There are 12 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
KYTRIL 2MG/10ML SOLUTION (NDC: 00004023709) 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 |
||||||
Advantage Star Plan by RxAmerica |
$25.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.60 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:30 /3Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$36.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | 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 Q:10 /1Days | |
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 |
|
Sterling Rx |
$41.40 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:30 /3Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$43.00 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$49.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$62.70 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P Q:10 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$63.40 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.00 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:30 /3Days | |
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 |
|
Aetna Medicare Rx Premier |
$111.10 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P Q:10 /1Days | |
Browse Plan Formulary |
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