There are 12 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
PROZAC CAPSULES 20MG (2000 CT) (2000 BOT) (NDC: 00777310507) 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 |
||||||
Health Net Orange Option 1 |
$24.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $37.00 | $74.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.65 | $238.95 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$36.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$37.60 | $195 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | S Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | S | |
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 |
|
Health Net Orange Option 2 |
$49.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$55.70 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | S Q:4 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$59.00 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Gold |
$65.40 | $0 | Many Generics | 3 | Tier 3 Non-Preferred Brand or Generic | $75.00 | $187.50 | Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$78.70 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.60 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | 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 |
|
Aetna Medicare Rx Premier |
$129.30 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S Q:4 /1Days | |
Browse Plan Formulary |
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