PROMACTA TABLETS (30 BOT) (NDC: 00007464113)
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 |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $3,570.86 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,270.97 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
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 |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
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 |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
First Seniority Freedom - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.00 |
$0 |
to be determined |
3 |
Tier 3 |
$70.00 | $175.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.00 |
$0 |
to be determined |
3 |
Tier 3 |
$70.00 | $175.00 | None | $4,225.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
First Seniority Freedom - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.10 |
$0 |
to be determined |
3 |
Tier 3 |
$70.00 | $175.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.10 |
$0 |
to be determined |
3 |
Tier 3 |
$70.00 | $175.00 | None | $4,225.59 |
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 |
First Seniority Freedom - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.10 |
$0 |
to be determined |
3 |
Tier 3 |
$70.00 | $175.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.10 |
$0 |
to be determined |
3 |
Tier 3 |
$70.00 | $175.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.10 |
$0 |
to be determined |
3 |
Tier 3 |
$70.00 | $175.00 | None | $4,225.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $4,413.72 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $4,413.72 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
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 |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $4,172.11 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$24.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
Humana Gold Choice H2944-073 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-073 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$24.70 |
$0 |
to be determined |
3 |
Tier 3 |
$80.00 | $200.00 | P Q:30 /30Days | $4,081.83 |
Browse Plan Formulary |
Humana Gold Choice H2944-106 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-106 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$310 |
to be determined |
3 |
Tier 3 |
25% | 25% | P Q:30 /30Days | $4,081.83 |
Browse Plan Formulary |
Northeast Community Care - Enhanced (HMO)
![Email Prescription and/or Health Benefit details for Northeast Community Care - Enhanced (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.00 |
$310 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,077.12 |
Browse Plan Formulary |
Northeast Community Care - Enhanced (HMO)
![Email Prescription and/or Health Benefit details for Northeast Community Care - Enhanced (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.00 |
$310 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,077.12 |
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 |
Northeast Community Care - Enhanced (HMO)
![Email Prescription and/or Health Benefit details for Northeast Community Care - Enhanced (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.00 |
$310 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,077.12 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:45 /30Days | $4,312.49 |
Browse Plan Formulary |
First Seniority Freedom Plus - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom Plus - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.00 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $150.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom Plus - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom Plus - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.00 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $150.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom Plus - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom Plus - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.30 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $150.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom Plus - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom Plus - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.30 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $150.00 | None | $4,225.59 |
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 |
First Seniority Freedom Plus - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom Plus - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.30 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $150.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom Plus - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom Plus - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.30 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $150.00 | None | $4,225.59 |
Browse Plan Formulary |
First Seniority Freedom Plus - Drug (PFFS)
![Email Prescription and/or Health Benefit details for First Seniority Freedom Plus - Drug (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.30 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $150.00 | None | $4,225.59 |
Browse Plan Formulary |