There are 31 stand-alone Medicare Part D plans in Arizona 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
ORAL TRANSMUCOSAL FENTANYL CITRATE LOZENGES (30 CRTN) (NDC: 00555108501) 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 |
$13.90 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$22.90 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$23.20 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 28 |
$23.90 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:120 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$24.10 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | 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 |
|
MedicareRx Rewards Value |
$24.60 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$24.80 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$25.20 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-086 |
$26.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 48% | 48% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$26.50 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.90 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | 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 |
|
AARP MedicareRx Preferred |
$32.60 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$32.90 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$35.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$36.50 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.80 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$40.30 | $115 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | 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 S5884-026 |
$41.00 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.00 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$45.60 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$47.30 | $0 | No Gap Coverage | 1 | Generic | $7.00 | $18.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$47.70 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$52.20 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | 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 |
|
AdvantraRx Premier Plus |
$54.30 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$54.90 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.00 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$73.90 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.40 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$86.50 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | 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 |
|
Aetna Medicare Rx Premier |
$101.00 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-056 |
$102.20 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary |
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