There are 35 stand-alone Medicare Part D plans in California 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
ORAL TRANSMUCOSAL FENTANYL CITRATE LOZENGES (30 BLPK CRTN) (NDC: 00555108201) 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 |
$18.30 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$21.10 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$24.10 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.50 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 32 |
$25.80 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:120 /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 |
|
Blue Cross MedicareRx Value |
$28.90 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$31.60 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$33.50 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.40 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Plus |
$36.50 | $0 | No Gap Coverage | 5 | Tier 5. | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-030 |
$36.70 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:120 /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 Value |
$36.90 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$37.60 | $195 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.90 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.40 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-090 |
$40.90 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 42% | 42% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$42.40 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P Q:120 /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 |
|
UA Medicare Part D Rx Covg - Silver Plan |
$42.70 | $140 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$42.80 | $0 | No Gap Coverage | 1 | Generic | $9.00 | $23.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Blue Shield Medicare Rx Plan |
$43.70 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$44.20 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$45.20 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$48.20 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P Q:120 /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 |
|
Health Net Orange Option 2 |
$49.30 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Blue Shield Medicare Rx Enhanced Plan |
$49.90 | $0 | No Gap Coverage | 1 | Formulary Generic | $10.00 | $20.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$55.70 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:4 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$59.00 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$60.20 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Blue Cross MedicareRx Gold |
$65.40 | $0 | Many Generics | 5 | Tier 5. | 33% | n/a | P Q:120 /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 |
|
Medco Medicare Prescription Plan - Access |
$71.50 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$78.70 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$79.60 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.60 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-060 |
$100.80 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:120 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$129.30 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:4 /1Days | |
Browse Plan Formulary |
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