There are 34 stand-alone Medicare Part D plans in Florida 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
PANTOPRAZOLE SODIUM 40MG TABLET DELAYED RELEASE 90 CRC BOT (90 CRC BOT) (NDC: 62756058081) 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 |
||||||
Advantage Star Plan by RxAmerica |
$21.50 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.25 | $0.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$23.60 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$24.00 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$25.10 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$26.20 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | 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 |
|
HealthSpring Prescription Drug Plan-Reg 11 |
$27.60 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$30.80 | $295 | No Gap Coverage | 2 | Tier 2 Non Preferred Generics | $30.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$31.60 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $54.30 | $147.90 | S | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$32.40 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$32.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $74.80 | $209.40 | S | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$32.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | Q:31 /31Days | |
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 |
|
Sterling Rx |
$33.90 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$35.10 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | Q:90 /365Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$37.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | S | |
Browse Plan Formulary | |||||||||
Fox Grand Plan |
$38.90 | $285 | Some Generics | 2 | Tier 2 | $19.00 | $38.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-069 |
$38.90 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$41.70 | $0 | No Gap Coverage | 3 | Tier 3 | $36.00 | $90.00 | Q:30 /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 |
|
CIGNA Medicare Rx Plan One |
$42.00 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$42.70 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$43.00 | $125 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-010 |
$43.10 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$46.40 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | Q:90 /365Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$46.60 | $200 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $14.00 | $28.00 | Q:1 /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 |
|
UA Medicare Part D Prescription Drug Cov |
$50.00 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $15.00 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$58.60 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $5.00 | $20.00 | Q:1 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$64.20 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | Q:90 /365Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.20 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$67.70 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | S | |
Browse Plan Formulary | |||||||||
Quality Rx |
$69.00 | $0 | No Gap Coverage | 2 | Tier 2 | $25.00 | $75.00 | S Q:30 /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 |
$70.90 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$73.50 | $0 | No Gap Coverage | 2 | Tier 2 NonPreferred Generic | $45.00 | $135.00 | None | |
Browse Plan Formulary | |||||||||
Quality Rx Plus |
$79.90 | $0 | Many Generics, Few Brands | 2 | Tier 2 | $25.00 | $75.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-039 |
$95.70 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.30 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:1 /1Days | |
Browse Plan Formulary |
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