2011 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) Additional 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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Humana Walmart-Preferred Rx Plan (PDP) - S5884-135 Benefit Details |
$14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $2.00 Generic: $5.00 Non-Preferred Generic/Preferred Brand: 20% Non-Preferred Brand: 35% | 3,488 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-076 Benefit Details |
$27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $4.50 Preferred Brand: 25% Non-Preferred Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,830 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Basic (PDP) - S5803-079 Benefit Details |
$28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic and Preferred Brand: $2.00 Non-Preferred Generic/Preferred Brand: 31% Non-Preferred Generic/ Non-Preferred Brand: 65% Specialty Tier: 25% | 2,846 Browse Formulary | ||
WellCare Classic (PDP) - S5967-147 Benefit Details |
$29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Generic and Preferred Brand: $41.00 Generic and Non-Preferred Brand: $84.00 Specialty Tier: 25% | 2,463 Browse Formulary | ||
BravoRx (PDP) - S5998-019 Benefit Details |
$29.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,848 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CVS Caremark Value (PDP) - S5601-020 Benefit Details |
$29.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,830 Browse Formulary | ||
Blue MedicareRx Standard (PDP) - S5596-009 Benefit Details |
$30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: $4.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 25% Tier 5: 25% | 2,924 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-010 Benefit Details |
$30.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generics: 25% Tier 2 Non-Preferred Generics: 25% Tier 3 Preferred Brand: 25% Tier 4 Non-Preferred Brand: 25% Tier 5 Specialty Drugs: 25% | 2,388 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan One (PDP) - S5617-219 Benefit Details |
$31.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic/Preferred Brand: $3.00 Non-Preferred Generic/Preferred Brand: $28.00 Non-Preferred Generic/Non-Preferred Brand: $79.00 Specialty Tier: 25% | 3,323 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-026 Sanctioned Plan |
$31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $32.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,546 Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-040 Benefit Details |
$31.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $9.00 Preferred Brand: 17% Non-Preferred Generic/Non-Preferred Brand: 34% Specialty Tier: 29% | 3,128 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Essentials (PDP) - S5810-044 Benefit Details |
$31.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $5.00 Tier 2: $20.00 Tier 3: $26.00 Tier 4: $70.00 Tier 5: 25% | 3,180 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 10 (PDP) - S5932-010 Benefit Details |
$32.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Generic: 25% Tier 2 Brand: 25% | 2,920 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-112 Benefit Details |
$32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: 25% Preferred Brands: 25% Non-Preferred Brands: 25% Specialty Drugs: 25% | 3,141 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx (PDP) - S4802-007 Benefit Details |
$38.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $4.00 Tier 2: $21.00 Tier 3: $37.00 Tier 4: 25% | 2,855 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-009 Benefit Details |
$39.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $44.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $76.00 Tier 4 Specialty: 33% | 3,685 Browse Formulary | ||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-013 Benefit Details |
$50.10 | $60 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $10.00 Preferred Brand Name: $45.00 Non-Preferred Brand Name: $95.00 Specialty: 31% | 3,221 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature (PDP) - S5967-044 Benefit Details |
$56.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | 2,463 Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-025 Sanctioned Plan |
$76.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic : $0.00 Tier 2 Preferred Brand : $32.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $64.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 3,546 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-147 Benefit Details |
$87.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic and Preferred Brand: $0.00 Non-Preferred Generic/Preferred Brand: $35.00 Non-Preferred Generic/ Non-Preferred Brand: $65.00 Specialty Tier: 33% | 2,846 Browse Formulary | ||
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