There are 32 stand-alone Medicare Part D plans in Maryland 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
PIPERACILLIN 3GM VIAL (NDC: 63323038120) 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 |
$18.40 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $47.00 | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$24.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$26.10 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $58.00 | n/a | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$26.50 | $295 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$27.00 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $65.45 | $181.35 | 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 |
|
SilverScript Value |
$27.20 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.80 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$29.40 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 5 |
$30.10 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$31.60 | $295 | No Gap Coverage | 2 | Tier 2 | $30.00 | $75.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.80 | $205 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $0.00 | $0.00 | 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 |
|
MedicareRx Rewards Value |
$34.40 | $130 | No Gap Coverage | 4 | Tier 4 Non-Specialty Injectable | 29% | 29% | None | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$36.40 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$37.00 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $79.95 | $224.85 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-004 |
$38.20 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$38.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.40 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | 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 |
|
Health Net Value Orange Option 2 |
$39.90 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$40.70 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$41.50 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $71.00 | $213.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-063 |
$41.60 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | None | |
Browse Plan Formulary | |||||||||
Blue Rx Standard |
$52.00 | $0 | No Gap Coverage | 4 | Non-Self-Administered Medical Injectables | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$55.00 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | 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 |
|
EnvisionRxPlus Gold |
$57.20 | $0 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$58.40 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$64.50 | $0 | Some Generics | 1 | Tier 1 - Preferred Generic | $0.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$71.30 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$74.30 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$76.00 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | 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 |
|
Blue Rx Enhanced |
$85.10 | $0 | Many Generics | 4 | Non-Self-Administered Medical Injectables | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-033 |
$95.20 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$111.80 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $0.00 | $0.00 | None | |
Browse Plan Formulary |
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