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 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -038 | $2.00 | $5.00 | $45.00 | 44% | 3300 2013 Formulary | ||
2014 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $38.00 | $95.00 | 25% | 3017 2014 Formulary | |||
2013 Aetna Medicare Rx Premier (PDP) | $112.70 | $0 | Many Generics, Some Brands |
No | S5810 -174 | $5.00 | $33.00 | $45.00 | tbd | 3364 2013 Formulary | ||
2014 Aetna Medicare Rx Premier (PDP) | $138.50 | $0 | Few Generics | No | $4.00 | 25% | 45% | 33% | 3134 2014 Formulary | |||
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