There are 19 stand-alone Medicare Part D plans in Illinois 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
IMITREX 4MG/0.5ML SYRNG KIT (2 (STATDOSE) PKGCOM) (NDC: 00173073900) 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 |
$27.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $33.50 | $75.50 | Q:4 /25Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.60 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$28.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P Q:4 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$29.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:12 /90Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$30.20 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | Q:4 /30Days | |
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 - Value |
$30.50 | $0 | No Gap Coverage | 3 | Brand | $73.00 | $182.50 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$33.70 | $130 | No Gap Coverage | 4 | Tier 4 Non-Specialty Injectable | 29% | 29% | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Standard |
$37.90 | $295 | No Gap Coverage | 3 | Brand | $63.00 | $157.50 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-075 |
$39.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 43% | 43% | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$43.80 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:4 /30Days | |
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 Enhanced S5884-015 |
$44.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.10 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:4 /25Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$53.00 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$58.10 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P Q:4 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$65.10 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:4 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.10 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:4 /30Days | |
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 - Plus |
$77.50 | $0 | All Generics | 3 | Brand | $60.00 | $150.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-045 |
$101.10 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:6 /30Days | |
Browse Plan Formulary |
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