PAROXETINE HCL 10MG/5ML SUSPENSION ORAL (NDC: 60505037401)
2012 Medicare Prescription Drug Plan (MAPD) Information
Click here for the Chart Legend |
Plan Name |
Monthly Prem. |
De- duct- ible | Does Plan Offer Additional 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 |
AARP MedicareComplete Choice Plan 2 (Regional PPO)
|
$0.00 |
$0 | to be determined | 3 |
Tier 3 |
$45.00 | $125.00 | None | $3,904.54 |
Browse Plan Formulary |
AARP MedicareComplete Plan 1 (HMO)
|
$0.00 |
$0 | to be determined | 3 |
Tier 3 |
$0.00 | $0.00 | None | $3,844.54 |
Browse Plan Formulary |
AARP MedicareComplete Plus (HMO-POS)
|
$0.00 |
$0 | to be determined | 3 |
Tier 3 |
$0.00 | $0.00 | None | $3,844.54 |
Browse Plan Formulary |
Aetna Medicare Value Plan (HMO)
|
$0.00 |
$0 | to be determined | 2 |
Tier 2 |
$33.00 | $66.00 | Q:30 /1Days | $3,120.56 |
Browse Plan Formulary |
Any, Any, Any Gold (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $3,889.30 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AvMed Medicare Choice (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.17 |
Browse Plan Formulary |
BlueMedicare Regional PPO (Regional PPO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $0.00 | Q:900 /30Days | $3,546.83 |
Browse Plan Formulary |
CareFree PLUS (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
CareOne PLUS (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
Coventry Summit Ideal (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,967.97 |
Browse Plan Formulary |
Coventry Summit Plus (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,967.97 |
Browse Plan Formulary |
|
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Coventry Vista Ideal (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,967.97 |
Browse Plan Formulary |
Healthy Advantage Plan (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | $3,609.44 |
Browse Plan Formulary |
Healthy Advantage Plus (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | Q:946 /30Days | $3,557.27 |
Browse Plan Formulary |
Healthy Advantage Refund (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | Q:946 /30Days | $3,557.27 |
Browse Plan Formulary |
Humana Gold Plus H1036-054C (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
Humana Gold Plus H1036-164 (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Reader's Digest Healthy Living Plan (Regional PPO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $0.00 | None | $5,013.39 |
Browse Plan Formulary |
JacksonHealth for Life (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,888.00 |
Browse Plan Formulary |
JacksonHealth Secure (HMO SNP)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,888.00 |
Browse Plan Formulary |
Leon Medical Centers Health Plans - Leon Cares (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | Q:900 /30Days | $3,775.38 |
Browse Plan Formulary |
Medica HealthCare Plans MedicareMax (PSO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | n/a |
Browse Plan Formulary |
Medica HealthCare Plans MedicareMax Chronic Care (PSO SNP)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | n/a |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica HealthCare Plans MedicareMax Value RX (PSO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | n/a |
Browse Plan Formulary |
Medicare Masterpiece (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.30 |
Browse Plan Formulary |
Medicare Masterpiece Premier - COPD (HMO SNP)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.30 |
Browse Plan Formulary |
Medicare Masterpiece Premier - Dementia (HMO SNP)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.30 |
Browse Plan Formulary |
Medicare Masterpiece Premier - Diabetes, CHF, CVD (HMO SNP)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.30 |
Browse Plan Formulary |
Molina Medicare Options (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,863.81 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Positive Healthcare Partners (HMO SNP)
|
$0.00 |
$320 | to be determined | 1 |
Tier 1 |
25% | n/a | None | n/a |
Browse Plan Formulary |
Preferred Choice Dade (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.44 |
Browse Plan Formulary |
Preferred Complete Care (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.44 |
Browse Plan Formulary |
Preferred Gold Option (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.44 |
Browse Plan Formulary |
