There are 19 stand-alone Medicare Part D plans in Kansas 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
TRILIPIX CAPSULE DR 45MG (90 BOT) (NDC: 00074964290) 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 |
||||||
AARP MedicareRx Saver |
$26.70 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $60.65 | $166.95 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$30.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$30.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.40 | $200 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$35.90 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $44.00 | $110.00 | 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 Preferred |
$37.30 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $74.75 | $209.25 | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$40.90 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$41.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus |
$41.40 | $0 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$45.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $88.00 | $249.00 | 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 |
|
Health Net Value Orange Option 2 |
$52.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $75.00 | $188.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$56.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$61.60 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$70.20 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$77.20 | $0 | Many Generics | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.80 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | 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 |
|
Community CCRx Gold |
$87.70 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$106.90 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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