There are 35 stand-alone Medicare Part D plans in Illinois 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
GRANISETRON HCL 1MG/ML VIAL (NDC: 00703787103) 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 |
||||||
First Health Part D-Secure |
$16.20 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $49.00 | n/a | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$24.90 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $63.05 | $174.15 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$25.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$27.80 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$27.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $64.00 | $177.00 | 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 |
|
First Health Part D-Premier |
$28.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $61.00 | n/a | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.60 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$28.90 | $295 | No Gap Coverage | 1 | Preferred Generic | $6.25 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.60 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | Q:42 /90Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 17 |
$29.80 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$30.20 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | 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 |
|
EnvisionRxPlus Silver |
$30.50 | $295 | No Gap Coverage | 2 | Tier 2 Non Preferred Generics | $32.00 | $96.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.30 | $190 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$33.10 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | Q:42 /90Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$33.70 | $130 | No Gap Coverage | 4 | Tier 4 Non-Specialty Injectable | 29% | 29% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $80.40 | $226.20 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-075 |
$39.00 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | Q:4 /28Days | |
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 |
$39.60 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$42.70 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$43.80 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-015 |
$44.30 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | Q:4 /28Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$44.30 | $125 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | Q:42 /90Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.10 | $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 |
|
UA Medicare Part D Prescription Drug Cov |
$50.10 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $15.00 | Q:42 /90Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$53.00 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$57.30 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$58.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$59.30 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$65.10 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | 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 |
|
EnvisionRxPlus Gold |
$67.90 | $0 | No Gap Coverage | 2 | Tier 2 NonPreferred Generic | $45.00 | $135.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$69.10 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$70.70 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$71.20 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | Q:42 /90Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-045 |
$101.10 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | Q:4 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$103.30 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | P | |
Browse Plan Formulary |
|