There are 23 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
RITALIN LA 30MG CAPSULE (100 BOT) (NDC: 00078037105) 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-Premier |
$21.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $64.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$24.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$31.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$33.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $51.65 | $139.95 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.65 | $238.95 | Q:62 /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 Value |
$36.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$37.60 | $195 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | P S Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$42.70 | $140 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$42.80 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $140.00 | 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 |
|
Blue Shield Medicare Rx Plan |
$43.70 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$44.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $67.00 | $201.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$45.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | 75% | 75% | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$49.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Blue Shield Medicare Rx Enhanced Plan |
$49.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | $120.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$55.70 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P S Q:2 /1Days | |
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 |
$59.00 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$60.20 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.50 | $0 | All Generics | 3 | Non-Preferred Brand | 75% | 75% | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$78.70 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.60 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$129.30 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S Q:2 /1Days | |
Browse Plan Formulary |
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