There are 28 stand-alone Medicare Part D plans in Massachusetts 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
VISTIDE 75MG/ML VIAL (NDC: 61958010101) 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 |
$26.30 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 2 |
$29.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$30.00 | $295 | No Gap Coverage | 3 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$30.40 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | 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 |
|
CIGNA Medicare Rx Plan One |
$30.60 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$31.70 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$32.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 45% | n/a | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.00 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.50 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
Prescriba Rx Gold |
$39.20 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-002 |
$39.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$39.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$40.70 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-061 |
$41.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$42.80 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | 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 |
|
Health Net Orange Option 2 |
$46.20 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.60 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$52.40 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$65.10 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$70.10 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$73.30 | $0 | All Generics | 3 | Specialty | 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 |
|
CIGNA Medicare Rx Plan Three |
$79.60 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$79.60 | $0 | All Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.90 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-031 |
$96.10 | $0 | Many Generics | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.30 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary |
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