There are 21 stand-alone Medicare Part D plans in Ohio 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
SELFEMRA CAPSULES 10MG 28 CAPSULE BLPK (28 CAPSULE BLPK) (NDC: 00093722528) 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 |
$25.80 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $62.20 | $171.60 | S Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$28.50 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | Q:720 /90Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$31.00 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$32.00 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $10.00 | $15.00 | Q:30 /30Days | |
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 |
$37.80 | $130 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | Q:720 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.10 | $237.30 | S Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$38.20 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | Q:35 /14Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$40.90 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | Q:720 /90Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$41.10 | $295 | No Gap Coverage | 1 | Tier 1 | $2.50 | $6.25 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$41.40 | $0 | No Gap Coverage | 2 | Tier 2 | $6.00 | $15.00 | 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 |
|
Blue MedicareRx Plus |
$42.40 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | S Q:31 /31Days | |
Browse Plan Formulary | |||||||||
UPMC for Life Prescription Drug Plan |
$44.10 | $0 | No Gap Coverage | 1 | Generic | $5.00 | $12.50 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$45.80 | $0 | No Gap Coverage | 1 | Generic | $5.00 | $13.00 | Q:720 /90Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$51.60 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$65.50 | $0 | Some Generics | 1 | Tier 1 | $6.00 | $15.00 | 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 |
|
Medco Medicare Prescription Plan - Access |
$66.40 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | Q:720 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.30 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | S Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$77.80 | $0 | Many Generics | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$94.90 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:1 /1Days | |
Browse Plan Formulary |
|