There are 26 stand-alone Medicare Part D plans in Louisiana 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
PREVACID 15MG CAPSULE SA (30 BOT) (NDC: 00300154130) 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 |
$24.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $28.25 | $63.50 | Q:90 /365Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Standard |
$27.00 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$27.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | S | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$28.40 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.70 | $200 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | 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 |
|
MedicareRx Rewards Value |
$31.70 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $41.00 | $102.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$32.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$34.80 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | S | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$34.90 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$37.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$39.80 | $0 | No Gap Coverage | 3 | Tier 3 | $36.00 | $90.00 | Q:30 /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 |
$39.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | S Q:34 /34Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-079 |
$43.70 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$44.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $33.00 | $66.00 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-019 |
$45.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
RxBLUE |
$45.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $73.00 | $219.00 | S Q:34 /34Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$47.20 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | 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 |
|
EnvisionRxPlus Gold |
$47.60 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.70 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$59.80 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:90 /365Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.10 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.90 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.60 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | 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 |
$79.90 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:90 /365Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$92.10 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-049 |
$93.60 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | Q:30 /30Days | |
Browse Plan Formulary |
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