There are 50 stand-alone Medicare Part D plans in Texas 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
SUMATRIPTAN SUCCINATE TABLETS 25MG 9 BOX (9 BOX) (NDC: 00093022290) 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 |
$13.70 | $0 | No Gap Coverage | 1 | Preferred Generic | $6.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Secure |
$18.70 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $50.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$22.40 | $295 | No Gap Coverage | 1 | Preferred Generic | $2.00 | $4.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
SierraRx |
$22.70 | $0 | No Gap Coverage | 1 | Generic | $9.75 | $29.25 | Q:32 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$23.20 | $295 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | Q:12 /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 |
|
AARP MedicareRx Saver |
$23.50 | $295 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $5.00 | $0.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$23.50 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$23.80 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.50 | $0.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
BravoRx |
$24.50 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:54 /90Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$24.50 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$25.00 | $295 | No Gap Coverage | 1 | Generic | $0.00 | n/a | Q:12 /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 |
|
Aetna Medicare Rx Essentials |
$25.20 | $195 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$25.30 | $295 | No Gap Coverage | 2 | Tier 2 Non Preferred Generics | $34.00 | $102.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$25.80 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | Q:36 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$26.20 | $0 | No Gap Coverage | 1 | Preferred Generic | $8.00 | $16.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$28.20 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $10.00 | $15.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Value |
$30.50 | $0 | No Gap Coverage | 1 | Generic | $9.00 | $22.50 | Q:18 /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 Medicare Rx - Standard |
$30.90 | $295 | No Gap Coverage | 1 | Generic | $2.00 | $5.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$31.80 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$36.80 | $170 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | Q:54 /90Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-020 |
$37.70 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$38.30 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:36 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.40 | $0 | No Gap Coverage | 1 | Tier 1-Preferred Generic | $7.00 | $0.00 | Q:18 /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 |
|
Prescriba Rx Gold |
$38.60 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $12.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-080 |
$38.80 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$38.90 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | Q:54 /90Days | |
Browse Plan Formulary | |||||||||
Scott and White Health Plan Texas Rx Value |
$39.80 | $295 | No Gap Coverage | 1 | Preferred Generic | $4.00 | $8.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$40.40 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | Q:18 /28Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.50 | $0 | No Gap Coverage | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | Q:18 /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 |
|
Advantage Freedom Plan by RxAmerica |
$41.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $4.75 | $0.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$43.00 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $10.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$45.10 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | Q:54 /90Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$47.00 | $0 | No Gap Coverage | 1 | Generic | $7.00 | $18.00 | Q:54 /90Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$48.00 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $10.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$49.50 | $0 | No Gap Coverage | 1 | Generic | $5.00 | n/a | Q:12 /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 |
|
Aetna Medicare Rx Plus |
$53.10 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$54.40 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$59.90 | $0 | Many Generics | 1 | Preferred Generic | $4.00 | $8.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$64.70 | $0 | All Generics | 1 | Generic | $5.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$65.40 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | Q:32 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.50 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:36 /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 |
|
Prescriba Rx Platinum |
$67.20 | $0 | All Generics | 1 | Generic | $6.00 | $12.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$68.70 | $0 | No Gap Coverage | 2 | Tier 2 NonPreferred Generic | $45.00 | $135.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus |
$70.50 | $0 | All Generics | 1 | Generic | $5.00 | $12.50 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$71.60 | $0 | Many Generics | 1 | Tier 1 - Preferred Generic | $7.00 | $0.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$75.70 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | Q:9 /25Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$79.60 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | Q:54 /90Days | |
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 |
|
Aetna Medicare Rx Premier |
$80.50 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-050 |
$90.10 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | Q:9 /30Days | |
Browse Plan Formulary | |||||||||
Scott and White Health PlanTexas Rx Enhanc |
$97.10 | $0 | Many Generics | 1 | Preferred Generic | $0.00 | $0.00 | Q:18 /30Days | |
Browse Plan Formulary |
|