Preferred Medicare Assist (HMO-POS SNP)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.44 |
Browse Plan Formulary |
Preferred Premium Advantage Miami-Dade (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.44 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Preferred Special Care Miami-Dade (HMO SNP)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,889.44 |
Browse Plan Formulary |
PUP EASY (HMO)
|
$0.00 |
$0 | to be determined | 2 |
Tier 2 |
$0.00 | $0.00 | Q:930 /31Days | $3,844.54 |
Browse Plan Formulary |
PUP REWARDS (HMO)
|
$0.00 |
$0 | to be determined | 2 |
Tier 2 |
$0.00 | $0.00 | Q:930 /31Days | $3,906.04 |
Browse Plan Formulary |
Simply Extra (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,609.40 |
Browse Plan Formulary |
Simply More (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,609.40 |
Browse Plan Formulary |
Simply Options (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,609.40 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SunPlus Advantage Plan (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | $3,609.44 |
Browse Plan Formulary |
WellCare Choice (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,954.67 |
Browse Plan Formulary |
WellCare Dividend (HMO)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,954.67 |
Browse Plan Formulary |
Molina Medicare Options Plus (HMO SNP)
|
$1.10 |
$320* | to be determined | 1* |
Tier 1 |
$0.00 | $0.00 | None | $3,863.81 |
Browse Plan Formulary |
Coventry Vista Maximum Choice (HMO SNP)
|
$6.10 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,981.47 |
Browse Plan Formulary |
WellCare Select (HMO-POS SNP)
|
$18.10 |
$320 | to be determined | 1 |
Tier 1 |
$4.00 | $10.00 | None | $4,100.17 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica HealthCare Plans MedicareMax Plus (PSO SNP)
|
$19.40 |
$320* | to be determined | 1* |
Tier 1 |
$0.00 | n/a | None | n/a |
Browse Plan Formulary |
Coventry Summit Maximum (HMO SNP)
|
$21.40 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,982.22 |
Browse Plan Formulary |
Humana Gold Plus SNP-DE H1036-163 (HMO SNP)
|
$22.60 |
$320* | to be determined | 1* |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
Amerivantage Specialty + Rx (HMO SNP)
|
$23.80 |
$320 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $3,834.56 |
Browse Plan Formulary |
CareNeeds (HMO SNP)
|
$23.80 |
$320* | to be determined | 1* |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
CareNeeds PLUS (HMO SNP)
|
$23.80 |
$320* | to be determined | 1* |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Coventry Vista Maximum (HMO SNP)
|
$23.80 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,982.22 |
Browse Plan Formulary |
Humana Gold Plus SNP-DE H1036-077A (HMO SNP)
|
$23.80 |
$320* | to be determined | 1* |
Tier 1 |
$0.00 | $0.00 | None | $4,715.64 |
Browse Plan Formulary |
Medicare Masterpiece Premier SNP - Dual (HMO SNP)
|
$23.80 |
$320 | to be determined | 1 |
Tier 1 |
15% | 15% | None | $3,889.30 |
Browse Plan Formulary |
MediMax (HMO)
|
$23.80 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | $3,812.69 |
Browse Plan Formulary |
Simply Care (HMO SNP)
|
$23.80 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | $3,609.40 |
Browse Plan Formulary |
Simply Comfort (HMO SNP)
|
$23.80 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | n/a | None | $3,609.40 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Simply Complete (HMO SNP)
|
$23.80 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,609.40 |
Browse Plan Formulary |
WellCare Access (HMO SNP)
|
$23.80 |
$0 | to be determined | 1 |
Tier 1 |
$0.00 | $0.00 | None | $3,954.67 |
Browse Plan Formulary |
Medicare Masterpiece Plus (HMO-POS)
|
$29.00 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $8.00 | None | $3,889.30 |
Browse Plan Formulary |
HumanaChoice R5826-005 (Regional PPO)
|
$34.80 |
$0 | to be determined | 2 |
Tier 2 |
$8.00 | $0.00 | None | $5,013.39 |
Browse Plan Formulary |
HumanaChoice H5415-056 (PPO)
|
$39.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $0.00 | None | $4,879.89 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$68.00 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | Q:30 /1Days | $2,415.56 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Additional Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-061 (PFFS)
|
$99.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $5,040.39 |
Browse Plan Formulary |