There are 5 stand-alone Medicare Part D plans in Puerto Rico 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
ACTIQ 400MCG LOZENGE (30 BOT) (NDC: 63459050430) 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 |
||||||
SilverScript Value |
$15.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | $165.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$34.80 | $50 | Many Generics | 5 | Non-Preferred Brand | $85.00 | $233.75 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$36.10 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$44.80 | $0 | Many Generics | 4 | Non-Preferred Brand | $70.00 | $192.50 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$69.80 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary |
|