2011 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
Humana Walmart-Preferred Rx Plan (PDP) - S5884-145 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 | ||
First Health Part D Premier (PDP) - S5768-122 Benefit Details |
$31.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $8.00 Preferred Brand: 17% Non-Preferred Generic/Non-Preferred Brand: 38% 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 | ||||||
Community CCRx Basic (PDP) - S5803-094 Benefit Details |
$35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic and Preferred Brand: $2.00 Non-Preferred Generic/Preferred Brand: 30% Non-Preferred Generic/ Non-Preferred Brand: 55% Specialty Tier: 25% | 2,846 Browse Formulary | ||
CVS Caremark Value (PDP) - S5601-050 Benefit Details |
$35.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.00 Preferred Brand Drugs: $39.75 Non-Preferred Generic and Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,830 Browse Formulary | ||
WellCare Classic (PDP) - S5967-162 Benefit Details |
$36.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Generic and Preferred Brand: $45.00 Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,463 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred (PDP) - S5820-024 Benefit Details |
$37.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $74.00 Tier 4 Specialty: 33% | 3,685 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 25 (PDP) - S5932-024 Benefit Details |
$38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Generic: 25% Tier 2 Brand: 25% | 2,920 Browse Formulary | ||
Sterling Rx (PDP) - S4802-030 Benefit Details |
$38.80 | $100 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: $4.00 Tier 2: $21.00 Tier 3: $38.00 Tier 4: 25% | 2,855 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) - S5810-059 Benefit Details |
$39.00 | $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 | ||
MedicareBlue Rx Standard (PDP) - S5743-001 Benefit Details |
$39.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: $3.00 Tier 2: 2,800% Tier 3: 48% Tier 4: 25% | 2,695 Browse Formulary | ||
BravoRx (PDP) - S5998-029 Benefit Details |
$40.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: 25% Tier 2: 25% Tier 3.: 2,500% 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 | ||||||
CIGNA Medicare Rx Plan One (PDP) - S5617-123 Benefit Details |
$42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic/Preferred Brand: $3.00 Non-Preferred Generic/Preferred Brand: $28.00 Non-Preferred Generic/Non-Preferred Brand: $84.00 Specialty Tier: 25% | 3,323 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-025 Benefit Details |
$46.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 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 | ||
Health Net Orange Option 1 (PDP) - S5678-056 Sanctioned Plan |
$47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $37.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,546 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Standard (PDP) - S5960-131 Benefit Details |
$47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic Drugs: $4.00 Tier 2 Non-Preferred Generic Drugs: $7.00 Tier 3 Preferred Brand Drugs: $38.00 Tier 4 Injectable Drugs : 25% Tier 5 Specialty Tier Drugs : 25% | 2,924 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-080 Benefit Details |
$53.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $5.75 Preferred Brand: 25% Non-Preferred Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,830 Browse Formulary | ||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-028 Benefit Details |
$54.40 | $20 | 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: 32% | 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 | ||||||
Medco Medicare Prescription Plan - Value (PDP) - S5660-127 Benefit Details |
$56.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: 25% Preferred Brands: 25% Non-Preferred Brands: 25% Specialty Drugs: 25% | 3,141 Browse Formulary | ||
WellCare Signature (PDP) - S5967-059 Benefit Details |
$62.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 2,463 Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-055 Sanctioned Plan |
$80.20 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Choice (PDP) - S5803-162 Benefit Details |
$91.30 | $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 | ||
|