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 -112 | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35%
| 3277
Browse Formulary |
 |
 |
 |
Community CCRx Basic (PDP)

 |
$24.90 |
$320 |
No Gap Coverage |
Yes |
S5803 -098 | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 25%
| 3019
Browse Formulary |
 |
 |
 |
CVS Caremark Value (PDP)

 |
$25.80 |
$320 |
No Gap Coverage |
No |
S5601 -058 | Generic Drugs: $5.75 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%
| 3044
Browse Formulary |
 |
 |
 |
Aetna CVS/pharmacy Prescription Drug Plan (PDP)

 |
$26.00 |
$320 |
No Gap Coverage |
No |
S5810 -063 | Preferred generic drugs: $3.00 Non-preferred generic drugs: $28.00 Preferred brand name drugs: $38.00 Non-preferred brand name drugs: 39% Specialty drugs: 25%
| 3548
Browse Formulary |
| -- |
 |
 |
EnvisionRxPlus Silver (PDP)

 |
$26.60 |
$320 |
No Gap Coverage |
No |
S7694 -029 | 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 |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Health Net Orange Option 1 (PDP)

 |
$26.60 |
$320 |
No Gap Coverage |
No |
S5678 -062 | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $94.00 Injectable Drugs: 25% Specialty Tier Drugs: 25%
| 4297
Browse Formulary |
 |
 |
 |
BravoRx (PDP)

 |
$28.20 |
$320 |
No Gap Coverage |
No |
S5998 -033 | Tier 1: 25% Tier 2: 25% Tier 3: 25%
| 3121
Browse Formulary |
 |
 |
 |
First Health Part D Value Plus (PDP)

 |
$28.20 |
$0 |
No Gap Coverage |
No |
S5768 -152 | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 42% Specialty Tier Drugs: 33%
| 3220
Browse Formulary |
 |
 |
 |
WellCare Classic (PDP)

 |
$28.40 |
$0 |
No Gap Coverage |
No |
S5967 -166 | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $92.00 Specialty Tier Drugs: 33%
| 2724
Browse Formulary |
 |
 |
 |
United American - Select (PDP)

 |
$34.40 |
$320 |
No Gap Coverage |
No |
S5755 -100 | 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: 25%
| 3214
Browse Formulary |
 |
 |
 |
HealthSpring Prescription Drug Plan-Reg 29 (PDP)

 |
$34.80 |
$320 |
No Gap Coverage |
No |
S5932 -028 | 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 |
First Health Part D Premier (PDP)

 |
$39.00 |
$250 |
No Gap Coverage |
No |
S5768 -031 | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 21% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 26%
| 3247
Browse Formulary |
 |
 |
 |
AARP MedicareRx Preferred (PDP)

 |
$39.80 |
$0 |
No Gap Coverage |
No |
S5820 -028 | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33%
| 3874
Browse Formulary |
 |
 |
 |
Humana Enhanced (PDP)

 |
$41.20 |
$0 |
No Gap Coverage |
No |
S5884 -087 | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33%
| 4004
Browse Formulary |
 |
 |
 |
Blue MedicareRx Standard (PDP)

 |
$42.40 |
$320 |
No Gap Coverage |
No |
S5596 -062 | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Injectable Drugs: 25% Specialty Tier Drugs: 25%
| 3212
Browse Formulary |
 |
 |
 |
CIGNA Medicare Rx Plan One (PDP)

 |
$45.10 |
$320 |
No Gap Coverage |
No |
S5617 -143 | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $86.00 Specialty Tier Drugs: 25%
| 3582
Browse Formulary |
 |
 |
 |
Medco Medicare Prescription Plan - Value (PDP)

 |
$48.70 |
$320 |
No Gap Coverage |
No |
S5660 -131 | 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 |
 |
 |
 |
| 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)

 |
$52.80 |
$110 |
No Gap Coverage |
No |
S5755 -032 | 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: 30%
| 3499
Browse Formulary |
 |
 |
 |
WellCare Signature (PDP)

 |
$64.30 |
$0 |
No Gap Coverage |
No |
S5967 -063 | 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 |
 |
 |
 |
Rite Aid EnvisionRxPlus (PDP)

 |
$68.60 |
$0 |
Some Generics |
No |
S7694 -099 | 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)

 |
$72.40 |
$150 |
Many Generics |
No |
S5660 -199 | 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)

 |
$75.30 |
$0 |
No Gap Coverage |
No |
S5678 -061 | 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 |
 |
 |
 |
Blue MedicareRx Plus (PDP)

 |
$77.70 |
$0 |
Some Generics |
No |
S5596 -063 | 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 |
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
CVS Caremark Plus (PDP)

 |
$82.60 |
$0 |
No Gap Coverage |
No |
S5601 -059 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33%
| 3226
Browse Formulary |
 |
 |
 |
Community CCRx Choice (PDP)

 |
$84.30 |
$0 |
No Gap Coverage |
No |
S5803 -166 | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33%
| 3019
Browse Formulary |
 |
 |
 |
AARP MedicareRx Enhanced (PDP)

 |
$91.10 |
$0 |
Some Generics |
No |
S5921 -273 | 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 |
 |
 |
 |
Aetna Medicare Rx Premier (PDP)

 |
$93.40 |
$0 |
Many Generics |
No |
S5810 -199 | 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 |
| -- |
 |
 |
First Health Part D Premier Plus (PDP)

 |
$107.00 |
$0 |
Some Generics and Some Brands |
No |
S5670 -150 | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 33%
| 3289
Browse Formulary |
 |
 |
 |
Blue MedicareRx Premier (PDP)

 |
$126.60 |
$0 |
Many Generics and Some Brands |
No |
S5596 -064 | 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 |
 |
 |
 |