There are 24 stand-alone Medicare Part D plans in Wyoming 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
AZASAN 75MG TABLET (100 BOT) (NDC: 65649023141) 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 |
$26.50 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $71.55 | $199.65 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 25 |
$27.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
MedicareBlue Rx Option 1 |
$29.70 | $295 | No Gap Coverage | 1 | Level 1: Covered Generic | 10% | 10% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.20 | $180 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $62.00 | $124.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$31.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $34.75 | $78.25 | 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 |
|
Advantage Freedom Plan by RxAmerica |
$33.90 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$36.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$36.90 | $295 | No Gap Coverage | 3 | Tier 3 | $82.00 | $246.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$40.80 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$41.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $44.00 | $88.00 | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.30 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $78.00 | $219.00 | 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 |
|
WellCare Signature |
$45.50 | $0 | No Gap Coverage | 3 | Tier 3 | $79.00 | $237.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$45.90 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$47.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$51.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$51.70 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$61.30 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | 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 |
|
Aetna Medicare Rx Plus |
$63.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | P | |
Browse Plan Formulary | |||||||||
MedicareBlue Rx Option 2 |
$65.60 | $0 | No Gap Coverage | 1 | Level 1: Covered Generic | $4.00 | $8.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.90 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$80.90 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$83.40 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | P | |
Browse Plan Formulary | |||||||||
MedicareBlue Rx Option 3 |
$93.50 | $0 | Many Generics | 1 | Level 1: Covered Generic | $3.00 | $6.00 | 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 |
|
Aetna Medicare Rx Premier |
$106.70 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P | |
Browse Plan Formulary |
|