There are 46 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
NEUPOGEN 300MCG/ML VIAL (10 X 1.6 ML VIALSD) (NDC: 55513054610) 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 |
$10.70 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$19.00 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$19.90 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$23.70 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Fox Value Plan |
$24.10 | $295 | No Gap Coverage | 5 | Tier 5 | 25% | 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 |
|
HealthSpring Prescription Drug Plan-Reg 33 |
$24.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$25.50 | $295 | No Gap Coverage | 3 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$25.80 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:14 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$26.00 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | Q:14 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$26.60 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$27.60 | $295 | No Gap Coverage | 4 | Tier 4 | 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 |
|
WellCare Signature |
$27.60 | $0 | No Gap Coverage | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$27.90 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-093 |
$30.70 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | P Q:14 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$30.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | P Q:22 /21Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$31.20 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:22 /21Days | |
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 |
|
EnvisionRxPlus Silver |
$31.70 | $295 | No Gap Coverage | 5 | Tier 5 Specialty Drugs | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$33.10 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$33.20 | $190 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:14 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.60 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$34.60 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$35.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P Q:14 /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 |
|
Prescriba Rx Gold |
$36.00 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:22 /21Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-096 |
$36.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:14 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$36.90 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$38.10 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Fox Grand Plan |
$40.40 | $295 | Some Generics | 5 | Tier 5 | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.40 | $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 |
|
Medco Medicare Prescription Plan - Choice |
$42.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | P Q:14 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$43.00 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.60 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$45.30 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$49.10 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$49.10 | $50 | Many Generics | 6 | Specialty | 31% | 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 |
|
EnvisionRxPlus Gold |
$54.00 | $0 | No Gap Coverage | 5 | Tier 5 Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$56.60 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:22 /21Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$62.70 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$63.40 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$68.70 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:22 /21Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$70.70 | $0 | All Generics | 4 | Specialty | 33% | 33% | P Q:14 /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 |
|
Community CCRx Gold |
$72.90 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:22 /21Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.00 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$88.70 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-099 |
$94.70 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:14 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.10 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary |
|