2012 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) - S5884-147 Benefit Details |
$15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35% | 3,277 Browse Formulary | ||
Windsor Rx (PDP) - S4802-021 Benefit Details |
$34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 25% | 2,753 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 31 (PDP) - S5932-030 Benefit Details |
$35.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% | 3,167 Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-118 Benefit Details |
$35.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: 18% Non-Preferred Brand Drugs: 33% Specialty Tier Drugs: 26% | 3,247 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-031 Benefit Details |
$36.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: 25% Non-Preferred Generic Drugs: 25% Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 25% Specialty Tier Drugs: 25% | 2,618 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) - S5803-100 Benefit Details |
$38.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 46% Specialty Tier Drugs: 25% | 3,019 Browse Formulary | ||
CVS Caremark Value (PDP) - S5601-062 Benefit Details |
$38.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.75 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,044 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-133 Benefit Details |
$38.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 25% | 3,440 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Health Net Orange Option 1 (PDP) - S5678-064 Benefit Details |
$40.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 4,297 Browse Formulary | ||
BravoRx (PDP) - S5998-034 Benefit Details |
$40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,121 Browse Formulary | ||
WellCare Classic (PDP) - S5967-168 Benefit Details |
$41.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,724 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) - S5617-153 Benefit Details |
$42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $87.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
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