2012 Medicare Part D Plan Information
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| Plan Name |
Monthly Prem. |
Deduct- ible |
(Donut Hole) Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
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)

 |
$15.10 |
$320 |
No Gap Coverage |
Yes |
S5884 -116 | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35%
| 3277
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HealthSpring Prescription Drug Plan-Reg 34 (PDP)

 |
$27.50 |
$320 |
No Gap Coverage |
Yes |
S5932 -033 | Tier 1: 25% Tier 2: 25%
| 3167
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First Health Part D Premier (PDP)

 |
$28.60 |
$250 |
No Gap Coverage |
Yes |
S5768 -117 | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: 18% Non-Preferred Brand Drugs: 34% Specialty Tier Drugs: 26%
| 3247
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WellCare Classic (PDP)

 |
$37.00 |
$320 |
No Gap Coverage |
Yes |
S5967 -171 | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25%
| 2724
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EnvisionRxPlus Silver (PDP)

 |
$37.60 |
$320 |
No Gap Coverage |
No |
S7694 -034 | Preferred Generic Drugs: 25% Non-Preferred Generic Drugs: 25% Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 25% Specialty Tier Drugs: 25%
| 2618
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| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Medco Medicare Prescription Plan - Value (PDP)

 |
$39.80 |
$320 |
No Gap Coverage |
No |
S5660 -136 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 25%
| 3440
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AARP MedicareRx Preferred (PDP)

 |
$40.60 |
$0 |
No Gap Coverage |
No |
S5820 -033 | Preferred Generic Drugs: $6.00 Non-Preferred Generic Drugs: $11.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33%
| 3874
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CVS Caremark Value (PDP)

 |
$46.50 |
$320 |
No Gap Coverage |
No |
S5601 -068 | Generic Drugs: $2.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%
| 3044
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MedicareRx Rewards Standard (PDP)

 |
$46.50 |
$320 |
No Gap Coverage |
No |
S5960 -140 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $80.00 Injectable Drug: 25% Specialty Tier Drugs: 25%
| 3212
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CIGNA Medicare Rx Plan One (PDP)

 |
$46.90 |
$320 |
No Gap Coverage |
No |
S5617 -227 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $27.00 Non-Preferred Brand Drugs: $48.00 Specialty Tier Drugs: 25%
| 3582
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Humana Enhanced (PDP)

 |
$51.50 |
$0 |
No Gap Coverage |
No |
S5884 -094 | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $37.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33%
| 4004
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| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Community CCRx Basic (PDP)

 |
$53.10 |
$320 |
No Gap Coverage |
No |
S5803 -103 | Generic Drugs: $2.00 Preferred Brand Drugs: 24% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 25%
| 3019
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United American - Preferred (PDP)

 |
$59.80 |
$90 |
No Gap Coverage |
No |
S5755 -039 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $11.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 30%
| 3499
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WellCare Signature (PDP)

 |
$60.00 |
$0 |
No Gap Coverage |
No |
S5967 -068 | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33%
| 2724
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Health Net Orange Option 1 (PDP)

 |
$63.70 |
$320 |
No Gap Coverage |
No |
S5678 -068 | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $95.00 Injectable Drugs: 25% Specialty Tier Drugs: 25%
| 4297
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Aetna Medicare Rx Essentials (PDP)

 |
$70.80 |
$320 |
No Gap Coverage |
No |
S5810 -068 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $13.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 25%
| 3548
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| -- |
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Medco Medicare Prescription Plan - Choice (PDP)

 |
$74.00 |
$150 |
Many Generics |
No |
S5660 -204 | Preferred Generic Drugs: $6.00 Non-Preferred Generic Drugs: $12.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 26%
| 3512
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| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Health Net Value Orange Option 2 (PDP)

 |
$78.40 |
$0 |
No Gap Coverage |
No |
S5678 -067 | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $64.00 Injectable Drugs: 33% Specialty Tier Drugs: 33%
| 4297
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CVS Caremark Plus (PDP)

 |
$82.00 |
$0 |
No Gap Coverage |
No |
S5601 -069 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33%
| 3226
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EnvisionRxPlus Gold (PDP)

 |
$82.50 |
$0 |
Some Generics |
No |
S7694 -104 | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: 15% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33%
| 2563
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First Health Part D Premier Plus (PDP)

 |
$88.10 |
$0 |
Some Generics and Some Brands |
No |
S5674 -071 | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $25.00 Preferred Brand Drugs: 33% Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 33%
| 3289
Browse Formulary |
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Aetna Medicare Rx Premier (PDP)

 |
$89.00 |
$0 |
Many Generics |
No |
S5810 -204 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $25.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33%
| 3548
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| -- |
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MedicareRx Rewards Plus (PDP)

 |
$95.30 |
$0 |
Some Generics |
No |
S5960 -162 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 33% Specialty Tier Drugs: 33%
| 3443
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| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Community CCRx Choice (PDP)

 |
$95.60 |
$0 |
No Gap Coverage |
No |
S5803 -171 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33%
| 3019
Browse Formulary |
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 |
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AARP MedicareRx Enhanced (PDP)

 |
$98.90 |
$0 |
Some Generics |
No |
S5921 -013 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $76.00 Specialty Tier Drugs: 33%
| 5030
Browse Formulary |
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