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You will instantly receive a list of the Medicare Part D plans that fulfill your requirements.
Please note: The plan’s average retail drug price (30-day supply) shown below is from the dataset. Your actual retail drug price may differ significantly from the average shown. Please contact the Medicare plan or Medicare (1-800-Medicare) for more specific pricing based on your chosen pharmacy.
There are 80 Medicare Advantage plans (MAPD) in CHIPPEWA County, Wisconsin meeting your criteria.
Caution: The 2010 Medicare Advantage plan information below is for research purposes.
Click here to see 2024 Medicare Advantage plans
PAMELOR CAPSULES 10 (NDC: 00406991003)
2010 Medicare Prescription Drug Plan (MAPD) 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 |
Plan’s Avg. Retail Drug Price 30-Day |
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Mail Order |
Anthem Medicare Preferred Standard (PPO)
|
$0.00 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
Anthem Medicare Preferred Standard (PPO)
|
$0.00 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
Anthem Medicare Preferred Standard (PPO)
|
$0.00 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
Anthem Medicare Preferred Standard (PPO)
|
$0.00 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
|
$2.80 |
$0 | to be determined | 3 |
Tier 3 |
$60.00 | $120.00 | None | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
|
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$4.50 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.30 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $1,628.18 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 3 |
Tier 3 |
$85.00 | $212.50 | Q:120 /30Days | $2,012.25 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advocare Essence Rx (HMO-POS)
|
$17.20 |
$0 | to be determined | 3 |
Tier 3 |
$60.00 | $180.00 | None | $1,764.89 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
|
$21.50 |
$0 | to be determined | 3 |
Tier 3 |
$60.00 | $120.00 | None | $1,628.18 |
Browse Plan Formulary |
Advocare Vitality Rx (HMO-POS)
|
$25.00 |
$0 | to be determined | 3 |
Tier 3 |
$60.00 | $180.00 | None | $1,764.89 |
Browse Plan Formulary |
Advocare Spirit Rx (HMO-POS)
|
$27.00 |
$0 | to be determined | 3 |
Tier 3 |
$60.00 | $180.00 | None | $1,764.89 |
Browse Plan Formulary |
Medica Prime Solution Value (Cost)
|
$38.00 |
$55 | to be determined | 3 |
Tier 3 |
$74.00 | $148.00 | None | $1,812.02 |
Browse Plan Formulary |
Medica Prime Solution Basic w/Standard Rx
|
$38.90 |
$0 | to be determined | 3 |
Tier 3 |
$74.00 | $148.00 | None | $1,829.85 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Prime Solution Enhanced w/Standard
|
$38.90 |
$0 | to be determined | 3 |
Tier 3 |
$74.00 | $148.00 | None | $1,829.85 |
Browse Plan Formulary |
Medica Prime Solution Basic w/Enhanced Rx
|
$67.90 |
$0 | to be determined | 3 |
Tier 3 |
$74.00 | $148.00 | None | $1,829.85 |
Browse Plan Formulary |
Medica Prime Solution Enhanced w/Enhanced
|
$67.90 |
$0 | to be determined | 3 |
Tier 3 |
$74.00 | $148.00 | None | $1,829.85 |
Browse Plan Formulary |