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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Windsor Rx (PDP) - S2505-003 Benefit Details |
$14.20 | $310 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $5.00 Tier 2 - Preferred Brand: 20% Tier 3 - Specialty: 25% Tier 4 - NonPreferred Brand/NonPreferred Generic: 45% | 2,629 Browse Formulary | ||
Fox Value Plan (PDP) - S5557-006 Sanctioned Plan |
$19.30 | $310 | No Gap Coverage | Yes | Tier 1: 0% Tier 2: 50% Tier 3: 35% Tier 4: 60% Tier 5: 25% | 2,826 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
First Health Part D-Premier (PDP) - S5768-043 Benefit Details |
$20.10 | $150 | No Gap Coverage | Yes | Preferred Generic: $8.00 Preferred Brand: 10% Non-Preferred Generic/Non-Preferred Brand: 40% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-253 Benefit Details |
$22.40 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
WellCare Classic (PDP) - S5967-156 Benefit Details |
$23.20 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $32.00 Tier 3: $63.00 Tier 4: 25% | tbd Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan One (PDP) - S5617-225 Benefit Details |
$24.50 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $31.00 Tier 3: $82.00 Tier 4: 25% | 3,458 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 19 (PDP) - S5932-018 Benefit Details |
$24.50 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-053 Sanctioned Plan |
$24.80 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $28.00 Tier 3 - Preferred Brand: $29.00 Tier 4 - Non-Preferred Brand: $70.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Standard (PDP) - S5960-125 Benefit Details |
$24.80 | $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 | ||
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