There are 25 stand-alone Medicare Part D plans in Indiana meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
Click here to see 2024 Medicare Part D plans
AMERGE 2.5MG TABLET (9 BLPK) (NDC: 00173056200) 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 |
$28.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $58.00 | n/a | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$28.20 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $59.65 | $163.95 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$28.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:24 /90Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$31.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 45% | n/a | Q:12 /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 |
|
Aetna Medicare Rx Essentials |
$33.90 | $200 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $28.00 | $56.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$34.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $42.00 | $84.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$35.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | Q:24 /90Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$40.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$40.70 | $130 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:24 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$41.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $76.00 | $213.00 | Q:18 /31Days | |
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 |
$42.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | Q:18 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$43.40 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$44.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $89.00 | $252.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$48.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | $62.00 | Q:24 /90Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$51.30 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$55.50 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:9 /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 |
|
Aetna Medicare Rx Plus |
$58.80 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $38.00 | $76.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$62.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | S Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$66.70 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$66.90 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.30 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:24 /90Days | |
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 |
$71.70 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$100.90 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:9 /30Days | |
Browse Plan Formulary |
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