There are 8 stand-alone Medicare Part D plans in Pennsylvania 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
VECTICAL OINTMENT 3MCG/GM 100 GM TUBE (100 GM TUBE) (NDC: 00299201210) 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 |
||||||
MedicareRx Rewards Value |
$32.90 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | Q:800 /28Days | |
Browse Plan Formulary | |||||||||
BlueRx Value |
$33.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $62.00 | $155.00 | None | |
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Aetna Medicare Rx Essentials |
$33.40 | $195 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $69.00 | $138.00 | S | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$42.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
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BlueRx Plus |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $65.00 | $162.50 | 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 |
|
Aetna Medicare Rx Plus |
$63.90 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $86.00 | $172.00 | S | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$99.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S | |
Browse Plan Formulary | |||||||||
BlueRx Complete |
$108.00 | $0 | Many Generics | 3 | Non-Preferred Brand | $55.00 | $137.50 | None | |
Browse Plan Formulary |
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