There are 16 stand-alone Medicare Part D plans in Alaska 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 1.25MG/0.5 VIAL NEBULIZER (30 X 1 VIAL CRTN) (NDC: 63402051530) 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 |
$25.90 | $295 | No Gap Coverage | 2 | Preferred Brand | $21.00 | $47.25 | P Q:216 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$31.30 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $51.95 | $140.85 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$36.30 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | P S | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$38.50 | $295 | No Gap Coverage | 3 | Tier 3 | $63.00 | $157.50 | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$39.50 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $35.50 | $88.75 | 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 |
|
CIGNA Medicare Rx Plan Two |
$39.80 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$40.90 | $295 | No Gap Coverage | 2 | Preferred Brand | $44.00 | $88.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$44.60 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | P | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$45.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$54.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $87.00 | $246.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$57.60 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | P Q:216 /25Days | |
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 - Costco Plus Plan |
$64.00 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P S | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.20 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$75.30 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | P Q:216 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$76.10 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$112.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S | |
Browse Plan Formulary |
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