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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First Health Part D Value Plus (PDP) - S5768-145 Benefit Details |
$23.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 33% | 3,220 Browse Formulary | ||
Humana Enhanced (PDP) - S5884-020 Benefit Details |
$39.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $73.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred (PDP) - S5820-021 Benefit Details |
$45.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
WellCare Signature (PDP) - S5967-056 Benefit Details |
$60.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 2,724 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-092 Benefit Details |
$61.20 | $0 | Some Generics | No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: 15% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33% | 2,563 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 Two (PDP) - S5617-192 Benefit Details |
$74.20 | $0 | Few Generics | No | 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% | 3,754 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-192 Benefit Details |
$75.10 | $0 | Many Generics | No | 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% | 3,548 Browse Formulary | ||
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Community CCRx Choice (PDP) - S5803-159 Benefit Details |
$77.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 3,019 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CVS Caremark Plus (PDP) - S5601-045 Benefit Details |
$79.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33% | 3,226 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-193 Benefit Details |
$85.40 | $0 | Some Generics | No | 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% | 5,030 Browse Formulary | ||
Health Net Orange Option 2 (PDP) - S5678-049 Benefit Details |
$86.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $75.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% | 5,170 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus (PDP) - S5960-154 Benefit Details |
$89.40 | $0 | Some Generics | No | 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% | 3,443 Browse Formulary | ||
Blue MedicareRx Plus (PDP) - S5715-006 Benefit Details |
$90.80 | $0 | All Generics | No | Generic Drugs: $5.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 33% | 2,956 Browse Formulary | ||
First Health Part D Premier Plus (PDP) - S5670-120 Benefit Details |
$104.20 | $0 | Some Generics, Some Brands |
No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 43% Specialty Tier Drugs: 33% | 3,289 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Complete (PDP) - S5884-050 Benefit Details |
$104.30 | $0 | Many Generics, Some Brands |
No | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $68.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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