There are 16 stand-alone Medicare Part D plans in Colorado meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
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LARIAM 250MG TABLET (25 BLPK) (NDC: 00004017202) 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![]() ![]() |
$28.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$30.80 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$38.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $88.80 | $251.40 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$39.40 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-085![]() ![]() |
$40.90 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 46% | 46% | 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 |
|
Sterling Rx![]() ![]() |
$41.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-025![]() ![]() |
$43.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$45.30 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | Q:6 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$53.60 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$56.80 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2![]() ![]() |
$57.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:6 /30Days | |
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 Enhanced![]() ![]() |
$81.80 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier![]() ![]() |
$86.50 | $0 | Many Generics | 3 | Tier 3 Non-Preferred Brand or Generic | $75.00 | $187.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$104.20 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-055![]() ![]() |
$107.60 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
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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