2010 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
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Plan Name | Monthly Prem. |
Deduct- ible |
(Donut Hole) Gap Coverage |
$0 Prem. with Full LIS? |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
Total Formulary Drugs | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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PrescribaRx Bronze (PDP) - S5597-244 Benefit Details |
$21.60 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-040 Benefit Details |
$22.80 | $150 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: 10% Non-Preferred Generic/Non-Preferred Brand: 47% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Basic (PDP) - S5803-079 Benefit Details |
$25.00 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 55% | 2,887 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-044 Sanctioned Plan |
$25.20 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $2.00 Tier 2 - Non-Preferred Generic: $26.00 Tier 3 - Preferred Brand: $28.00 Tier 4 - Non-Preferred Brand: $70.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-219 Benefit Details |
$26.70 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $80.00 Tier 4: 25% | 3,458 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Standard (PDP) - S5596-009 Benefit Details |
$26.90 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic Drugs: $5.50 Tier 2 Preferred Brand Certain Generic Drugs: 25% Tier 3 Non-Specialty Injectable Drugs: 25% Tier 4 Specialty Drugs: 25% | 3,251 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-131 Benefit Details |
$29.20 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $25.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $76.50 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
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