There are 27 stand-alone Medicare Part D plans in Nevada 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
OXYCODONE HCL ER TABLETS 20MG 100 BOT (100 BOT) (NDC: 00406059401) 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-Premier |
$20.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $67.00 | n/a | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$27.90 | $295 | No Gap Coverage | 2 | Tier 2 Non Preferred Generics | $32.00 | $96.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.30 | $295 | No Gap Coverage | 1 | Preferred Generic | $2.00 | $4.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$29.10 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$29.70 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | 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 Saver |
$33.30 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $56.10 | $153.30 | Q:124 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$33.40 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $86.30 | $243.90 | Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.20 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$40.70 | $180 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$41.40 | $195 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | Q:4 /1Days | |
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 Standard S5884-087 |
$41.40 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$42.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:124 /31Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-027 |
$44.00 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$44.40 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$44.50 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$46.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $74.00 | $222.00 | P Q:60 /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 Prescription Drug Cov |
$47.40 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$49.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $10.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$56.80 | $0 | No Gap Coverage | 2 | Tier 2 NonPreferred Generic | $45.00 | $135.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$62.70 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$66.40 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | Q:4 /1Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.60 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | 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 |
|
AARP MedicareRx Enhanced |
$77.00 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:124 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$80.40 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-057 |
$104.30 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$116.00 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:4 /1Days | |
Browse Plan Formulary |
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