There are 22 stand-alone Medicare Part D plans in Arkansas 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
EVAMIST 1.53/SPRAY SPRAY NON-AEROSOL (NDC: 64011021541) 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 |
||||||
First Health Part D-Secure |
$16.10 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $46.00 | n/a | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$18.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
AR Blue Cross - Medi-Pak Rx Basic |
$21.60 | $185 | No Gap Coverage | 3 | Non-Preferred Brand | $68.00 | $170.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$22.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$23.40 | $205 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | 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 |
|
First Health Part D-Premier |
$26.00 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $65.00 | n/a | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$30.40 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $56.30 | $153.90 | Q:16 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-077 |
$37.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | Q:16 /34Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $75.85 | $212.55 | Q:16 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-017 |
$38.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | 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 |
|
AdvantraRx Premier |
$38.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $74.00 | $222.00 | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
AR Blue Cross - Medi-Pak Rx Classic |
$39.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $68.00 | $170.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$45.60 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:16 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.40 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$55.20 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$60.50 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | 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 |
|
AR Blue Cross - Medi-Pak Rx Premier |
$64.90 | $0 | Many Generics | 3 | Non-Preferred Brand | $68.00 | $170.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$69.00 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.50 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:16 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-047 |
$96.10 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$108.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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