 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 | |||||||||
Prescriba Rx Gold |
$36.20 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:28 /28Days | |
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 Standard S5884-075 |
$39.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 43% | 43% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$43.80 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-015 |
$44.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | Q:28 /28Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | 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 |
|
Health Net Orange Option 2 |
$53.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:1 /1Days | |
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 | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$65.10 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | 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 | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Prescriba Rx Platinum |
$71.90 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:28 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$73.00 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | Q:28 /28Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-045 |
$101.10 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$103.30 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
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