There are 26 stand-alone Medicare Part D plans in Nevada 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
FOSCAVIR 24MG/ML INFUS BTTL (500 ML BOT) (NDC: 00186190601) 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 |
$23.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$25.50 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$26.20 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.30 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$30.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
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 |
|
CIGNA Medicare Rx Plan One |
$33.40 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $86.30 | $243.90 | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$38.80 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$41.40 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-087 |
$41.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 44% | 44% | P | |
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 Enhanced S5884-027 |
$44.00 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$44.50 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus |
$46.80 | $0 | No Gap Coverage | 5 | Tier 5. | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$49.10 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$53.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$57.10 | $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 |
$66.40 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$72.50 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$72.80 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$75.40 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$77.00 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$78.80 | $0 | Many Generics | 5 | Tier 5. | 33% | n/a | 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 |
|
CIGNA Medicare Rx Plan Three |
$80.40 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-057 |
$104.30 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$116.00 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary |
|