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) - S5810-057 Sanctioned Plan |
$26.70 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $2.00 Tier 2 - Non-Preferred Generic: $28.00 Tier 3 - Preferred Brand: $29.00 Tier 4 - Non-Preferred Brand: $72.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-257 Benefit Details |
$28.00 | $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 | ||||||
HealthSpring Prescription Drug Plan-Reg 23 (PDP) - S5932-022 Benefit Details |
$30.00 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-125 Benefit Details |
$30.60 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
Humana Basic S5884-122 (PDP) - S5884-122 Benefit Details |
$30.80 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.00 Non-Preferred Generics/Preferred Brand: 29% Non-Preferred Brand: 29% | 3,041 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Health Net Orange Option 1 (PDP) - S5678-052 Benefit Details |
$31.50 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $39.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-129 Benefit Details |
$31.80 | $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 | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-197 Benefit Details |
$32.20 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.25 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 | ||||||
Community CCRx Basic (PDP) - S5803-092 Benefit Details |
$32.30 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 55% | 2,887 Browse Formulary | ||
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