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) - S5884-141 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 | ||
Windsor Rx (PDP) - S2505-003 Benefit Details |
$23.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: $4.00 Tier 2: $34.00 Tier 3: $70.00 Tier 4: 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 | ||||||
CVS Caremark Value (PDP) - S5601-038 Benefit Details |
$26.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.00 Preferred Brand Drugs: $34.50 Non-Preferred Generic and Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,830 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-088 Benefit Details |
$28.10 | $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: 66% Specialty Tier: 25% | 2,846 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-194 Benefit Details |
$28.60 | $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 | ||||||
WellCare Classic (PDP) - S5967-156 Benefit Details |
$29.20 | $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: $83.00 Specialty Tier: 25% | 2,463 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-125 Benefit Details |
$29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic Drugs: $4.00 Tier 2 Non-Preferred Generic Drugs: $7.00 Tier 3 Preferred Brand Drugs: $33.00 Tier 4 Injectable Drugs : 25% Tier 5 Specialty Tier Drugs : 25% | 2,924 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-019 Benefit Details |
$30.10 | $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 | ||||||
HealthSpring Prescription Drug Plan-Reg 19 (PDP) - S5932-018 Benefit Details |
$30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Generic: 25% Tier 2 Brand: 25% | 2,920 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-044 Sanctioned Plan |
$30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $34.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,546 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-121 Benefit Details |
$30.30 | $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 | ||||||
BravoRx (PDP) - S5998-024 Benefit Details |
$30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 2: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,848 Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-043 Benefit Details |
$31.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $10.00 Preferred Brand: 15% Non-Preferred Generic/Non-Preferred Brand: 33% Specialty Tier: 29% | 3,128 Browse Formulary | ||
AR Blue Cross - Medi-Pak Rx Basic (PDP) - S5795-003 Benefit Details |
$31.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 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 | ||||||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-022 Benefit Details |
$32.20 | $110 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $10.00 Preferred Brand Name: $45.00 Non-Preferred Brand Name: $95.00 Specialty: 30% | 3,221 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-225 Benefit Details |
$33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic/Preferred Brand: $3.00 Non-Preferred Generic/Preferred Brand: $29.00 Non-Preferred Generic/Non-Preferred Brand: $82.00 Specialty Tier: 25% | 3,323 Browse Formulary | ||
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