There are 26 stand-alone Medicare Part D plans in Michigan 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
IXEMPRA KIT 45MG (NDC: 00015191113) 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 |
$14.80 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$22.50 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$25.40 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$29.40 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 13 |
$30.10 | $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 |
|
Advantage Star Plan by RxAmerica |
$30.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$31.80 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$32.90 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$33.60 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$34.10 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
PriorityMedicareRx |
$38.40 | $0 | No Gap Coverage | 2 | Preferred Brand on Formulary | $42.00 | $105.00 | 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 |
|
WellCare Signature |
$38.70 | $0 | No Gap Coverage | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-011 |
$38.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$39.10 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$39.30 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$39.40 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-071 |
$40.40 | $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 |
|
Advantage Freedom Plan by RxAmerica |
$40.60 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.60 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$44.80 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Prescription Blue Option A |
$47.50 | $20 | No Gap Coverage | 4 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Prescription Blue Option B |
$50.00 | $0 | Many Generics | 4 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$53.60 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | 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 Enhanced |
$75.20 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$76.20 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-041 |
$97.80 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary |
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