There are 19 stand-alone Medicare Part D plans in Hawaii 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
AFINITOR TABLETS (28 CRTN) (NDC: 00078056751) 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 |
$10.70 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$19.00 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$23.70 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$26.00 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$27.60 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 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 |
|
WellCare Signature |
$27.60 | $0 | No Gap Coverage | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$27.90 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-093 |
$30.70 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 47% | 47% | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$31.70 | $295 | No Gap Coverage | 5 | Tier 5 Specialty Drugs | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$33.10 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-096 |
$36.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:30 /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 Essentials |
$38.10 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.40 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$45.30 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$49.10 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$62.70 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$88.70 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | 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 |
|
Humana PDP Complete S5884-099 |
$94.70 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.10 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:2 /1Days | |
Browse Plan Formulary |
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