There are 12 stand-alone Medicare Part D plans in Puerto Rico 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
PROCALAMINE INJECTION 210MG-290MG-26MG 6 X 1000ML BOT (6 X 1000 ML BOTGL) (NDC: 00264191500) 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 |
||||||
Community CCRx Basic |
$1.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 45% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$15.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $23.25 | $52.25 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$16.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S2874-001 |
$18.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S2874-002 |
$20.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | 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 |
|
AARP MedicareRx Saver |
$27.00 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $59.55 | $163.65 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$31.40 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$34.80 | $50 | Many Generics | 4 | Preferred Brand | $26.00 | $61.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$36.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $64.45 | $178.35 | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$41.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $90.00 | $255.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$44.80 | $0 | Many Generics | 3 | Preferred Brand | $30.00 | $70.50 | 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 |
|
AARP MedicareRx Enhanced |
$69.80 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | P | |
Browse Plan Formulary |
|