There are 16 stand-alone Medicare Part D plans in Ohio 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
DORYX 75MG TABLET DR (60 BOT) (NDC: 00430011120) 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 |
$25.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$25.80 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $62.20 | $171.60 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$30.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $72.00 | $144.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $84.10 | $237.30 | 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 |
|
Sterling Rx |
$38.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$41.10 | $295 | No Gap Coverage | 3 | Tier 3 | $72.00 | $180.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$41.40 | $0 | No Gap Coverage | 4 | Tier 4 | $81.00 | $202.50 | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$41.50 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $75.00 | $188.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.10 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | 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 - Costco Plus Plan |
$51.60 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$65.50 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$67.50 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.30 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$94.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P | |
Browse Plan Formulary |
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