There are 5 stand-alone Medicare Part D plans in Puerto Rico 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 6MG/0.5ML SYRNG KIT (2X0.5ML SYRINGE STATDOSE KIT) (NDC: 00173047900) 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 |
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Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Order |
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SilverScript Value |
$15.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $23.25 | $52.25 | Q:4 /25Days | |
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Humana PDP Standard S2874-001 |
$18.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | Q:6 /30Days | |
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Humana PDP Enhanced S2874-002 |
$20.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:6 /30Days | |
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SilverScript Plus |
$34.80 | $50 | Many Generics | 4 | Preferred Brand | $26.00 | $61.00 | Q:4 /25Days | |
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SilverScript Complete |
$44.80 | $0 | Many Generics | 3 | Preferred Brand | $30.00 | $70.50 | Q:4 /25Days | |
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