There are 30 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
CIPROFLOXACIN ER 500MG TABLET (30 CT) (30 BOT) (NDC: 55111042230) 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 |
||||||
SierraRx Basic |
$11.50 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$14.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:14 /14Days | |
Browse Plan Formulary | |||||||||
SierraRx UnitedHealth Rx Value |
$15.30 | $0 | No Gap Coverage | 1 | Generic | $8.00 | $24.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$23.20 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 28 |
$23.90 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | 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 |
|
MedicareRx Rewards Value |
$24.60 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.50 | $14.25 | Q:3 /1Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$24.80 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $13.00 | $26.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-086 |
$26.40 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$26.50 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$26.90 | $295 | No Gap Coverage | 1 | Preferred Generic | $4.75 | $0.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$26.90 | $295 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $4.00 | $12.00 | 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 |
$32.60 | $0 | No Gap Coverage | 1 | Tier 1-Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$32.90 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$35.90 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$36.50 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:14 /14Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$38.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $71.00 | $213.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Fox Grand Plan |
$38.90 | $295 | Some Generics | 2 | Tier 2 | $19.00 | $38.00 | 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 |
|
Advantage Freedom Plan by RxAmerica |
$39.00 | $0 | No Gap Coverage | 1 | Preferred Generic | $4.25 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-026 |
$41.00 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.00 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$47.70 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$52.20 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$54.30 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | 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 |
|
EnvisionRxPlus Gold |
$54.80 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generics | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$54.90 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$73.90 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.40 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$86.50 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$101.00 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | 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 |
|
Humana PDP Complete S5884-056 |
$102.20 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary |
|