There are 31 stand-alone Medicare Part D plans in California 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
CIPROFLOXACIN ER 1000MG TABLET (30 CT) (30 BOT) (NDC: 55111042330) 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 |
||||||
Advantage Star Plan by RxAmerica |
$19.80 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.25 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$24.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:14 /14Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 32 |
$25.80 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$28.60 | $295 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $4.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Value |
$28.90 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $10.00 | $15.00 | Q:14 /1Days | |
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 Saver |
$33.50 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$33.70 | $0 | No Gap Coverage | 1 | Preferred Generic | $4.25 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.40 | $0 | No Gap Coverage | 1 | Tier 1-Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Plus |
$36.50 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:14 /1Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-030 |
$36.70 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$36.90 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
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 |
$37.60 | $195 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.90 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.40 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-090 |
$40.90 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$42.40 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | None | |
Browse Plan Formulary | |||||||||
Blue Shield Medicare Rx Plan |
$43.70 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:14 /14Days | |
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 |
|
AdvantraRx Premier |
$44.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $67.00 | $201.00 | Q:14 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$48.20 | $0 | No Gap Coverage | 3 | Tier 3 | $39.00 | $97.50 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$49.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:14 /14Days | |
Browse Plan Formulary | |||||||||
Blue Shield Medicare Rx Enhanced Plan |
$49.90 | $0 | No Gap Coverage | 1 | Formulary Generic | $10.00 | $20.00 | Q:14 /14Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$55.70 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$59.00 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | None | |
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 |
|
AdvantraRx Premier Plus |
$60.20 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:14 /30Days | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Gold |
$65.40 | $0 | Many Generics | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:14 /1Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$69.70 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generics | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$78.70 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$79.60 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.60 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | None | |
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 |
|
Humana PDP Complete S5884-060 |
$100.80 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$129.30 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | None | |
Browse Plan Formulary |
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