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) - S2505-005 Benefit Details |
$19.90 | $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: 50% | 2,629 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-054 Sanctioned Plan |
$21.20 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $1.00 Tier 2 - Non-Preferred Generic: $23.00 Tier 3 - Preferred Brand: $24.00 Tier 4 - Non-Preferred Brand: $68.00 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 | ||||||
PrescribaRx Bronze (PDP) - S5597-254 Benefit Details |
$24.80 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-046 Benefit Details |
$25.80 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $37.00 Tier 3 Non-Preferred: $97.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-226 Benefit Details |
$28.10 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $31.00 Tier 3: $74.00 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 | ||||||
MedicareRx Rewards Standard (PDP) - S5960-126 Benefit Details |
$28.30 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic Drugs: $6.00 Tier 2 Preferred Brand Certain Generic Drugs: 25% Tier 3 Non-Specialty Injectable Drugs: 25% Tier 4 Specialty Drugs: 25% | 3,251 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-089 Benefit Details |
$28.40 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 55% | 2,887 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-321 Benefit Details |
$30.20 | $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: $71.75 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 | ||||||
HealthSpring Prescription Drug Plan-Reg 20 (PDP) - S5932-019 Benefit Details |
$31.30 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
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