There are 5 stand-alone Medicare Part D plans in South Carolina 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
RYZOLT EXTENDED RELEASE TABLETS 200MG 30 BOT (30 BOT) (NDC: 59011033530) 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 |
||||||
Aetna Medicare Rx Essentials![]() ![]() |
$31.30 | $215 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | S | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$40.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$59.60 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | S | |
Browse Plan Formulary | |||||||||
MedBlue Rx Plus![]() ![]() |
$73.80 | $0 | Many Generics | 3 | Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$100.50 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S | |
Browse Plan Formulary |
|