There are 29 stand-alone Medicare Part D plans in Pennsylvania 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
RANICLOR 375MG TABLET CHEWABLE (20 BOTPL) (NDC: 00884455820) 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 |
$13.70 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $48.00 | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$22.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$22.40 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $60.05 | $165.15 | None | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$28.70 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $52.00 | n/a | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$28.70 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | 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 |
|
CIGNA Medicare Rx Plan One |
$30.00 | $295 | No Gap Coverage | 3 | Tier 3 | $94.00 | $235.00 | None | |
Browse Plan Formulary | |||||||||
BlueRx Value |
$33.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $62.00 | $155.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$33.40 | $195 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $69.00 | $138.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $91.50 | $259.50 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$36.90 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $76.00 | $228.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$39.50 | $0 | No Gap Coverage | 4 | Tier 4 | $83.00 | $207.50 | 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 |
|
Humana PDP Standard S5884-064 |
$39.50 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$42.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $57.00 | $114.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$43.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
UPMC for Life Prescription Drug Plan |
$44.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-005 |
$44.90 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
BlueRx Plus |
$49.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $65.00 | $162.50 | 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 Plus |
$51.50 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$52.80 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $74.00 | $222.00 | None | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option I |
$54.30 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
AmeriHealth Rx Option II |
$58.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $140.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.90 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $86.00 | $172.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$69.10 | $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 |
|
CIGNA Medicare Rx Plan Three |
$72.60 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$76.40 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
SecureRx - Option 1 |
$86.90 | $0 | Many Generics | 3 | Non-preferred Brand Drugs | $85.00 | $210.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-034 |
$95.40 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$99.90 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary | |||||||||
BlueRx Complete |
$108.00 | $0 | Many Generics | 3 | Non-Preferred Brand | $55.00 | $137.50 | None | |
Browse Plan Formulary |
|