There are 36 stand-alone Medicare Part D plans in Connecticut 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
IPRATROPIUM BROMIDE/ALBUTEROL SULFATE INHALATION SOLUTION 0.5MG/3ML 33 CRTN (33 CRTN) (NDC: 16252054733) 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 |
$19.40 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $50.00 | n/a | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$25.30 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$26.30 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $63.55 | $175.65 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$28.20 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | P | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.30 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | P Q:540 /25Days | |
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 |
$28.40 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $53.00 | n/a | P | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 2 |
$29.10 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
BravoRx |
$30.20 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$30.60 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$31.00 | $295 | No Gap Coverage | 2 | Tier 2 Non Preferred Generics | $33.00 | $99.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $195 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | 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 |
|
WellCare Classic |
$31.90 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$35.70 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$36.90 | $180 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $94.20 | $267.60 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-002 |
$39.30 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$39.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | 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 |
|
UA Medicare Part D Prescription Drug Cov |
$41.00 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $15.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-061 |
$41.40 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$41.70 | $295 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $8.00 | $20.00 | P Q:540 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$42.80 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value Plus |
$43.30 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $8.00 | $20.00 | P Q:540 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$43.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $68.00 | $204.00 | 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 |
|
Health Net Orange Option 2 |
$46.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$46.40 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$50.60 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | P Q:540 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$59.20 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $70.00 | $210.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$65.10 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$68.80 | $0 | No Gap Coverage | 2 | Tier 2 NonPreferred Generic | $45.00 | $135.00 | 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 |
|
Medco Medicare Prescription Plan - Access |
$69.00 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$70.10 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | P Q:540 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$79.60 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$80.90 | $0 | Many Generics | 1 | Tier 1 Preferred Generic | $8.00 | $20.00 | P Q:540 /25Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.90 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-031 |
$96.10 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | 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 |
|
Aetna Medicare Rx Premier |
$111.30 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | P | |
Browse Plan Formulary |
|