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 Horizon Medicare Blue Rx Standard (PDP) | $56.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5993 -001 | $0.00 | $6.00 | $40.00 | $80.00 | 3095 2013 Formulary | ||
2014 Horizon Medicare Blue Rx Standard (PDP) | $62.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $15.00 | $42.00 | $84.00 | 2839 2014 Formulary | |||
2013 Horizon Medicare Blue Rx Enhanced (PDP) | $97.00 | $0 | Many Generics | No | S5993 -003 | $0.00 | $5.00 | $38.00 | $76.00 | 3095 2013 Formulary | ||
2014 Horizon Medicare Blue Rx Enhanced (PDP) | $101.00 | $0 | Many Generics | No | $0.00 | $16.00 | $38.00 | $76.00 | 2839 2014 Formulary | |||
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