There are 6 stand-alone Medicare Part D plans in Michigan 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
RYZOLT EXTENDED RELEASE TABLETS 200MG 30 BOT (30 BOT) (NDC: 59011033530) 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 |
||||||
Aetna Medicare Rx Essentials |
$31.80 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | S | |
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Sterling Rx |
$38.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | None | |
Browse Plan Formulary | |||||||||
Prescription Blue Option A |
$47.50 | $20 | No Gap Coverage | 3 | Non Preferred | $55.00 | $137.50 | Q:34 /34Days | |
Browse Plan Formulary | |||||||||
Prescription Blue Option B |
$50.00 | $0 | Many Generics | 3 | Non Preferred | $55.00 | $137.50 | Q:34 /34Days | |
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Aetna Medicare Rx - Costco Plus Plan |
$56.00 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | 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 |
$106.00 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S | |
Browse Plan Formulary |
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