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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First Health Part D-Secure (PDP) - S5768-108 Benefit Details |
$15.90 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 53% Specialty - Generic and Brand: 28% | 2,791 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-132 Benefit Details |
$15.90 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UnitedHealthcare MedicareRx (PDP) - S5917-002 Benefit Details |
$16.70 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Brand: $8.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $90.00 Tier 4 Specialty: 33% | 3,212 Browse Formulary | ||
Humana Value S5884-110 (PDP) - S5884-110 Benefit Details |
$17.00 | $150 | No Gap Coverage | No | Preferred Generic: $5.00 Non-Preferred Generics/Preferred Brand: $35.00 Non-Preferred Brand: 33% | 3,041 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-260 Benefit Details |
$17.90 | $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 | ||||||
WellCare Classic (PDP) - S5967-163 Benefit Details |
$18.00 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $35.00 Tier 3: $69.00 Tier 4: 25% | tbd Browse Formulary | ||
Blue MedicareRx - Value (PDP) - S5715-003 Benefit Details |
$18.50 | $10 | No Gap Coverage | Yes | Generic: $12.00 Preferred Brand: $45.00 Brand: $89.00 Specialty: 32% | 2,676 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-058 Benefit Details |
$19.70 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $36.00 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 | ||||||
Humana Basic S5884-123 (PDP) - S5884-123 Benefit Details |
$20.00 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.00 Non-Preferred Generics/Preferred Brand: 29% Non-Preferred Brand: 29% | 3,041 Browse Formulary | ||
AdvantraRx Value (PDP) - S5674-038 Benefit Details |
$20.70 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 67% Specialty - Generic and Brand: 30% | 2,811 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-199 Benefit Details |
$21.10 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.75 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SilverScript Value (PDP) - S5601-052 Benefit Details |
$21.10 | $310 | No Gap Coverage | Yes | Generic Tier: $8.00 Preferred Brand Tier: $21.00 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 26 (PDP) - S5932-025 Benefit Details |
$21.80 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-095 Benefit Details |
$22.80 | $310 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 65% | 2,887 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 Plus (PDP) - S5960-157 Benefit Details |
$24.20 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Drugs: $7.00 Tier 2 Preferred Brand Certain Generic Drugs: $43.00 Tier 3 Non-Preferred Brand Certain Generic Drugs: $85.00 Tier 4 Non-Specialty Injectable Drugs: 33% Tier 5 Specialty Drugs: 33% | 3,318 Browse Formulary | ||
BravoRx (PDP) - S5998-030 Benefit Details |
$24.30 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
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