There are 17 stand-alone Medicare Part D plans in Indiana 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
ACCUTANE 20MG CAPSULE (100 (10X10) BLPK) (NDC: 00004016949) 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 |
$28.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.90 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $70.00 | $140.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$34.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$37.70 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$41.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
Humana PDP Standard S5884-073 |
$42.10 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$42.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus |
$44.30 | $0 | No Gap Coverage | 5 | Tier 5. | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-013 |
$47.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$51.30 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$58.80 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $78.00 | $156.00 | 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 Orange Option 2 |
$62.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$66.90 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.70 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$79.10 | $0 | Many Generics | 5 | Tier 5. | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-043 |
$98.40 | $0 | Many Generics | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$100.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P | |
Browse Plan Formulary |
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