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) - S5768-154 Benefit Details |
$28.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 38% Specialty Tier Drugs: 33% | 3,220 Browse Formulary | ||
Humana Enhanced (PDP) - S5884-089 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: $74.00 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) - S5820-030 Benefit Details |
$47.70 | $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: $40.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
Rite Aid EnvisionRxPlus (PDP) - S7694-101 Benefit Details |
$67.50 | $0 | Some Generics | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: 20% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33% | 2,563 Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-063 Benefit Details |
$75.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $64.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% | 4,297 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature (PDP) - S5967-065 Benefit Details |
$78.20 | $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 | ||
CVS Caremark Plus (PDP) - S5601-063 Benefit Details |
$87.10 | $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 | ||
Aetna Medicare Rx Premier (PDP) - S5810-201 Benefit Details |
$89.20 | $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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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) - S5960-160 Benefit Details |
$92.40 | $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 | ||
AARP MedicareRx Enhanced (PDP) - S5921-033 Benefit Details |
$95.70 | $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 | ||
Educators Rx Advantage (PDP) - S5877-007 Benefit Details |
$98.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: 10% Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 33% | 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 | ||||||
Community CCRx Choice (PDP) - S5803-168 Benefit Details |
$99.10 | $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 | ||
Regence Medicare Script Enhanced (PDP) - S5916-002 Benefit Details |
$106.00 | $0 | Many Generics | No | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $33.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33% Injectable Drug: 33% | 4,514 Browse Formulary | ||
First Health Part D Premier Plus (PDP) - S5674-053 Benefit Details |
$110.00 | $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: 40% 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) - S5884-059 Benefit Details |
$112.50 | $0 | Many Generics, Some Brands |
No | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $37.00 Non-Preferred Brand Drugs: $71.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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