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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Humana Walmart-Preferred Rx Plan (PDP) - S5884-105 Benefit Details |
$15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 30% | 3,277 Browse Formulary | ||
CVS Caremark Value (PDP) - S5601-022 Benefit Details |
$23.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,044 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
United American - Select (PDP) - S5755-082 Benefit Details |
$23.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 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: 25% | 3,214 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-080 Benefit Details |
$25.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $2.00 Preferred Brand Drugs: 24% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 25% | 3,019 Browse Formulary | ||
First Health Part D Value Plus (PDP) - S5768-134 Benefit Details |
$25.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 26% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 33% | 3,220 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-045 Benefit Details |
$26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred generic drugs: $3.00 Non-preferred generic drugs: $18.00 Preferred brand name drugs: $39.00 Non-preferred brand name drugs: 41% Specialty drugs: 25% | 3,548 Browse Formulary | ||
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WellCare Classic (PDP) - S5967-148 Benefit Details |
$27.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 25% | 2,724 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-028 Benefit Details |
$27.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $80.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 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 | ||||||
Health First Essential Prescription Drug Plan (PDP) - S0223-001 Benefit Details |
$28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $10.00 Preferred Brand Drugs: $42.50 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,521 Browse Formulary | ||
new | new | new | ||||||
EnvisionRxPlus Silver (PDP) - S7694-011 Benefit Details |
$32.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: 25% Non-Preferred Generic Drugs: 25% Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 25% Specialty Tier Drugs: 25% | 2,618 Browse Formulary | ||
BlueMedicare Rx-Option 1 (PDP) - S5904-001 Benefit Details |
$40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33% | 3,842 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) - S5820-010 Benefit Details |
$40.80 | $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: $41.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-041 Benefit Details |
$41.30 | $250 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35% Specialty Tier Drugs: 26% | 3,247 Browse Formulary | ||
Humana Enhanced (PDP) - S5884-010 Benefit Details |
$41.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $70.00 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 | ||||||
MedicareRx Rewards Standard (PDP) - S5960-117 Benefit Details |
$43.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 25% Specialty Tier Drugs: 25% | 3,212 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-053 Benefit Details |
$46.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $86.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 11 (PDP) - S5932-011 Benefit Details |
$48.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: 25% Tier 2: 25% | 3,167 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Value (PDP) - S5660-113 Benefit Details |
$49.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 35% Specialty Tier Drugs: 25% | 3,440 Browse Formulary | ||
WellCare Signature (PDP) - S5967-045 Benefit Details |
$55.00 | $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: $85.00 Specialty Tier Drugs: 33% | 2,724 Browse Formulary | ||
United American - Preferred (PDP) - S5755-014 Benefit Details |
$55.10 | $100 | No additional gap coverage, only the Donut Hole Discount | No | 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% | 3,499 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Health Net Value Orange Option 2 (PDP) - S5678-027 Benefit Details |
$75.10 | $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 | ||
Community CCRx Choice (PDP) - S5803-148 Benefit Details |
$79.50 | $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 | ||
CVS Caremark Plus (PDP) - S5601-023 Benefit Details |
$85.50 | $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 | ||
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