There are 15 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
PROVIGIL 100MG TABLET (100 BOTPL) (NDC: 63459010101) 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 Q:30 /30Days | |
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 Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S2874-001![]() ![]() |
$18.00 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S2874-002![]() ![]() |
$20.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | P Q:60 /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 Saver![]() ![]() |
$27.00 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$31.40 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$33.60 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | P Q:30 /30Days | |
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 | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$41.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | P Q:124 /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 |
|
SilverScript Complete![]() ![]() |
$44.80 | $0 | Many Generics | 3 | Preferred Brand | $30.00 | $70.50 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$45.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$69.80 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$79.40 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | P Q:30 /30Days | |
Browse Plan Formulary |
|