There are 27 stand-alone Medicare Part D plans in Mississippi 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
OXYCODONE HCL-IBUPROFEN 400MG-5MG TABLET (100 TABLETS BOTPL) (NDC: 00591349401) 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 |
$18.00 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $45.00 | n/a | Q:28 /7Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$22.30 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $13.00 | $26.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$25.60 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$25.90 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$25.90 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $62.00 | $186.00 | Q:28 /7Days | |
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 |
|
Windsor Rx |
$28.20 | $190 | No Gap Coverage | 1 | Tier 1 - Preferred Generics | $10.00 | n/a | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.90 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $58.00 | n/a | Q:28 /7Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 20 |
$29.40 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:150 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$31.20 | $295 | No Gap Coverage | 1 | Tier 1 | $2.50 | $6.25 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$32.80 | $295 | No Gap Coverage | 2 | Tier 2 Non Preferred Generics | $31.00 | $93.00 | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$33.30 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $7.50 | $11.25 | Q:28 /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 |
|
Sterling Rx |
$39.00 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$39.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-078 |
$40.40 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | Q:240 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $74.00 | $222.00 | Q:28 /7Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$44.30 | $0 | No Gap Coverage | 2 | Tier 2 | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-018 |
$44.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | Q:240 /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 |
|
UnitedHealth Rx Basic |
$44.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$56.30 | $0 | No Gap Coverage | 2 | Tier 2 NonPreferred Generic | $45.00 | $135.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$57.30 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:28 /7Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$58.20 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.70 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$63.60 | $0 | Some Generics | 1 | Tier 1 | $6.00 | $15.00 | 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 |
|
AARP MedicareRx Enhanced |
$70.80 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$74.70 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-048 |
$94.90 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | Q:240 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$108.90 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:4 /1Days | |
Browse Plan Formulary |
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