PAROXETINE HCL 10MG/5ML SUSPENSION ORAL (NDC: 60505037401)
2010 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 |
Plan’s Avg. Retail Drug Price 30-Day |
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Mail Order |
First Health Part D-Secure (PDP)
|
$16.70 |
$175 |
No Gap Coverage |
1 |
Preferred Generic |
$4.00 | $10.00 | None | $3,972.33 |
Browse Plan Formulary |
Community CCRx Basic (PDP)
|
$20.60 |
$310 |
No Gap Coverage |
1 |
Generic |
$0.00 | n/a | Q:900 /30Days | $3,991.09 |
Browse Plan Formulary |
PrescribaRx Bronze (PDP)
|
$24.30 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | Q:900 /30Days | $4,034.78 |
Browse Plan Formulary |
Humana Value S5884-104 (PDP)
|
$26.70 |
$150* |
No Gap Coverage |
1* |
Preferred Generic |
$5.00 | $0.00 | None | $4,665.23 |
Browse Plan Formulary |
AARP MedicareRx Saver (PDP)
|
$27.10 |
$310 |
No Gap Coverage |
2 |
Tier 2 Generic Preferred Brand |
$25.00 | $60.00 | None | $3,897.79 |
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 Rx Plan One (PDP)
|
$28.10 |
$310 |
No Gap Coverage |
2 |
Tier 2 |
$30.00 | $75.00 | Q:900 /30Days | $3,633.37 |
Browse Plan Formulary |
AdvantraRx Value (PDP)
|
$29.20 |
$100 |
No Gap Coverage |
1 |
Preferred Generic |
$6.00 | $15.00 | None | $3,972.33 |
Browse Plan Formulary |
Medco Medicare Prescription Plan - Value (
|
$29.90 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | None | $4,015.62 |
Browse Plan Formulary |
AmeriHealth Advantage (PDP)
|
$30.10 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | n/a | None | $4,191.58 |
Browse Plan Formulary |
BravoRx (PDP)
|
$30.70 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | None | $4,015.57 |
Browse Plan Formulary |
Fox Value Plan (PDP)
|
$30.90 |
$310 |
No Gap Coverage |
2 |
Tier 2 |
50% | 50% | None | n/a |
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 |
Health Net Orange Option 1 (PDP)
|
$30.90 |
$310 |
No Gap Coverage |
1 |
Tier 1 Preferred Generic |
$4.00 | $8.00 | Q:30 /1Days | $3,626.27 |
Browse Plan Formulary |
SilverScript Value (PDP)
|
$31.60 |
$310 |
No Gap Coverage |
1 |
Generic Tier |
$8.00 | $14.00 | None | $3,689.27 |
Browse Plan Formulary |
Advantage Star Plan by RxAmerica (PDP)
|
$31.70 |
$310 |
No Gap Coverage |
1 |
Preferred Generic |
$4.00 | $12.00 | None | $3,690.79 |
Browse Plan Formulary |
PrescribaRx Gold (PDP)
|
$32.10 |
$150 |
No Gap Coverage |
1 |
Generic |
$6.00 | $12.00 | Q:900 /30Days | $4,034.78 |
Browse Plan Formulary |
HealthSpring Prescription Drug Plan -Reg 6
|
$32.50 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | Q:900 /30Days | $3,650.74 |
Browse Plan Formulary |
MedicareRx Rewards Standard (PDP)
|
$32.80 |
$310 |
No Gap Coverage |
1 |
Tier 1 Preferred Generic Drugs |
$6.50 | $9.75 | Q:1200 /30Days | $4,328.59 |
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 |
EnvisionRxPlus Silver (PDP)
|
$33.00 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | None | $3,873.89 |
Browse Plan Formulary |
CIGNA Medicare Rx Plan Two (PDP)
|
$33.60 |
$100 |
No Gap Coverage |
3 |
Tier 3 |
$39.00 | $97.50 | Q:900 /30Days | $3,633.37 |
Browse Plan Formulary |
MedicareRx Rewards Plus (PDP)
|
$33.90 |
$0 |
No Gap Coverage |
1 |
Tier 1 Preferred Generic Drugs |
$7.00 | $10.50 | Q:1200 /30Days | $4,328.59 |
Browse Plan Formulary |
Community CCRx Choice (PDP)
|
$35.40 |
$150 |
No Gap Coverage |
1 |
Generic |
$5.00 | n/a | Q:900 /30Days | $3,991.09 |
Browse Plan Formulary |
Aetna Medicare Rx Plus (PDP)
|
$36.70 |
$0 |
No Gap Coverage |
2 |
Tier 2 - Non-Preferred Generic |
$32.00 | $81.00 | Q:30 /1Days | $3,684.33 |
Browse Plan Formulary |
AARP MedicareRx Preferred (PDP)
|
$37.40 |
$0 |
No Gap Coverage |
2 |
Tier 2 Generic Preferred Brand |
$42.00 | $111.00 | None | $3,897.79 |
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 |
Medco Medicare Prescription Plan - Choice
|
$38.90 |
$100 |
No Gap Coverage |
1 |
Generic |
$6.00 | $0.00 | None | $4,015.62 |
Browse Plan Formulary |
First Health Part D-Premier (PDP)
|
$40.00 |
$150 |
No Gap Coverage |
1 |
Preferred Generic |
$7.00 | $21.00 | None | $3,972.33 |
Browse Plan Formulary |
AdvantraRx Premier (PDP)
|
$41.00 |
$0 |
