There are 17 stand-alone Medicare Part D plans in Nebraska 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 WEEKLY 90MG CAPSULE (2 X 2 BLPK) (NDC: 00002300475) 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 |
$26.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $71.55 | $199.65 | S Q:5 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-023 |
$29.80 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:4 /28Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$30.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $54.00 | n/a | S Q:4 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.20 | $180 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $62.00 | $124.00 | S Q:4 /28Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$31.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | 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 Standard S5884-083 |
$40.60 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 48% | 48% | Q:4 /28Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$40.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $76.20 | $213.60 | S Q:5 /31Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $65.00 | $195.00 | S Q:4 /28Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.30 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $78.00 | $219.00 | S Q:5 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$47.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | S Q:5 /34Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$57.40 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | S Q:4 /28Days | |
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 Plus |
$61.30 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | S Q:4 /28Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.90 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | S Q:5 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$83.40 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-053 |
$99.40 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:4 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$106.70 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S Q:4 /28Days | |
Browse Plan Formulary |
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