There are 25 stand-alone Medicare Part D plans in North Carolina 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
DOXYCYCLINE HYCLATE 75MG CAPSULE DELAYED RELEASE (60 CT) (60 BOT) (NDC: 00185081460) 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 |
$28.00 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$30.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Fox Grand Plan |
$31.90 | $185 | Some Generics | 2 | Tier 2 | $19.00 | $38.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.90 | $215 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $14.00 | $28.00 | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$34.50 | $295 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $4.00 | $12.00 | 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 |
|
CIGNA Medicare Rx Plan One |
$35.00 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$35.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$36.70 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $8.50 | $12.75 | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx Standard |
$39.40 | $0 | No Gap Coverage | 3 | Tier 3 - Non-preferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-007 |
$39.40 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$39.90 | $0 | No Gap Coverage | 1 | Tier 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 |
|
Sterling Rx |
$42.40 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.60 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-066 |
$43.70 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$45.50 | $0 | No Gap Coverage | 3 | Tier 3 | $39.00 | $97.50 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.50 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$55.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | 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 Plus |
$63.50 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$68.10 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx Enhanced |
$68.80 | $0 | All Generics | 3 | Tier 3 - Non-preferred Brand | $60.00 | $180.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$73.40 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generics | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$74.40 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$77.50 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | 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 |
|
Humana PDP Complete S5884-036 |
$98.90 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$128.50 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | P | |
Browse Plan Formulary |
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