There are 26 stand-alone Medicare Part D plans in Missouri 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
ACIPHEX 20MG TABLET EC (30 BOT) (NDC: 62856024330) 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-Premier |
$27.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $51.00 | n/a | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$27.70 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.80 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$33.20 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$36.30 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $56.95 | $155.85 | 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 |
|
SilverScript Value |
$36.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | S Q:90 /365Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$37.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $83.00 | $234.00 | S | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$37.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.90 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$39.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | 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 |
|
UnitedHealth Rx Basic |
$42.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $91.00 | $258.00 | S | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus |
$42.60 | $0 | No Gap Coverage | 3 | Tier 3 Non-Preferred Brand or Generic | $75.00 | $187.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$43.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.50 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$56.00 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:90 /365Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$61.00 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $76.00 | $152.00 | S 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 |
|
Health Net Orange Option 2 |
$61.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$64.40 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$68.90 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$69.10 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | S | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$73.50 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$75.30 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:90 /365Days | |
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 |
|
Community CCRx Gold |
$75.70 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$77.10 | $0 | Many Generics | 3 | Tier 3 Non-Preferred Brand or Generic | $75.00 | $187.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$106.80 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S Q:1 /1Days | |
Browse Plan Formulary |
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