2012 Medicare Part D Plan Information
Click here to jump to the Chart Legend & Search Tips |
| 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 -135 | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35%
| 3277
Browse Formulary |
 |
 |
 |
First Health Part D Value Plus (PDP)

 |
$25.70 |
$0 |
No Gap Coverage |
No |
S5768 -133 | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 41% Specialty Tier Drugs: 33%
| 3220
Browse Formulary |
 |
 |
 |
Aetna CVS/pharmacy Prescription Drug Plan (PDP)

 |
$26.00 |
$320 |
No Gap Coverage |
Yes |
S5810 -044 | Preferred generic drugs: $3.00 Non-preferred generic drugs: $10.00 Preferred brand name drugs: $34.00 Non-preferred brand name drugs: 41% Specialty drugs: 25%
| 3548
Browse Formulary |
| -- |
 |
 |
CIGNA Medicare Rx Plan One (PDP)

 |
$28.20 |
$320 |
No Gap Coverage |
Yes |
S5617 -219 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $84.00 Specialty Tier Drugs: 25%
| 3582
Browse Formulary |
 |
 |
 |
Community CCRx Basic (PDP)

 |
$28.90 |
$320 |
No Gap Coverage |
Yes |
S5803 -079 | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 47% Specialty Tier Drugs: 25%
| 3019
Browse Formulary |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
EnvisionRxPlus Silver (PDP)

 |
$29.80 |
$320 |
No Gap Coverage |
Yes |
S7694 -010 | Preferred Generic Drugs: 25% Non-Preferred Generic Drugs: 25% Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 25% Specialty Tier Drugs: 25%
| 2618
Browse Formulary |
 |
 |
 |
First Health Part D Premier (PDP)

 |
$30.90 |
$250 |
No Gap Coverage |
Yes |
S5768 -040 | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 39% Specialty Tier Drugs: 26%
| 3247
Browse Formulary |
 |
 |
 |
CVS Caremark Value (PDP)

 |
$31.00 |
$320 |
No Gap Coverage |
Yes |
S5601 -020 | Generic Drugs: $5.50 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%
| 3044
Browse Formulary |
 |
 |
 |
United American - Select (PDP)

 |
$31.10 |
$320 |
No Gap Coverage |
Yes |
S5755 -081 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%
| 3214
Browse Formulary |
 |
 |
 |
Medco Medicare Prescription Plan - Value (PDP)

 |
$31.70 |
$320 |
No Gap Coverage |
Yes |
S5660 -112 | 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
Browse Formulary |
 |
 |
 |
WellCare Classic (PDP)

 |
$32.30 |
$320 |
No Gap Coverage |
Yes |
S5967 -147 | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $92.00 Specialty Tier Drugs: 25%
| 2724
Browse Formulary |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
BravoRx (PDP)

 |
$32.70 |
$320 |
No Gap Coverage |
Yes |
S5998 -019 | Tier 1: 25% Tier 2: 25% Tier 3: 25%
| 3121
Browse Formulary |
 |
 |
 |
Blue MedicareRx Standard (PDP)

 |
$32.90 |
$320 |
No Gap Coverage |
Yes |
S5596 -009 | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $90.00 Injectable Drugs: 25% Specialty Tier Drugs: 25%
| 3212
Browse Formulary |
 |
 |
 |
HealthSpring Prescription Drug Plan-Reg 10 (PDP)

 |
$33.60 |
$320 |
No Gap Coverage |
No |
S5932 -010 | Tier 1: 25% Tier 2: 25%
| 3167
Browse Formulary |
 |
 |
 |
Health Net Orange Option 1 (PDP)

 |
$34.50 |
$320 |
No Gap Coverage |
No |
S5678 -026 | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $83.00 Injectable Drugs: 25% Specialty Tier Drugs: 25%
| 4297
Browse Formulary |
 |
 |
 |
AARP MedicareRx Preferred (PDP)

 |
$42.10 |
$0 |
No Gap Coverage |
No |
S5820 -009 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $93.00 Specialty Tier Drugs: 33%
| 3874
Browse Formulary |
 |
 |
 |
Humana Enhanced (PDP)

 |
$42.70 |
$0 |
No Gap Coverage |
No |
S5884 -009 | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $72.00 Specialty Tier Drugs: 33%
| 4004
Browse Formulary |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
United American - Preferred (PDP)

 |
$52.20 |
$80 |
No Gap Coverage |
No |
S5755 -013 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $9.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 31%
| 3499
Browse Formulary |
 |
 |
 |
Blue MedicareRx Plus (PDP)

 |
$61.50 |
$0 |
Some Generics |
No |
S5596 -010 | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Injectable Drugs: 33% Specialty Tier Drugs: 33%
| 3443
Browse Formulary |
 |
 |
 |
WellCare Signature (PDP)

 |
$61.90 |
$0 |
No Gap Coverage |
No |
S5967 -044 | 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
Browse Formulary |
 |
 |
 |
Rite Aid EnvisionRxPlus (PDP)

 |
$67.10 |
$0 |
Some Generics |
No |
S7694 -081 | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: 20% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33%
| 2563
Browse Formulary |
 |
 |
 |
Medco Medicare Prescription Plan - Choice (PDP)

 |
$68.70 |
$150 |
Many Generics |
No |
S5660 -180 | 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
Browse Formulary |
 |
 |
 |
Health Net Value Orange Option 2 (PDP)

 |
$71.60 |
$0 |
No Gap Coverage |
No |
S5678 -025 | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $64.00 Injectable Drugs: 33% Specialty Tier Drugs: 33%
| 4297
Browse Formulary |
 |
 |
 |
| 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)

 |
$75.20 |
$0 |
No Gap Coverage |
No |
S5803 -147 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33%
| 3019
Browse Formulary |
 |
 |
 |
CVS Caremark Plus (PDP)

 |
$78.50 |
$0 |
No Gap Coverage |
No |
S5601 -021 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33%
| 3226
Browse Formulary |
 |
 |
 |
Aetna Medicare Rx Premier (PDP)

 |
$80.30 |
$0 |
Many Generics |
No |
S5810 -180 | 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
Browse Formulary |
| -- |
 |
 |
AARP MedicareRx Enhanced (PDP)

 |
$89.40 |
$0 |
Some Generics |
No |
S5921 -133 | 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 |
 |
 |
 |
First Health Part D Premier Plus (PDP)

 |
$100.00 |
$0 |
Some Generics and Some Brands |
No |
S5670 -060 | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 44% Specialty Tier Drugs: 33%
| 3289
Browse Formulary |
 |
 |
 |
Blue MedicareRx Premier (PDP)

 |
$108.00 |
$0 |
Many Generics and Some Brands |
No |
S5596 -011 | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Injectable Drugs: 33% Specialty Tier Drugs: 33%
| 4669
Browse Formulary |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Humana Complete (PDP)

 |
$117.50 |
$0 |
Many Generics and Some Brands |
No |
S5884 -038 | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Brand Drugs: $69.00 Specialty Tier Drugs: 33%
| 4004
Browse Formulary |
 |
 |
 |