There are 7 stand-alone Medicare Part D plans in Puerto Rico 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
AZASAN 100MG TABLET (100 BOT) (NDC: 65649024141) 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 |
||||||
SilverScript Value |
$15.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $23.25 | $52.25 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$27.00 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $59.55 | $163.65 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$34.80 | $50 | Many Generics | 4 | Preferred Brand | $26.00 | $61.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$36.10 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$41.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $90.00 | $255.00 | 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 Complete |
$44.80 | $0 | Many Generics | 3 | Preferred Brand | $30.00 | $70.50 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$69.80 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary |
|