There are 30 stand-alone Medicare Part D plans in Massachusetts 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
OXYCONTIN 30MG TABLET SR 12HR (NDC: 59011083010) 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 |
||||||
AARP MedicareRx Saver |
$26.30 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $63.55 | $175.65 | Q:120 /31Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$28.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $39.25 | $88.25 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.40 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $53.00 | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$30.20 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | 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 |
|
CIGNA Medicare Rx Plan One |
$30.60 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$31.00 | $295 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$31.70 | $295 | No Gap Coverage | 2 | Preferred Brand | $44.00 | $88.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $195 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $27.00 | $54.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$36.90 | $180 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:90 /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 |
|
AARP MedicareRx Preferred |
$38.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $94.20 | $267.60 | Q:120 /31Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$39.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:120 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$41.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$41.70 | $295 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $24.00 | $60.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$42.80 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value Plus |
$43.30 | $0 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $30.00 | $75.00 | Q:120 /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 |
|
AdvantraRx Premier |
$43.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $68.00 | $204.00 | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$46.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$46.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.60 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$59.20 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $70.00 | $210.00 | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$65.10 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | Q:4 /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 |
|
EnvisionRxPlus Gold |
$68.80 | $0 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$70.10 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$79.60 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$80.90 | $0 | Many Generics | 2 | Tier 2 Preferred Brand | $24.00 | $60.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.90 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:120 /31Days | |
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 |
$111.30 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:4 /1Days | |
Browse Plan Formulary |
|