There are 25 stand-alone Medicare Part D plans in Missouri 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
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM (1 BOX PKGCOM) (NDC: 00781400436) 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 |
||||||
Community CCRx Basic |
$27.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 50% | n/a | P Q:12 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$30.80 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value |
$32.30 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:28 /28Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$33.20 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:12 /28Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$36.30 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 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 |
|
AARP MedicareRx Preferred |
$37.80 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$37.90 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:12 /28Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-016 |
$38.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$39.00 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$41.70 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$41.70 | $295 | No Gap Coverage | 4 | Specialty | 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 |
|
UnitedHealth Rx Basic |
$42.40 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$42.50 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Plus |
$42.60 | $0 | No Gap Coverage | 5 | Tier 5. | 33% | n/a | P Q:28 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$43.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:12 /28Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-076 |
$44.60 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 48% | 48% | P Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$61.00 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | 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 |
$61.20 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$68.90 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$69.10 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$73.50 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:12 /28Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$75.70 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:12 /28Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier |
$77.10 | $0 | Many Generics | 5 | Tier 5. | 33% | n/a | P Q:28 /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 |
|
Humana PDP Complete S5884-046 |
$99.30 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:8 /28Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$106.80 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary |
|