There are 35 stand-alone Medicare Part D plans in New Jersey 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
BROVANA 15MCG/2ML VIAL NEBULIZER (30 X 1 VIAL POUCH CRTN) (NDC: 63402091130) 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 |
$26.10 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $61.25 | $168.75 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$27.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | P Q:360 /90Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$29.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $52.00 | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$29.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AmeriHealth NJ Rx Option I |
$32.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $88.00 | $264.00 | 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 |
$32.90 | $220 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $63.00 | $126.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-003 |
$33.70 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$34.90 | $295 | No Gap Coverage | 3 | Tier 3 | $77.00 | $192.50 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$36.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $75.10 | $210.30 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-062 |
$38.90 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 40% | 40% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AmeriHealth NJ Rx Option II |
$40.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $140.00 | 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 |
|
AdvantraRx Premier |
$40.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $69.00 | $207.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$41.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$41.50 | $160 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | P Q:360 /90Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$41.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | 75% | 75% | P Q:360 /90Days | |
Browse Plan Formulary | |||||||||
Horizon Medicare Blue Rx Standard |
$42.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $74.00 | $222.00 | P Q:360 /90Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$42.70 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | P Q:120 /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 Two |
$43.80 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$43.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 60% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$44.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$45.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $66.00 | $132.00 | P Q:360 /90Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$52.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | P Q:4 /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 |
|
Community CCRx Choice |
$56.40 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$56.80 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $71.00 | $213.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$66.00 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $76.00 | $152.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.40 | $0 | All Generics | 3 | Non-Preferred Brand | 75% | 75% | P Q:360 /90Days | |
Browse Plan Formulary | |||||||||
Horizon Medicare Blue Rx Plus |
$72.90 | $0 | Many Generics | 3 | Non-Preferred Brand | $74.00 | $222.00 | P Q:360 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.30 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | P | |
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 |
$74.30 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$74.90 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$76.50 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$88.50 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-032 |
$98.80 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$130.20 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P | |
Browse Plan Formulary |
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