There are 36 stand-alone Medicare Part D plans in Nevada 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
OXYTROL 3.9MG/24HR PATCH (NDC: 52544092008) 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 |
$20.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $67.00 | n/a | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$23.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $36.75 | $82.75 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$25.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $65.00 | $195.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$25.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | Q:48 /90Days | |
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 |
|
Advantage Star Plan by RxAmerica |
$29.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$29.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | S Q:32 /90Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$30.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$32.20 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$33.30 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | Q:10 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$33.40 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | 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 |
|
AARP MedicareRx Preferred |
$34.20 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:10 /31Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$38.80 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | S | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$40.70 | $180 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | Q:48 /90Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$41.40 | $195 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-087 |
$41.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 44% | 44% | Q:8 /28Days | |
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 |
|
UnitedHealth Rx Basic |
$42.10 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | Q:10 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-027 |
$44.00 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$44.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:48 /90Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$44.50 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$46.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $74.00 | $222.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$47.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | Q:48 /90Days | |
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 |
|
Health Net Orange Option 2 |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$53.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$57.10 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$62.70 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$66.40 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.60 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:48 /90Days | |
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 |
|
Prescriba Rx Platinum |
$72.50 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$72.80 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:8 /28Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$75.40 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.00 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:10 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$80.40 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-057 |
$104.30 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | Q:8 /28Days | |
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 Premier |
$116.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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