There are 30 stand-alone Medicare Part D plans in Oklahoma 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
XOPENEX HFA 45MCG HFA AEROSOL WITH ADAPTER (200 INHALATIONS BOX) (NDC: 63402051001) 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 |
$16.80 | $175 | No Gap Coverage | 2 | Preferred Brand | $20.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$25.90 | $295 | No Gap Coverage | 2 | Preferred Brand | $37.00 | $83.25 | Q:30 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$26.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$26.30 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:60 /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 |
|
Community CCRx Basic |
$28.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$29.80 | $215 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $68.00 | $136.00 | S | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$30.70 | $295 | No Gap Coverage | 2 | Preferred Brand | $45.00 | $90.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$30.90 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $58.60 | $160.80 | None | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Basic Plus |
$34.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $107.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$35.20 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | 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 |
|
Sterling Rx |
$37.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:45 /34Days | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Basic |
$38.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $27.00 | $67.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$40.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$40.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $26.00 | $52.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$43.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.40 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $91.00 | $258.00 | 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 |
|
CIGNA Medicare Rx Plan Two |
$44.60 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$45.80 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$56.60 | $0 | Many Generics | 2 | Preferred Brand | $33.00 | $66.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$58.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | S | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$62.70 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:30 /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 | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$73.90 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$74.70 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$76.10 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Enhanced |
$77.00 | $0 | All Generics | 2 | Preferred Brand | $34.00 | $85.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$85.80 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:30 /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 |
|
Aetna Medicare Rx Premier |
$102.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S | |
Browse Plan Formulary |
|