There are 6 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
ULORIC TABLETS 40MG 30 BOT (30 BOT) (NDC: 64764091830) 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 |
||||||
AmeriHealth Advantage Rx Option I |
$28.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | n/a | 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 | |
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Sterling Rx |
$42.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | S | |
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UPMC for Life Prescription Drug Plan |
$44.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | S Q:31 /31Days | |
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Aetna Medicare Rx Plus |
$63.90 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $86.00 | $172.00 | S | |
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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 |
$99.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S | |
Browse Plan Formulary |
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