There are 27 stand-alone Medicare Part D plans in Oklahoma 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
LEUSTATIN 1MG/ML VIAL (7 X 10 ML VIALSD) (NDC: 59676020101) 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 |
$25.90 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$26.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.30 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$29.80 | $215 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$30.70 | $295 | No Gap Coverage | 4 | Injectable | 25% | 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 |
|
MedicareRx Rewards Value |
$30.70 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Basic Plus |
$34.70 | $0 | No Gap Coverage | 4 | Specialty | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$35.20 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$36.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Medicare Blue Rx Basic |
$38.10 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-081 |
$38.50 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 48% | 48% | 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 |
|
AARP MedicareRx Preferred |
$40.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $74.55 | $208.65 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-021 |
$40.70 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$43.20 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$43.40 | $130 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$44.60 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | P | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$47.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | 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 |
|
Advantage Freedom Plan by RxAmerica |
$53.00 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.50 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$62.70 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$73.60 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$74.70 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$75.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | 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 |
|
Medicare Blue Rx Enhanced |
$77.00 | $0 | All Generics | 4 | Specialty | 30% | n/a | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$85.80 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-051 |
$100.70 | $0 | Many Generics | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$102.90 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary |
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