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 Humana Walmart-Preferred Rx Plan (PDP) | $3.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S2874 -004 | $1.00 | $5.00 | 20% | 35% | 3251 2013 Formulary | |||||
-- | -- | ||||||||||||||
2014 Humana Preferred Rx Plan (PDP) | $3.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.00 | 20% | 35% | 3043 2014 Formulary | ||||||
2013 PharmaPlus (PDP) | $14.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5840 -001 | 25% | 25% | 25% | 25% | 3449 2013 Formulary | |||||
2014 PharmaPlus (PDP) | $14.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | 3156 2014 Formulary | ||||||
2013 SmartD Rx Saver (PDP) | $14.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S0064 -035 | $0.00 | $20.00 | $35.00 | $82.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Saver (PDP) | $18.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | tbd | ||||||||||
2013 PICA Alante (PDP) | $15.50 | $299 | No additional gap coverage, only the Donut Hole Discount | No | S5775 -002 | $6.00 | $30.00 | $60.00 | 25% | 3007 2013 Formulary | |||||
2014 PICA Alante (PDP) | $24.00 | $299 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $30.00 | $60.00 | 2926 2014 Formulary | ||||||
2013 Humana Enhanced (PDP) | $28.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S2874 -001 | $2.00 | $5.00 | $43.00 | $90.00 | 3923 2013 Formulary | |||||
-- | -- | ||||||||||||||
2014 Humana Enhanced (PDP) | $31.80 | $0 | Few Brands | No | $2.00 | $5.00 | $43.00 | $92.00 | 3745 2014 Formulary | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Total Drugs | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2013 AARP MedicareRx Preferred (PDP) | $35.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -037 | $3.00 | $5.00 | $40.00 | $85.00 | 3829 2013 Formulary | |||||
2014 AARP MedicareRx Preferred (PDP) | $40.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $43.00 | $85.00 | 3707 2014 Formulary | ||||||
2013 SmartD Rx Plus (PDP) | $42.90 | $0 | Some Generics | No | S0064 -070 | $0.00 | $20.00 | $35.00 | $82.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Plus (PDP) | $41.50 | $0 | Call Plan for details | No | tbd | ||||||||||
2013 Express Scripts Medicare - Value (PDP) | $43.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -137 | $4.00 | $7.00 | 25% | 50% | 3381 2013 Formulary | |||||
2014 Express Scripts Medicare - Value (PDP) | $51.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $8.00 | 25% | 50% | 3171 2014 Formulary | ||||||
2013 Express Scripts Medicare - Choice (PDP) | $74.60 | $200 | Many Generics | No | S5660 -205 | $8.00 | $45.00 | $95.00 | 28% | 3408 2013 Formulary | |||||
2014 Express Scripts Medicare - Choice (PDP) | $57.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $10.00 | $40.00 | $90.00 | 3250 2014 Formulary | ||||||
2013 Triple-S FarmaMed (PDP) | $49.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5907 -001 | $6.00 | $25.00 | 25% | 25% | 3492 2013 Formulary | |||||
2014 Triple-S FarmaMed (PDP) | $62.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $10.00 | $20.00 | 25% | 3537 2014 Formulary | ||||||
2013 PharmaPremium (PDP) | $78.20 | $0 | All Generics | No | S5840 -002 | $4.00 | $20.00 | $45.00 | 25% | 3449 2013 Formulary | |||||
2014 PharmaPremium (PDP) | $73.60 | $0 | All Generics | No | $4.00 | $8.00 | $30.00 | $60.00 | 3156 2014 Formulary | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Total Drugs | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2013 PICA Primero (PDP) | $73.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5775 -001 | $3.00 | $25.00 | $58.00 | 33% | 3007 2013 Formulary | |||||
2014 PICA Primero (PDP) | $80.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $5.00 | $25.00 | $55.00 | 2926 2014 Formulary | ||||||
2013 Triple-S FarmaMed Plus (PDP) | $79.60 | $0 | Many Generics | No | S5907 -002 | $7.00 | $40.00 | 25% | 25% | 3492 2013 Formulary | |||||
2014 Triple-S FarmaMed Plus (PDP) | $88.70 | $0 | All Generics | No | $4.00 | $15.00 | $35.00 | 25% | 3537 2014 Formulary | ||||||
2013 MediMax One (PDP) | $9.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S0043 -009 | $5.00 | $30.00 | $60.00 | 25% | 2738 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 MediMax Plus (PDP) | $47.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S0043 -010 | $4.00 | $20.00 | $45.00 | 25% | 2738 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 MediMax Elite (PDP) | $63.30 | $0 | Many Generics | No | S0043 -013 | $2.00 | $5.00 | $25.00 | $50.00 | 3097 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
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