No Gap Coverage |
1 |
Preferred Generic |
$12.00 | $30.00 | None | $3,972.33 |
Browse Plan Formulary |
Humana Enhanced S5884-005 (PDP)
|
$41.20 |
$0 |
No Gap Coverage |
1 |
Preferred Generic |
$8.00 | $0.00 | None | $4,665.23 |
Browse Plan Formulary |
UA Medicare Part D Rx Covg - Silver Plan (
|
$41.90 |
$170* |
No Gap Coverage |
1* |
Generic |
$4.00 | $10.00 | None | $3,889.53 |
Browse Plan Formulary |
Sterling Rx (PDP)
|
$45.20 |
$310* |
No Gap Coverage |
1* |
Generic |
$10.00 | $20.00 | None | $4,311.54 |
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 |
CVS Caremark Plus (PDP)
|
$45.40 |
$50 |
No Gap Coverage |
2 |
Generic Tier |
$7.50 | $14.00 | None | $3,689.24 |
Browse Plan Formulary |
UA Medicare Part D Prescription Drug Cov (
|
$46.10 |
$0 |
No Gap Coverage |
1 |
Generic |
$9.00 | $23.00 | None | $3,889.53 |
Browse Plan Formulary |
SecureRx - Option 4 (PDP)
|
$47.30 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | None | $4,289.63 |
Browse Plan Formulary |
Advantage Freedom Plan by RxAmerica (PDP)
|
$49.00 |
$0 |
No Gap Coverage |
2 |
Generic |
$5.00 | $10.00 | None | $3,690.76 |
Browse Plan Formulary |
Aetna Medicare Rx Essentials (PDP)
|
$49.00 |
$310 |
No Gap Coverage |
2 |
Tier 2 - Non-Preferred Generic |
$25.00 | $60.00 | Q:30 /1Days | $3,684.33 |
Browse Plan Formulary |
SecureRx - Option 3 (PDP)
|
$49.00 |
$0 |
No Gap Coverage |
1 |
Generic Drugs |
$9.00 | $22.00 | None | $4,289.63 |
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 |
Geisinger Gold Rx 1 (PDP)
|
$50.40 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | None | $3,630.25 |
Browse Plan Formulary |
BlueRx Plus (PDP)
|
$51.30 |
$0 |
No Gap Coverage |
1 |
Generic |
$7.00 | $17.50 | None | $3,984.51 |
Browse Plan Formulary |
Health Net Value Orange Option 2 (PDP)
|
$51.70 |
$0 |
No Gap Coverage |
1 |
Tier 1 Preferred Generic |
$0.00 | $0.00 | Q:30 /1Days | $3,626.27 |
Browse Plan Formulary |
UPMC for Life (PDP)
|
$52.30 |
$0 |
No Gap Coverage |
1 |
Tier 1 - Generic |
$5.00 | $12.50 | None | $4,289.78 |
Browse Plan Formulary |
EnvisionRxPlus Gold (PDP)
|
$54.80 |
$150 |
No Gap Coverage |
1 |
Tier 1 Preferred Generic |
$4.00 | $12.00 | None | $3,873.89 |
Browse Plan Formulary |
BlueRx Value (PDP)
|
$56.20 |
$310 |
No Gap Coverage |
1 |
Generic |
$4.00 | $10.00 | None | $3,984.51 |
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 Rx Plan Three (PDP)
|
$57.40 |
$0 |
Many Generics, Few Brands |
2 |
Tier 2 |
$35.00 | $87.50 | Q:900 /30Days | $3,633.37 |
Browse Plan Formulary |
AdvantraRx Premier Plus (PDP)
|
$61.20 |
$0 |
Many Generics |
1 |
Preferred Generic |
$5.00 | $12.50 | None | $3,972.33 |
Browse Plan Formulary |
AmeriHealth Rx Option I (PDP)
|
$65.50 |
$310 |
No Gap Coverage |
1 |
Tier 1 |
25% | 25% | None | $3,288.04 |
Browse Plan Formulary |
AmeriHealth Rx Option II (PDP)
|
$66.70 |
$100 |
Many Generics |
1 |
Preferred Generic |
$7.00 | $14.00 | None | $3,288.04 |
Browse Plan Formulary |
CVS Caremark Complete (PDP)
|
$66.90 |
$0 |
Many Generics |
2 |
Generic Tier |
$7.50 | $19.00 | None | $3,689.24 |
Browse Plan Formulary |
Medco Medicare Prescription Plan - Access
|
$73.80 |
$0 |
Many Generics |
1 |
Generic |
$6.00 | $6.00 | None | $4,015.62 |
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 |
Community CCRx Gold (PDP)
|
$77.30 |
$0 |
All Generics |
1 |
Generic |
$6.00 | n/a | Q:900 /30Days | $3,991.09 |
Browse Plan Formulary |
AARP MedicareRx Enhanced (PDP)
|
$81.10 |
$0 |
Many Generics |
2 |
Tier 2 Generic Preferred Brand |
$42.00 | $111.00 | None | $3,897.79 |
Browse Plan Formulary |
Aetna Medicare Rx Premier (PDP)
|
$83.70 |
$0 |
Many Generics |
2 |
Tier 2 - Non-Preferred Generic |
$33.00 | $84.00 | Q:30 /1Days | $3,684.33 |
Browse Plan Formulary |
BlueRx Complete (PDP)
|
$93.90 |
$0 |
Many Generics |
1 |
Generic |
$7.00 | $17.50 | None | $3,984.51 |
Browse Plan Formulary |
Humana Complete S5884-034 (PDP)
|
$100.10 |
$0 |
Many Generics |
1 |
Preferred Generic |
$7.00 | $0.00 | None | $4,665.23 |
Browse Plan Formulary |
SecureRx - Option 1 (PDP)
|
$110.70 |
$0 |
Many Generics |
1 |
Generic Drugs |
$7.00 | $17.00 | None | $4,289.63 |
Browse Plan Formulary |