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 -115 | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35%
| 3277
Browse Formulary |
 |
 |
 |
Aetna CVS/pharmacy Prescription Drug Plan (PDP)

 |
$26.00 |
$320 |
No Gap Coverage |
Yes |
S5810 -067 | Preferred generic drugs: $3.00 Non-preferred generic drugs: $28.00 Preferred brand name drugs: $40.00 Non-preferred brand name drugs: 35% Specialty drugs: 25%
| 3548
Browse Formulary |
| -- |
 |
 |
EnvisionRxPlus Silver (PDP)

 |
$27.20 |
$320 |
No Gap Coverage |
Yes |
S7694 -033 | 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 |
 |
 |
 |
CVS Caremark Value (PDP)

 |
$27.40 |
$320 |
No Gap Coverage |
Yes |
S5601 -066 | Generic Drugs: $7.25 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%
| 3044
Browse Formulary |
 |
 |
 |
HealthSpring Prescription Drug Plan-Reg 33 (PDP)

 |
$28.50 |
$320 |
No Gap Coverage |
Yes |
S5932 -032 | Tier 1: 25% Tier 2: 25%
| 3167
Browse Formulary |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
MedicareRx Rewards Standard (PDP)

 |
$28.60 |
$320 |
No Gap Coverage |
Yes |
S5960 -139 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 25% Specialty Tier Drugs: 25%
| 3212
Browse Formulary |
 |
 |
 |
Health Net Orange Option 1 (PDP)

 |
$30.00 |
$320 |
No Gap Coverage |
Yes |
S5678 -066 | Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Injectable Drugs: 25% Specialty Tier Drugs: 25%
| 4297
Browse Formulary |
 |
 |
 |
United American - Select (PDP)

 |
$30.00 |
$320 |
No Gap Coverage |
Yes |
S5755 -038 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $9.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%
| 3214
Browse Formulary |
 |
 |
 |
AARP MedicareRx Preferred (PDP)

 |
$32.30 |
$0 |
No Gap Coverage |
Yes |
S5820 -032 | Preferred Generic Drugs: $6.00 Non-Preferred Generic Drugs: $11.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33%
| 3874
Browse Formulary |
 |
 |
 |
WellCare Classic (PDP)

 |
$32.30 |
$0 |
No Gap Coverage |
Yes |
S5967 -170 | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33%
| 2724
Browse Formulary |
 |
 |
 |
First Health Part D Premier (PDP)

 |
$35.40 |
$250 |
No Gap Coverage |
No |
S5768 -124 | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35% Specialty Tier Drugs: 26%
| 3247
Browse Formulary |
 |
 |
 |
| 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)

 |
$35.40 |
$320 |
No Gap Coverage |
No |
S5660 -135 | 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 |
 |
 |
 |
Humana Enhanced (PDP)

 |
$37.20 |
$0 |
No Gap Coverage |
No |
S5884 -093 | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33%
| 4004
Browse Formulary |
 |
 |
 |
CIGNA Medicare Rx Plan One (PDP)

 |
$38.10 |
$320 |
No Gap Coverage |
No |
S5617 -163 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $81.00 Specialty Tier Drugs: 25%
| 3582
Browse Formulary |
 |
 |
 |
Community CCRx Basic (PDP)

 |
$39.30 |
$320 |
No Gap Coverage |
No |
S5803 -102 | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 48% Specialty Tier Drugs: 25%
| 3019
Browse Formulary |
 |
 |
 |
Health Net Value Orange Option 2 (PDP)

 |
$47.60 |
$0 |
No Gap Coverage |
No |
S5678 -065 | 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 |
 |
 |
 |
EnvisionRxPlus Gold (PDP)

 |
$54.50 |
$0 |
Some Generics |
No |
S7694 -103 | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: 15% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33%
| 2563
Browse Formulary |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
WellCare Signature (PDP)

 |
$65.90 |
$0 |
No Gap Coverage |
No |
S5967 -067 | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33%
| 2724
Browse Formulary |
 |
 |
 |
Medco Medicare Prescription Plan - Choice (PDP)

 |
$66.10 |
$150 |
Many Generics |
No |
S5660 -203 | 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 |
 |
 |
 |
First Health Part D Premier Plus (PDP)

 |
$79.30 |
$0 |
Some Generics and Some Brands |
No |
S5674 -065 | 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 |
 |
 |
 |
CVS Caremark Plus (PDP)

 |
$80.30 |
$0 |
No Gap Coverage |
No |
S5601 -067 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33%
| 3226
Browse Formulary |
 |
 |
 |
AARP MedicareRx Enhanced (PDP)

 |
$82.00 |
$0 |
Some Generics |
No |
S5921 -043 | 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 |
 |
 |
 |
Community CCRx Choice (PDP)

 |
$83.40 |
$0 |
No Gap Coverage |
No |
S5803 -170 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33%
| 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 |
Aetna Medicare Rx Premier (PDP)

 |
$93.10 |
$0 |
Many Generics |
No |
S5810 -203 | 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 |
| -- |
 |
 |
MedicareRx Rewards Plus (PDP)

 |
$104.80 |
$0 |
Some Generics |
No |
S5960 -161 | 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
Browse Formulary |
 |
 |
 |