There are 22 stand-alone Medicare Part D plans in West Virginia 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
FLONASE 0.05% NASAL SPRAY (120 BOTPU) (NDC: 00173045301) 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 |
||||||
AmeriHealth Advantage Rx Option I![]() ![]() |
$28.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$28.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | S Q:16 /25Days | |
Browse Plan Formulary | |||||||||
BlueRx Value![]() ![]() |
$33.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $62.00 | $155.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$33.40 | $195 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $69.00 | $138.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$34.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $91.50 | $259.50 | 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 |
|
Health Net Orange Option 1![]() ![]() |
$35.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | Q:32 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-064![]() ![]() |
$39.50 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 46% | 46% | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$42.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | S Q:32 /34Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-005![]() ![]() |
$44.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2![]() ![]() |
$46.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | Q:32 /30Days | |
Browse Plan Formulary | |||||||||
BlueRx Plus![]() ![]() |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $65.00 | $162.50 | 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![]() ![]() |
$51.50 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:16 /25Days | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option I![]() ![]() |
$54.30 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option II![]() ![]() |
$58.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $140.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$63.90 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $86.00 | $172.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$69.10 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:16 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$72.60 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | S | |
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![]() ![]() |
$76.40 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
SecureRx - Option 1![]() ![]() |
$86.90 | $0 | Many Generics | 3 | Non-preferred Brand Drugs | $85.00 | $210.00 | S | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-034![]() ![]() |
$95.40 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:16 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$99.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary | |||||||||
BlueRx Complete![]() ![]() |
$108.00 | $0 | Many Generics | 3 | Non-Preferred Brand | $55.00 | $137.50 | None | |
Browse Plan Formulary |
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