There are 21 stand-alone Medicare Part D plans in North Carolina 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
XOPENEX 1.25MG/3ML SOLUTION (2 X 12 VIAL POUCHES CRTN) (NDC: 63402051324) 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 |
$28.00 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $60.30 | $165.90 | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$30.20 | $295 | No Gap Coverage | 2 | Preferred Brand | $33.75 | $76.00 | P Q:288 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$31.70 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $59.00 | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.90 | $215 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$35.00 | $295 | No Gap Coverage | 3 | Tier 3 | $75.00 | $187.50 | 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 1 |
$35.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | P Q:9 /1Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$36.70 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $42.50 | $106.25 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$39.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $77.00 | $231.00 | P | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx Standard |
$39.40 | $0 | No Gap Coverage | 3 | Tier 3 - Non-preferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$39.90 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.60 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $89.00 | $252.00 | 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 |
|
CIGNA Medicare Rx Plan Two |
$45.50 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.80 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $76.00 | $228.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.50 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | P Q:288 /25Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$55.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | P Q:9 /1Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | P S | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$68.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | 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 |
|
Blue Medicare Rx Enhanced |
$68.80 | $0 | All Generics | 3 | Tier 3 - Non-preferred Brand | $60.00 | $180.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$74.40 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$77.50 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | P Q:288 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$128.50 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S | |
Browse Plan Formulary |
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