There are 37 stand-alone Medicare Part D plans in Wisconsin 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
VOLTAREN 1% GEL (100 GM TUBE) (NDC: 00067621597) 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-Secure![]() ![]() |
$13.70 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $49.00 | n/a | Q:2 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$23.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | Q:2 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$28.70 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $76.50 | $214.50 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$31.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:500 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$31.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $52.00 | n/a | Q:2 /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 |
|
Prescriba Rx Bronze![]() ![]() |
$31.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:500 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$34.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$34.60 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $71.00 | $142.00 | S Q:34 /1Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$34.90 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:500 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx![]() ![]() |
$35.00 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P Q:5 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$35.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | 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![]() ![]() |
$36.20 | $295 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$36.60 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$37.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:500 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$37.80 | $295 | No Gap Coverage | 2 | Tier 2 | $35.00 | $105.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$39.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | S | |
Browse Plan Formulary | |||||||||
WellCare Signature![]() ![]() |
$39.10 | $0 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | 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 |
|
AdvantraRx Premier![]() ![]() |
$39.30 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $62.00 | $186.00 | Q:2 /30Days | |
Browse Plan Formulary | |||||||||
WPS MedicareRx Standard Plan![]() ![]() |
$39.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$39.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $97.75 | $278.25 | None | |
Browse Plan Formulary | |||||||||
DeanCare Rx Value![]() ![]() |
$39.90 | $0 | No Gap Coverage | 3 | Tier 3 | $78.00 | $156.00 | Q:500 /14Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$41.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$43.30 | $130 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | 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 |
|
WPS MedicareRx Enhanced Plan 1![]() ![]() |
$43.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $37.00 | $92.50 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$45.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$51.00 | $0 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$52.80 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$54.60 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $72.00 | $216.00 | Q:2 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$61.60 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | S Q:34 /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 |
|
Community CCRx Gold![]() ![]() |
$62.30 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:500 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$62.80 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$71.90 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$73.60 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:500 /30Days | |
Browse Plan Formulary | |||||||||
WPS MedicareRx Enhanced Plan 2![]() ![]() |
$75.00 | $0 | All Generics | 2 | Preferred Brand | $37.00 | $92.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$77.40 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | 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 |
|
DeanCare Rx Enhanced![]() ![]() |
$93.70 | $0 | Many Generics, Few Brands |
3 | Tier 3 | $70.00 | $140.00 | Q:500 /14Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$102.70 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S Q:34 /1Days | |
Browse Plan Formulary |
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