There are 47 stand-alone Medicare Part D plans in Oklahoma 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
ZYPREXA ZYDIS 5MG TABLET (30 BLPK) (30 BLPK) (NDC: 00002445385) 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 |
$16.80 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $46.00 | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.70 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$25.90 | $295 | No Gap Coverage | 2 | Preferred Brand | $37.00 | $83.25 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$26.00 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $60.00 | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 23 |
$26.00 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | 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 |
|
Prescriba Rx Bronze |
$26.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$26.80 | $295 | No Gap Coverage | 4 | Non-Preferred | 45% | 45% | P | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$28.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.30 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$29.80 | $215 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $27.00 | $54.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$30.10 | $295 | No Gap Coverage | 3 | Tier 3 | $86.00 | $258.00 | P Q:62 /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 |
|
Health Net Orange Option 1 |
$30.70 | $295 | No Gap Coverage | 2 | Preferred Brand | $45.00 | $90.00 | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$30.70 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $41.00 | $102.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$30.90 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$34.50 | $295 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Basic Plus |
$34.70 | $0 | No Gap Coverage | 3 | Brand | $73.00 | $182.50 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$35.20 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | 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 |
|
Medco Medicare Prescription Plan - Choice |
$36.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:34 /34Days | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Basic |
$38.10 | $295 | No Gap Coverage | 3 | Brand | $57.00 | $142.50 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$38.20 | $0 | No Gap Coverage | 3 | Tier 3 | $79.00 | $237.00 | P Q:62 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-081 |
$38.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$40.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | 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 |
$40.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $72.00 | $216.00 | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-021 |
$40.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$43.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$43.40 | $130 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.40 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$44.60 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | 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 |
|
Prescriba Rx Gold |
$45.80 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$47.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$50.70 | $0 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$53.00 | $0 | No Gap Coverage | 4 | Non-Preferred | 45% | 45% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$56.60 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$58.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | 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 |
|
Aetna Medicare Rx Plus |
$59.50 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$62.70 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.60 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$73.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | S Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$73.90 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$74.70 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | 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 |
|
Medco Medicare Prescription Plan - Access |
$75.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:90 /90Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$76.10 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Enhanced |
$77.00 | $0 | All Generics | 3 | Brand | $60.00 | $150.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$85.80 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-051 |
$100.70 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$102.90 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:1 /1Days | |
Browse Plan Formulary |
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