There are 16 stand-alone Medicare Part D plans in Utah 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
CESAMET 1MG CAPSULE (20 BOTPL) (NDC: 00187024701) 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 |
$32.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P Q:60 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.20 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$40.00 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P Q:20 /3Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$42.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:20 /3Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$43.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P Q:30 /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 |
|
Sterling Rx |
$44.00 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | Q:30 /5Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$48.70 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:20 /3Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$61.30 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$64.70 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$65.70 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P Q:60 /25Days | |
Browse Plan Formulary | |||||||||
Regence Medicare Script |
$66.50 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $40.00 | $120.00 | 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 |
|
AARP MedicareRx Enhanced |
$72.90 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:20 /3Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$73.20 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | P | |
Browse Plan Formulary | |||||||||
Regence Medicare Script Enhanced |
$83.50 | $0 | Many Generics | 3 | Non-Preferred Brand | $50.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$84.60 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P Q:60 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$113.70 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary |
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