There are 23 stand-alone Medicare Part D plans in Colorado 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
XOPENEX 0.31MG/3ML SOLUTION (2 X 12 VIALS POUCHES CRTN) (NDC: 63402051124) 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-Premier |
$26.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $56.00 | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.20 | $295 | No Gap Coverage | 2 | Preferred Brand | $36.75 | $82.75 | P Q:288 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.80 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | P S | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$31.80 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $45.00 | $112.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$33.00 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $68.10 | $189.30 | 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 |
|
AARP MedicareRx Preferred |
$38.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$39.40 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | P Q:288 /25Days | |
Browse Plan Formulary | |||||||||
RMHP Essential Rx |
$40.10 | $123 | No Gap Coverage | 3 | Non-preferred brand drugs | $60.00 | $120.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$45.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | P Q:9 /1Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$45.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $97.00 | $276.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus |
$47.20 | $0 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | 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 |
|
AdvantraRx Premier |
$48.30 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $63.00 | $189.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$48.90 | $0 | No Gap Coverage | 4 | Tier 4 | $85.00 | $212.50 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$53.60 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | P Q:288 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$53.70 | $295 | No Gap Coverage | 3 | Tier 3 | $82.00 | $205.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$56.80 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P S | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$57.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | P Q:9 /1Days | |
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 |
|
AdvantraRx Premier Plus |
$62.70 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.80 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$86.50 | $0 | Many Generics | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$88.90 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$104.20 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S | |
Browse Plan Formulary | |||||||||
RMHP Basic Rx |
$112.70 | $0 | No Gap Coverage | 3 | Non-preferred brand drugs | $59.00 | $118.00 | None | |
Browse Plan Formulary |
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