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) - S5884-112 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) - S5644-082 Benefit Details |
$23.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $5.75 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 | ||||||
BravoRx (PDP) - S5998-033 Benefit Details |
$27.00 | $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 | ||
Health Net Orange Option 1 (PDP) - S5678-062 Sanctioned Plan |
$27.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $36.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,546 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-098 Benefit Details |
$32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Generic and Preferred Brand: $2.00 Non-Preferred Generic/Preferred Brand: 31% Non-Preferred Generic/ Non-Preferred Brand: 71% Specialty Tier: 25% | 2,846 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) - S5967-166 Benefit Details |
$34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Generic and Preferred Brand: $44.00 Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,463 Browse Formulary | ||
Blue MedicareRx Standard (PDP) - S5596-029 Benefit Details |
$36.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $4.00 Tier 2: $7.00 Tier 3: $41.00 Tier 4: 25% Tier 5: 25% | 2,924 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-029 Benefit Details |
$38.00 | $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 | ||
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) - S5820-028 Benefit Details |
$38.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic Brand: $8.00 Tier 2 Generic Preferred Brand: $44.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $89.00 Tier 4 Specialty: 33% | 3,685 Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-031 Benefit Details |
$41.00 | $150 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $8.00 Preferred Brand: 18% Non-Preferred Generic/Non-Preferred Brand: 35% Specialty Tier: 29% | 3,128 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-143 Benefit Details |
$45.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic/Preferred Brand: $3.00 Non-Preferred Generic/Preferred Brand: $31.00 Non-Preferred Generic/Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,323 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 29 (PDP) - S5932-028 Benefit Details |
$47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Generic: 25% Tier 2 Brand: 25% | 2,920 Browse Formulary | ||
CVS Caremark Value (PDP) - S5601-058 Benefit Details |
$48.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $5.00 Preferred Brand Drugs: $44.00 Non-Preferred Generic and Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,830 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-131 Benefit Details |
$48.80 | $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 | ||
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) - S5755-032 Benefit Details |
$50.90 | $80 | 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 | ||
Aetna Medicare Rx Essentials (PDP) - S5810-063 Benefit Details |
$52.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $5.00 Tier 2: $24.00 Tier 3: $27.00 Tier 4: $70.00 Tier 5: 25% | 3,180 Browse Formulary | ||
WellCare Signature (PDP) - S5967-063 Benefit Details |
$53.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $93.00 Specialty Tier: 33% | 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 | ||||||
Sterling Rx (PDP) - S4802-019 Benefit Details |
$56.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $4.00 Tier 2: $23.00 Tier 3: $38.00 Tier 4: 25% | 2,855 Browse Formulary | ||
Health Net Orange Option 2 (PDP) - S5678-061 Sanctioned Plan |
$82.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic : $2.00 Tier 2 Preferred Brand : $34.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $68.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 4,850 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-166 Benefit Details |
$91.00 | $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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