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) - S5810-056 Sanctioned Plan |
$21.00 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $1.00 Tier 2 - Non-Preferred Generic: $24.00 Tier 3 - Preferred Brand: $29.00 Tier 4 - Non-Preferred Brand: $69.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-256 Benefit Details |
$23.20 | $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 | ||||||
AARP MedicareRx Saver (PDP) - S5921-191 Benefit Details |
$23.50 | $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: $80.00 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
UnitedHealthcare MedicareRx (PDP) - S5917-001 Benefit Details |
$23.50 | $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: $70.00 Tier 4 Specialty: 25% | 3,212 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-045 Benefit Details |
$24.80 | $150 | No Gap Coverage | Yes | Preferred Generic: $8.00 Preferred Brand: 12% Non-Preferred Generic/Non-Preferred Brand: 44% Specialty - Generic and Brand: 29% | 3,031 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) - S5617-108 Benefit Details |
$25.00 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $77.00 Tier 4: 25% | 3,458 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 22 (PDP) - S5932-021 Benefit Details |
$25.40 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-091 Benefit Details |
$25.70 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 25% Non-Preferred Brand: 70% | 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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-022 Benefit Details |
$25.70 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
BravoRx (PDP) - S5998-039 Benefit Details |
$26.70 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
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