There are 21 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
FENTORA TABLET 400MCG (28 BLPK) (NDC: 63459054428) 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 |
$17.90 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$24.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.60 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.50 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.70 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P S Q:8 /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 | 5 | Tier 5. | 29% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$34.90 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$37.50 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.80 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:112 /28Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$41.50 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-079 |
$43.70 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 45% | 45% | P Q:120 /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 |
|
Humana PDP Enhanced S5884-019 |
$45.10 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
RxBLUE |
$45.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $73.00 | $219.00 | P Q:112 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$47.20 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$55.90 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.70 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P S Q:8 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$59.80 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:120 /25Days | |
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 |
$73.60 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$79.90 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$92.10 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P S Q:8 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-049 |
$93.60 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary |
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