There are 32 stand-alone Medicare Part D plans in Maine 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
CELLCEPT IV INJ 500MG (20 ML X 4 VIALGL) (NDC: 00004029809) 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 |
||||||
HealthSpring Prescription Drug Plan -Reg 1![]() ![]() |
$26.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$27.10 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$27.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$29.90 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$30.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | 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 |
|
CIGNA Medicare Rx Plan One![]() ![]() |
$30.50 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$31.20 | $205 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$32.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver![]() ![]() |
$34.20 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $22.00 | $66.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$34.40 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value![]() ![]() |
$35.00 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | 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 |
|
AARP MedicareRx Preferred![]() ![]() |
$35.50 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$37.20 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$37.50 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-092![]() ![]() |
$39.20 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 45% | 45% | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$40.20 | $160 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$40.80 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
Medco Medicare Prescription Plan - Choice![]() ![]() |
$41.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-095![]() ![]() |
$42.50 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$45.30 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value Plus![]() ![]() |
$45.50 | $0 | No Gap Coverage | 5 | Tier 5. | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$45.80 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2![]() ![]() |
$47.40 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | 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 |
|
EnvisionRxPlus Gold![]() ![]() |
$56.50 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$61.20 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$62.00 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$67.60 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$78.90 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$81.70 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
Blue MedicareRx Premier![]() ![]() |
$81.80 | $0 | Many Generics | 5 | Tier 5. | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-098![]() ![]() |
$100.20 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$101.70 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary |
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