There are 25 stand-alone Medicare Part D plans in Missouri 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
CHORIONIC GONAD 10000U VIAL (10 X 10 ML PKGCOM) (NDC: 63323002510) 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 |
$14.50 | $175 | No Gap Coverage | 1 | Preferred Generic | $4.00 | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$23.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $8.00 | $16.00 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$27.60 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | n/a | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 18 |
$30.50 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$32.60 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | 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 |
|
Advantage Star Plan by RxAmerica |
$34.70 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$35.30 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$36.10 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $21.00 | $63.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$36.30 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$36.30 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$37.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $4.75 | $0.00 | 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 |
|
AARP MedicareRx Preferred |
$37.80 | $0 | No Gap Coverage | 1 | Tier 1-Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-016 |
$38.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.90 | $0 | No Gap Coverage | 1 | Preferred Generic | $6.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$39.00 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.40 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-076 |
$44.60 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 48% | 48% | 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 |
|
AdvantraRx Premier Plus |
$54.50 | $0 | Many Generics | 1 | Preferred Generic | $4.00 | $8.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$56.00 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$61.20 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$64.40 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$69.10 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$70.20 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | 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 |
|
SilverScript Complete |
$75.30 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-046 |
$99.30 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | P | |
Browse Plan Formulary |
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