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Find a 2012 Stand-Alone Medicare Part D Prescription Drug Plan

PDP-Finder shows basic details for all 2012 Medicare Part D Plans.

Not sure where to begin? Just "click" on your state to see all 2012 Medicare Part D plans:

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MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY

Choose Your Medicare Part D Prescription Drug Plan Preferences

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Plan Family:	1:	2:
Other Options:	National Plans 5-star rated plans Limit Search to 5 Plans
Maximum Premium:	$	max: $132
Maximum Deductible:	$	max: $320
Max. Co-pay Tier 1 (Generics):	$	Ex: enter 0 to show plans with a $0 Tier 1 Co-pay
Type of Gap Coverage:
Full Low-Income Subsidy? See Amounts
Additional Info:
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There are 33 Stand-Alone 2012 Medicare Part D plans which meet your criteria.

Click below to access enrollment options (including download, online, and telephone).

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 -137	Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 30%	3277 Browse Formulary

First Health Part D Value Plus (PDP)			$25.10	$0	No Gap Coverage	No	S5768 -137	Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 33%	3220 Browse Formulary

Aetna CVS/pharmacy Prescription Drug Plan (PDP)			$26.00	$320	No Gap Coverage	Yes	S5810 -048	Preferred generic drugs: $3.00 Non-preferred generic drugs: $21.00 Preferred brand name drugs: $35.00 Non-preferred brand name drugs: 39% Specialty drugs: 25%	3548 Browse Formulary
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EnvisionRxPlus Silver (PDP)			$26.70	$320	No Gap Coverage	Yes	S7694 -014	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

Community CCRx Basic (PDP)			$26.90	$320	No Gap Coverage	Yes	S5803 -083	Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 45% 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
CVS Caremark Value (PDP)			$27.70	$320	No Gap Coverage	Yes	S5601 -028	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)			$29.10	$320	No Gap Coverage	Yes	S5755 -085	Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%	3214 Browse Formulary

HealthSpring Prescription Drug Plan-Reg 14 (PDP)			$29.70	$320	No Gap Coverage	Yes	S5932 -013	Tier 1: 25% Tier 2: 25%	3167 Browse Formulary

WellCare Classic (PDP)			$30.40	$320	No Gap Coverage	Yes	S5967 -151	Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25%	2724 Browse Formulary

CIGNA Medicare Rx Plan One (PDP)			$32.00	$320	No Gap Coverage	No	S5617 -068	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

AARP MedicareRx Preferred (PDP)			$34.80	$0	No Gap Coverage	No	S5820 -013	Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33%	3874 Browse Formulary

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	$0 Prem LIS?	Plan ID	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	CostInfo
Blue MedicareRx Standard (PDP)			$36.60	$320	No Gap Coverage	No	S5596 -013	Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: 9,000% Injectable Drugs: 25% Specialty Tier Drugs: 25%	3212 Browse Formulary

First Health Part D Premier (PDP)			$38.20	$250	No Gap Coverage	No	S5768 -017	Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 38% Specialty Tier Drugs: 26%	3247 Browse Formulary

Health Net Orange Option 1 (PDP)			$39.10	$320	No Gap Coverage	No	S5678 -034	Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Injectable Drugs: 25% Specialty Tier Drugs: 25%	4297 Browse Formulary

BravoRx (PDP)			$42.20	$320	No Gap Coverage	No	S5998 -011	Tier 1: 25% Tier 2: 25% Tier 3: 25%	3121 Browse Formulary

PrimeTime Prescription Drug Plan Basic (PDP)			$43.50	$320	No Gap Coverage	No	S1480 -001	Generic Drugs: $5.00 Preferred Brand Drugs: $29.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 25%	5202 Browse Formulary
new	new	new
Medco Medicare Prescription Plan - Value (PDP)			$44.60	$320	No Gap Coverage	No	S5660 -116	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
Humana Enhanced (PDP)			$46.10	$0	No Gap Coverage	No	S5884 -072	Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $74.00 Specialty Tier Drugs: 33%	4004 Browse Formulary

United American - Preferred (PDP)			$49.80	$100	No Gap Coverage	No	S5755 -017	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)			$57.00	$0	No Gap Coverage	No	S5967 -048	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

CIGNA Medicare Rx Plan Two (PDP)			$62.40	$0	Few Generics	No	S5617 -184	Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33%	3754 Browse Formulary

Medco Medicare Prescription Plan - Choice (PDP)			$63.40	$150	Many Generics	No	S5660 -184	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

Rite Aid EnvisionRxPlus (PDP)			$66.30	$0	Some Generics	No	S7694 -084	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

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	$0 Prem LIS?	Plan ID	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	CostInfo
PrimeTime Prescription Drug Plan Enhanced (PDP)			$66.60	$0	All Generics	No	S1480 -002	Generic Drugs: $5.00 Preferred Brand Drugs: $29.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 25%	5202 Browse Formulary
new	new	new
Blue MedicareRx Plus (PDP)			$66.70	$0	Some Generics	No	S5596 -014	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

Aetna Medicare Rx Premier (PDP)			$68.70	$0	Many Generics	No	S5810 -184	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
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Health Net Value Orange Option 2 (PDP)			$71.20	$0	No Gap Coverage	No	S5678 -033	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

Community CCRx Choice (PDP)			$76.00	$0	No Gap Coverage	No	S5803 -151	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 -029	Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33%	3226 Browse Formulary

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	$0 Prem LIS?	Plan ID	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	CostInfo
AARP MedicareRx Enhanced (PDP)			$83.80	$0	Some Generics	No	S5921 -053	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)			$92.10	$0	Some Generics and Some Brands	No	S5670 -078	Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 43% Specialty Tier Drugs: 33%	3289 Browse Formulary

Blue MedicareRx Premier (PDP)			$107.60	$0	Many Generics and Some Brands	No	S5596 -015	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

Humana Complete (PDP)			$111.50	$0	Many Generics and Some Brands	No	S5884 -042	Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $71.00 Specialty Tier Drugs: 33%	4004 Browse Formulary

A few notes to help with the understanding of the 2012 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.

Plan Name: This is the official plan name from CMS. The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

This category includes measures of how drug plans rate on the following areas:
- Time on Hold When Customer and Pharmacist Calls Drug Plan.
- Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
- Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
- Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

This category includes measures of how drug plans rate on the following areas:
- Drug Plan Provides Information or Help When Members Need It.
- Members’ Overall Rating of Drug Plan.
- Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

This category includes measures of how drug plans rate on the following areas:
- Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
- Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
- Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
- Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
- Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

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Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)
Deductible: This is the $320 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)
Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3727.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2012, ALL formulary generics will have at least a 14% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
- No Gap Coverage: you must pay the $3727.5;
- Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;
- Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;
- Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;
- All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3727.5;
- Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.
- Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)
$0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)
Plan ID: This is the unique id for this particular plan.

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Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. Plans can form their own tiers, so you should contact the plan or reference it’s summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)

Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. For 2009 Medicare Part D plans, the smallest formulary is the Geisinger Gold Rx 1 plan formulary in PA and WV with 1,994 total medications and the largest formulary is the AARP Enhanced and Preferred plans’ formulary (all states) with 5,218 total formulary drugs. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
Members in This State (updated: December 2012 figures) - This is the total number of members in this plan for this CMS Region. For regions which contain more than one state, this is the total for all of those states combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.
Members Nation Wide (updated: December 2012 figures) - This is the total number of member for this plan in all CMS Regions (States) combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.

Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2012 is $2930 and increases each year.
National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.

(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.

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