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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Aetna Medicare Rx Essentials (PDP) - S5810-052 Sanctioned Plan |
$29.60 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $2.00 Tier 2 - Non-Preferred Generic: $27.00 Tier 3 - Preferred Brand: $28.00 Tier 4 - Non-Preferred Brand: $70.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-120 Benefit Details |
$33.00 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
BravoRx (PDP) - S5998-023 Benefit Details |
$33.30 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
Fox Value Plan (PDP) - S5557-044 Sanctioned Plan |
$33.70 | $310 | No Gap Coverage | Yes | Tier 1: 0% Tier 2: 50% Tier 3: 35% Tier 4: 60% Tier 5: 25% | 2,857 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-042 Benefit Details |
$33.70 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $37.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
HealthSpring Prescription Drug Plan-Reg 18 (PDP) - S5932-017 Benefit Details |
$34.20 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
SilverScript Value (PDP) - S5601-036 Benefit Details |
$34.50 | $310 | No Gap Coverage | Yes | Generic Tier: $8.00 Preferred Brand Tier: $20.00 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-252 Benefit Details |
$34.90 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Silver (PDP) - S7694-018 Benefit Details |
$35.30 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
CIGNA Medicare Rx Plan Two (PDP) - S5617-090 Benefit Details |
$36.30 | $100 | No Gap Coverage | Yes | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $36.00 Tier 4: $84.00 Tier 5: 25% | 3,510 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-301 Benefit Details |
$38.80 | $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: $81.00 Tier 4 Specialty: 25% | 3,614 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) - S5803-087 Benefit Details |
$39.60 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 50% | 2,887 Browse Formulary | ||
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