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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WellCare Classic (PDP) - S5967-162 Benefit Details |
$39.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,724 Browse Formulary | ||
WellCare Signature (PDP) - S5967-059 Benefit Details |
$72.00 | $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 | ||
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