There are 35 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
FLEBOGAMMA INJECTION 50MG (NDC: 61953000304) 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 |
$15.20 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$23.40 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$28.00 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$30.20 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$31.70 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
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 Gold |
$32.30 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$32.40 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$32.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$33.40 | $295 | No Gap Coverage | 3 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.90 | $215 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$35.00 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
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 |
|
Health Net Orange Option 1 |
$35.80 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$36.70 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$37.80 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$39.10 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx Standard |
$39.40 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-007 |
$39.40 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
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 Preferred |
$39.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$42.40 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.60 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-066 |
$43.70 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 45% | 45% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$45.50 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$47.00 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
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 |
$54.80 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.50 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$55.60 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$62.30 | $0 | All Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.50 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$68.10 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
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 |
|
Blue Medicare Rx Enhanced |
$68.80 | $0 | All Generics | 4 | Tier 4 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$74.20 | $0 | All Generics | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$74.40 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$77.50 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-036 |
$98.90 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$128.50 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary |
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