There are 21 stand-alone Medicare Part D plans in Louisiana 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
HALOG 0.1% OINTMENT 30GM TUBE (30 GM TUBE) (NDC: 00003024820) 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 |
||||||
SilverScript Value |
$24.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $52.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$30.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.70 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$34.90 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $49.45 | $133.35 | 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 Preferred |
$37.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $66.25 | $183.75 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | S | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$40.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $75.00 | $188.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$41.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $69.00 | $207.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-079 |
$43.70 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 45% | 45% | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-019 |
$45.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | 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 |
|
RxBLUE |
$45.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $73.00 | $219.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$47.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $86.00 | $243.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$55.90 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.70 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $76.00 | $152.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$59.80 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.90 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | 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 |
|
AARP MedicareRx Enhanced |
$73.60 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $82.00 | $231.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$79.90 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$92.10 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-049 |
$93.60 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary |
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