There are 20 stand-alone Medicare Part D plans in West Virginia 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
TRILIPIX CAPSULE DR 45MG (90 BOT) (NDC: 00074964290) 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 |
$22.40 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $60.05 | $165.15 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$25.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$28.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$32.10 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$32.90 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $40.50 | $101.25 | 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 |
|
Aetna Medicare Rx Essentials |
$33.40 | $195 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $29.00 | $58.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $91.50 | $259.50 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$35.30 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$42.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$42.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$43.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | 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 |
|
Health Net Value Orange Option 2 |
$46.60 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $75.00 | $188.00 | None | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option I |
$54.30 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option II |
$58.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $140.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.90 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $40.00 | $80.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$65.00 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$75.10 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:90 /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 |
|
AARP MedicareRx Enhanced |
$76.40 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
SecureRx - Option 1 |
$86.90 | $0 | Many Generics | 3 | Non-preferred Brand Drugs | $85.00 | $210.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$99.90 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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