There are 50 stand-alone Medicare Part D plans in California 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
PENICILLIN V POTASSIUM 250MG/5ML LIQUID (100 ML BOT) (NDC: 00093412773) 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![]() ![]() |
$18.30 | $175 | No Gap Coverage | 1 | Preferred Generic | $4.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$19.80 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.25 | $0.00 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$21.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$24.00 | $295 | No Gap Coverage | 1 | Preferred Generic | $2.00 | $4.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$24.00 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | 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 |
|
BravoRx![]() ![]() |
$24.10 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$24.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $9.00 | $18.00 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 32![]() ![]() |
$25.80 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
SierraRx![]() ![]() |
$26.50 | $0 | No Gap Coverage | 1 | Generic | $9.75 | $29.25 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver![]() ![]() |
$28.60 | $295 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $4.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Value![]() ![]() |
$28.90 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $10.00 | $15.00 | 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![]() ![]() |
$29.90 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$31.60 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$33.50 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$33.70 | $0 | No Gap Coverage | 1 | Preferred Generic | $4.25 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$34.40 | $0 | No Gap Coverage | 1 | Tier 1-Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Plus![]() ![]() |
$36.50 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | 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 |
|
Humana PDP Enhanced S5884-030![]() ![]() |
$36.70 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$36.90 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$37.60 | $195 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$39.90 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$40.40 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-090![]() ![]() |
$40.90 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | 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 |
|
Prescriba Rx Bronze![]() ![]() |
$41.10 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$41.40 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$42.40 | $295 | No Gap Coverage | 1 | Tier 1 | $2.50 | $6.25 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$42.70 | $140 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$42.80 | $0 | No Gap Coverage | 1 | Generic | $9.00 | $23.00 | None | |
Browse Plan Formulary | |||||||||
Blue Shield Medicare Rx Plan![]() ![]() |
$43.70 | $295 | No Gap Coverage | 1 | Tier 1 | 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 |
|
AdvantraRx Premier![]() ![]() |
$44.20 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$44.80 | $0 | No Gap Coverage | 1 | Generic | $5.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$45.20 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$48.20 | $0 | No Gap Coverage | 2 | Tier 2 | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2![]() ![]() |
$49.30 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $10.00 | None | |
Browse Plan Formulary | |||||||||
Blue Shield Medicare Rx Enhanced Plan![]() ![]() |
$49.90 | $0 | No Gap Coverage | 1 | Formulary Generic | $10.00 | $20.00 | 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 |
|
Community CCRx Basic![]() ![]() |
$52.30 | $295 | No Gap Coverage | 1 | Generic | $0.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$55.70 | $0 | Some Generics | 1 | Tier 1 - Preferred Generic | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$59.00 | $50 | Many Generics | 1 | Value Generic | $4.00 | $10.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$60.20 | $0 | Many Generics | 1 | Preferred Generic | $4.00 | $8.00 | None | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Gold![]() ![]() |
$65.40 | $0 | Many Generics | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$69.70 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generics | $0.00 | $0.00 | 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 |
|
SierraRx Basic![]() ![]() |
$71.00 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$71.50 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$73.00 | $0 | All Generics | 1 | Generic | $6.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$78.70 | $0 | Many Generics | 1 | Value Generic | $2.50 | $6.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$79.60 | $0 | Some Generics | 1 | Tier 1 | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$81.60 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | 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 |
|
Community CCRx Gold![]() ![]() |
$86.90 | $0 | All Generics | 1 | Generic | $5.00 | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-060![]() ![]() |
$100.80 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$129.30 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $0.00 | $0.00 | None | |
Browse Plan Formulary |
|