There are 36 stand-alone Medicare Part D plans in South Carolina 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
MAXALT 10MG TABLET 12 CRTN (12 CRTN) (NDC: 00006026712) 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![]() ![]() |
$15.20 | $175 | No Gap Coverage | 2 | Preferred Brand | $20.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$23.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$27.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $29.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$27.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
Windsor Rx![]() ![]() |
$28.20 | $170 | No Gap Coverage | 2 | Tier 2 - Preferred Brand | $25.00 | n/a | Q:12 /23Days | |
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![]() ![]() |
$28.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $32.75 | $73.75 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$28.50 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$30.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$30.00 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$31.30 | $215 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$31.50 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | Q:18 /30Days | |
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 |
|
InStil Rx![]() ![]() |
$32.50 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:18 /28Days | |
Browse Plan Formulary | |||||||||
MedBlue Rx![]() ![]() |
$33.60 | $0 | No Gap Coverage | 2 | Brand | $41.00 | $82.00 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value![]() ![]() |
$34.70 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $44.00 | $110.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$35.40 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$36.00 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$36.80 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:36 /90Days | |
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 |
|
AdvantraRx Premier![]() ![]() |
$38.80 | $0 | No Gap Coverage | 2 | Preferred Brand | $28.00 | $56.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$40.00 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$40.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:27 /28Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$41.00 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$41.20 | $130 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$44.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | $62.00 | Q:36 /90Days | |
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![]() ![]() |
$52.80 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$54.60 | $0 | Many Generics | 2 | Preferred Brand | $32.00 | $64.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$55.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$59.60 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
InStil Rx Plus![]() ![]() |
$65.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $36.00 | $72.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$66.00 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:12 /25Days | |
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![]() ![]() |
$66.50 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$68.10 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$70.70 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$70.80 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$71.00 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
MedBlue Rx Plus![]() ![]() |
$73.80 | $0 | Many Generics | 2 | Preferred Brand | $38.00 | $76.00 | Q:12 /25Days | |
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![]() ![]() |
$100.50 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:12 /30Days | |
Browse Plan Formulary |
|