2013 / 2014 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
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Plan Name | Monthly Premium |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing | Total Formulary Drugs | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 Blue MedicareRx Standard (PDP) | $35.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5596 -009 | $2.00 | $6.00 | $34.00 | $85.00 | 2838 2013 Formulary | ||
2014 Blue MedicareRx Standard (PDP) | $23.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | $37.00 | $87.00 | 2463 2014 Formulary | |||
2013 Blue MedicareRx Plus (PDP) | $74.90 | $0 | Few Generics | No | S5596 -010 | $2.00 | $7.00 | $45.00 | $90.00 | 3107 2013 Formulary | ||
2014 Blue MedicareRx Plus (PDP) | $72.70 | $0 | Some Generics | No | $1.00 | $7.00 | $40.00 | $90.00 | 2854 2014 Formulary | |||
2013 Blue MedicareRx Premier (PDP) | $106.10 | $0 | Many Generics, Some Brands |
No | S5596 -011 | $2.00 | $7.00 | $45.00 | $90.00 | 4173 2013 Formulary | ||
2014 Blue MedicareRx Premier (PDP) | $102.00 | $0 | Some Generics, Some Brands |
No | $1.00 | $7.00 | $40.00 | $90.00 | 3609 2014 Formulary | |||
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