There are 34 stand-alone Medicare Part D plans in Georgia 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
TRELSTAR LA 11.25MG VIAL SINGLE DOSE VIAL (1 SINGLE DOSE VIAL) (NDC: 52544015476) 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 |
||||||
Prescriba Rx Bronze |
$22.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P Q:1 /84Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$22.60 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$23.60 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $58.45 | $160.35 | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$26.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$27.60 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $66.00 | $132.00 | 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 |
|
SilverScript Value |
$28.70 | $295 | No Gap Coverage | 2 | Preferred Brand | $35.25 | $79.25 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$29.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | P Q:1 /84Days | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 10 |
$29.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$30.60 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
InStil Rx |
$31.00 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$31.30 | $295 | No Gap Coverage | 3 | Tier 3 | $73.00 | $182.50 | 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 |
|
Medco Medicare Prescription Plan - Choice |
$33.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | 75% | 75% | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$35.10 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | P Q:1 /84Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$38.10 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $74.05 | $207.15 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$39.30 | $120 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$40.50 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-068 |
$40.80 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 46% | 46% | P Q:1 /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 |
|
UnitedHealth Rx Basic |
$42.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $92.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$44.10 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $62.00 | $124.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-009 |
$44.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | P Q:1 /90Days | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$45.20 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$45.40 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$50.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | P Q:1 /84Days | |
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 |
$54.20 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | None | |
Browse Plan Formulary | |||||||||
InStil Rx Plus |
$57.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $36.00 | $72.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$63.60 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $76.00 | $152.00 | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$68.30 | $0 | All Generics | 3 | Non-Preferred Brand | 75% | 75% | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$68.40 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | P Q:1 /84Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$71.30 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | 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 |
|
Prescriba Rx Platinum |
$71.80 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | P Q:1 /84Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$72.90 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$73.50 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$99.70 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-038 |
$103.40 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | P Q:1 /90Days | |
Browse Plan Formulary |
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