There are 21 stand-alone Medicare Part D plans in Alaska 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
XYZAL 5MG TABLET (90 BOT) (NDC: 00024580090) 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 |
||||||
SilverScript Value![]() ![]() |
$25.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$31.30 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $51.95 | $140.85 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$36.30 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$38.50 | $295 | No Gap Coverage | 3 | Tier 3 | $63.00 | $157.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$39.10 | $295 | No Gap Coverage | 4 | Non-Preferred | 45% | 45% | S | |
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![]() ![]() |
$39.80 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$40.90 | $295 | No Gap Coverage | 2 | Preferred Brand | $44.00 | $88.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$43.60 | $0 | No Gap Coverage | 4 | Non-Preferred | 45% | 45% | S | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$44.60 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $74.00 | $207.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$45.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | S Q:34 /34Days | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2![]() ![]() |
$45.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | Q:1 /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 Basic![]() ![]() |
$49.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 60% | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$54.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $87.00 | $246.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$57.60 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$64.00 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$69.20 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$71.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | 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 |
|
SilverScript Complete![]() ![]() |
$75.30 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$76.10 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$91.70 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$112.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | Q:1 /1Days | |
Browse Plan Formulary |
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