There are 43 stand-alone Medicare Part D plans in Indiana 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
NASONEX 50MCG NASAL SPRAY (NDC: 00085128801) 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![]() ![]() |
$16.80 | $175 | No Gap Coverage | 2 | Preferred Brand | $20.00 | n/a | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$24.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 15![]() ![]() |
$25.60 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$28.00 | $295 | No Gap Coverage | 2 | Preferred Brand | $33.50 | $75.50 | S Q:34 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$28.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:34 /30Days | |
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 Saver![]() ![]() |
$28.20 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | Q:34 /31Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$28.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$29.10 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$29.80 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$31.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$31.80 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:34 /30Days | |
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 Essentials![]() ![]() |
$33.90 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $70.00 | $140.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$34.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $42.00 | $84.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$34.90 | $295 | No Gap Coverage | 2 | Tier 2 | $31.00 | $93.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$35.10 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value![]() ![]() |
$37.70 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $38.00 | $95.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$38.40 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:34 /30Days | |
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 Signature![]() ![]() |
$38.40 | $0 | No Gap Coverage | 2 | Tier 2 | $39.00 | $117.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$40.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$40.70 | $130 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$41.90 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:34 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-073![]() ![]() |
$42.10 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$42.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | S Q:34 /34Days | |
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 |
|
Community CCRx Choice![]() ![]() |
$43.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$44.00 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | Q:34 /31Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus![]() ![]() |
$44.30 | $0 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-013![]() ![]() |
$47.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$48.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $31.00 | $62.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$51.30 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:34 /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 |
|
AdvantraRx Premier Plus![]() ![]() |
$55.50 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus![]() ![]() |
$58.80 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $78.00 | $156.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2![]() ![]() |
$62.00 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
SierraRx Basic![]() ![]() |
$65.70 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$66.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | S | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$66.70 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:34 /30Days | |
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 |
|
SilverScript Complete![]() ![]() |
$66.90 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:34 /25Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$69.50 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$71.30 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$71.70 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:34 /31Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$72.30 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | Q:2 /30Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier![]() ![]() |
$79.10 | $0 | Many Generics | 2 | Tier 2 Preferred Brand | $35.00 | $87.50 | Q:34 /30Days | |
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 Complete S5884-043![]() ![]() |
$98.40 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | Q:34 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$100.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
|