There are 17 stand-alone Medicare Part D plans in Hawaii 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
INTAL NEBULIZER SOLUTION (120 X 2 ML CRTN) (NDC: 60793001012) 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 |
||||||
Fox Value Plan |
$24.10 | $295 | No Gap Coverage | 3 | Tier 3 | $35.00 | $105.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$25.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$26.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P Q:240 /25Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-093 |
$30.70 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | 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 |
$34.60 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-096 |
$36.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$36.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$38.10 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | P | |
Browse Plan Formulary | |||||||||
Fox Grand Plan |
$40.40 | $295 | Some Generics | 3 | Tier 3 | $35.00 | $70.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$43.00 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | 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 |
$49.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P Q:240 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$62.70 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$63.40 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P Q:240 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.00 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-099 |
$94.70 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.10 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | P | |
Browse Plan Formulary |
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