There are 20 stand-alone Medicare Part D plans in Florida 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
DEXTROSTAT 10MG TABLET (NDC: 54092045201) 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 |
||||||
Fox Value Plan |
$16.80 | $295 | No Gap Coverage | 2 | Tier 2 | $27.00 | $81.00 | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$25.10 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$29.70 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$32.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $74.80 | $209.40 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$33.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | 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 Value |
$35.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P | |
Browse Plan Formulary | |||||||||
Fox Grand Plan |
$38.90 | $285 | Some Generics | 2 | Tier 2 | $19.00 | $38.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-069 |
$38.90 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$41.70 | $0 | No Gap Coverage | 2 | Tier 2 | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$42.00 | $295 | No Gap Coverage | 1 | Tier 1 | $2.50 | $6.25 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-010 |
$43.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | 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 Plus |
$46.40 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$46.60 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $14.00 | $28.00 | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$56.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$58.60 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$64.20 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.20 | $0 | Some Generics | 1 | Tier 1 | $6.00 | $15.00 | 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 |
$67.70 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-039 |
$95.70 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.30 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | P Q:4 /1Days | |
Browse Plan Formulary |
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