There are 31 stand-alone Medicare Part D plans in South 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
ZOMIG 5MG NASAL SPRAY (6 X 5MG INHL) (NDC: 00310020860) 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 |
||||||
AdvantraRx Value |
$23.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$27.00 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $59.00 | n/a | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$27.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
Windsor Rx |
$28.20 | $170 | No Gap Coverage | 3 | Tier 3 - NonPreferred Brand, NonPreferred Generic | $50.00 | n/a | Q:6 /23Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | Q:12 /25Days | |
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 |
|
AARP MedicareRx Saver |
$28.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $63.70 | $176.10 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$28.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$30.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 60% | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.30 | $215 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$31.50 | $295 | No Gap Coverage | 3 | Tier 3 | $76.00 | $190.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$36.00 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | Q:6 /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 |
|
Medco Medicare Prescription Plan - Choice |
$36.80 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $67.00 | $201.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$40.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $79.65 | $223.95 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$40.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:18 /28Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$41.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $93.00 | $264.00 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$41.20 | $130 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | Q:36 /90Days | |
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 |
|
UA Medicare Part D Prescription Drug Cov |
$44.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | $62.00 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$52.80 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.60 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $76.00 | $228.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$55.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.60 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$64.40 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | Q:6 /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 |
|
InStil Rx Plus |
$65.90 | $0 | No Gap Coverage | 3 | Brand | $72.00 | $144.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$66.00 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.50 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$68.10 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$70.80 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.00 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:12 /31Days | |
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 |
|
MedBlue Rx Plus |
$73.80 | $0 | Many Generics | 3 | Non-Preferred Brand | $65.00 | $130.00 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$100.50 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | Q:6 /30Days | |
Browse Plan Formulary |
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