There are 42 stand-alone Medicare Part D plans in Montana 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
DETROL 2MG TABLET (500 BOTPL) (NDC: 00009454403) 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 |
$26.50 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 25 |
$27.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
MedicareBlue Rx Option 1 |
$29.70 | $295 | No Gap Coverage | 3 | Level 3: Covered Brand | 50% | 50% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-023 |
$29.80 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$30.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $54.00 | n/a | 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 |
|
Prescriba Rx Bronze |
$30.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$31.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.20 | $180 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $22.00 | $44.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$31.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$33.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$33.90 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | 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 |
|
Medco Medicare Prescription Plan - Value |
$35.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$35.50 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $41.50 | $103.75 | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$36.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$37.60 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | S Q:180 /90Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$38.20 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $20.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$38.40 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:60 /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 |
|
Humana PDP Standard S5884-083 |
$40.60 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$40.80 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$41.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $44.00 | $88.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $65.00 | $195.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.30 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$45.60 | $100 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:180 /90Days | |
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 |
$45.90 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$46.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$47.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | S | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$50.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | $62.00 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$51.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$51.70 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | Q:60 /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 |
|
AdvantraRx Premier Plus |
$57.40 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$61.30 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.50 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | None | |
Browse Plan Formulary | |||||||||
MedicareBlue Rx Option 2 |
$65.60 | $0 | No Gap Coverage | 3 | Level 3: Covered Brand | 50% | 50% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$69.20 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$69.30 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:60 /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 |
|
Medco Medicare Prescription Plan - Access |
$69.60 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.90 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$80.90 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$83.40 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
MedicareBlue Rx Option 3 |
$93.50 | $0 | Many Generics | 3 | Level 3: Covered Brand | 50% | 50% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-053 |
$99.40 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | Q:60 /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 |
|
Aetna Medicare Rx Premier |
$106.70 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
|