There are 45 stand-alone Medicare Part D plans in Texas 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
SANDOSTATIN LAR 10MG KIT (1 PKGCOM) (NDC: 00078034061) 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![]() ![]() |
$13.70 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Secure![]() ![]() |
$18.70 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$22.40 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$23.50 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$23.50 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | 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 |
|
Advantage Star Plan by RxAmerica![]() ![]() |
$23.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 22![]() ![]() |
$23.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
BravoRx![]() ![]() |
$24.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$24.50 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$25.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$25.20 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | 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 |
|
EnvisionRxPlus Silver![]() ![]() |
$25.30 | $295 | No Gap Coverage | 5 | Tier 5 Specialty Drugs | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$25.80 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$26.20 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value![]() ![]() |
$28.20 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Value![]() ![]() |
$30.50 | $0 | No Gap Coverage | 3 | Brand | $75.00 | $187.50 | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Standard![]() ![]() |
$30.90 | $295 | No Gap Coverage | 3 | Brand | $66.00 | $165.00 | 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 |
|
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$36.80 | $170 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-020![]() ![]() |
$37.70 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$38.30 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$38.40 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$38.60 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-080![]() ![]() |
$38.80 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 41% | 41% | 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 |
|
Medco Medicare Prescription Plan - Value![]() ![]() |
$38.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$40.40 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$40.50 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$41.50 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$43.00 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$45.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | 75% | 75% | 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 |
|
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$47.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $66.00 | $132.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2![]() ![]() |
$48.00 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$49.50 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$53.10 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$54.40 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$59.90 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | 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 |
|
Community CCRx Gold![]() ![]() |
$64.70 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$66.50 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$67.20 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$68.70 | $0 | No Gap Coverage | 5 | Tier 5 Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus![]() ![]() |
$70.50 | $0 | All Generics | 3 | Brand | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$71.60 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
SilverScript Complete![]() ![]() |
$75.70 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$79.60 | $0 | All Generics | 3 | Non-Preferred Brand | 75% | 75% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$80.50 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-050![]() ![]() |
$90.10 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary |
|