There are 12 stand-alone Medicare Part D plans in Georgia 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
VYVANSE 70MG CAPSULE (100 BOT) (NDC: 59417010710) 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 |
$23.60 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $58.45 | $160.35 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$27.60 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $66.00 | $132.00 | P S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $74.05 | $207.15 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$40.50 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | 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 |
|
UnitedHealth Rx Basic |
$42.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $92.00 | $261.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$54.20 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P | |
Browse Plan Formulary | |||||||||
InStil Rx Plus |
$57.50 | $0 | No Gap Coverage | 3 | Brand | $72.00 | $144.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.60 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $76.00 | $152.00 | P S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$72.90 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$73.50 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | 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 |
|
Aetna Medicare Rx Premier |
$99.70 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S Q:1 /1Days | |
Browse Plan Formulary |
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