There are 18 stand-alone Medicare Part D plans in Michigan 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
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN (1 PATCH CRTN) (NDC: 42747072601) 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 |
$25.40 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$30.50 | $295 | No Gap Coverage | 4 | Non-Preferred | 45% | 45% | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P S Q:4 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$32.80 | $295 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$34.10 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | Q:4 /28Days | |
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 |
|
Sterling Rx |
$38.00 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | Q:1 /7Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-011 |
$38.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:4 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$39.30 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-071 |
$40.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | P Q:4 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$40.60 | $0 | No Gap Coverage | 4 | Non-Preferred | 45% | 45% | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.60 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
Prescription Blue Option A |
$47.50 | $20 | No Gap Coverage | 4 | Specialty | 25% | n/a | P Q:2 /30Days | |
Browse Plan Formulary | |||||||||
Prescription Blue Option B |
$50.00 | $0 | Many Generics | 4 | Specialty | 25% | n/a | P Q:2 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$56.00 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P S Q:4 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$68.90 | $0 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.20 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-041 |
$97.80 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:4 /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 Premier |
$106.00 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P S Q:4 /30Days | |
Browse Plan Formulary |
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