There are 40 stand-alone Medicare Part D plans in Tennessee 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
INCRELEX 40MG/4ML VIAL (NDC: 15054104005) 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 |
$17.60 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $48.00 | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $57.00 | $171.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$24.70 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$25.10 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$27.70 | $295 | No Gap Coverage | 4 | Specialty | 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 |
|
SilverScript Value |
$27.80 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.00 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $52.00 | n/a | P | |
Browse Plan Formulary | |||||||||
Windsor Rx |
$28.20 | $175 | No Gap Coverage | 4 | Tier 4 - Speciality (Brand or Generic) | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$29.00 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$29.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg12 |
$29.30 | $295 | No Gap Coverage | 2 | Tier 2 | 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 |
|
BravoRx |
$30.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.20 | $205 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
BlueRx Option I |
$31.20 | $175 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$31.40 | $295 | No Gap Coverage | 3 | Tier 3 | $82.00 | $246.00 | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$31.90 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$37.70 | $0 | No Gap Coverage | 4 | Specialty | 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 |
|
AARP MedicareRx Preferred |
$38.30 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$38.40 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$39.30 | $0 | No Gap Coverage | 3 | Tier 3 | $79.00 | $237.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-001 |
$39.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$39.90 | $150 | No Gap Coverage | 4 | Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$41.40 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | 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 |
|
CIGNA Medicare Rx Plan Two |
$41.40 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-070 |
$42.50 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 44% | 44% | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$43.40 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$43.60 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$45.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$49.10 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | 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 |
|
BlueRx Option II |
$53.70 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.10 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$56.40 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$63.90 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$66.80 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$70.30 | $0 | All Generics | 4 | Specialty | 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 |
|
CIGNA Medicare Rx Plan Three |
$71.70 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$72.00 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$72.40 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-040 |
$97.70 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$100.70 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary |
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