2013 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 |
Summary Star Rating |
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Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Blue Shield Medicare Basic Plan (PDP) - S2468-003 Benefit Details |
$53.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $4.00 Preferred Brand: $37.00 Non-Preferred Brand: $76.00 Injectable Drugs: 25% Specialty Tier: 25% | 4.00 Stars Browse Formulary | ||
Express Scripts Medicare - Value (PDP) - S5660-134 Benefit Details |
$61.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 25% | 4.00 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
Blue Shield Medicare Enhanced Plan (PDP) - S2468-004 Benefit Details |
$72.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $5.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Injectable Drugs: 25% Specialty Tier: 33% | 4.00 Stars Browse Formulary | ||
Express Scripts Medicare - Choice (PDP) - S5660-202 Benefit Details |
$91.60 | $200 | Many Generics | No | Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 28% | 4.00 Stars Browse Formulary | ||
Humana Walmart-Preferred Rx Plan (PDP) - S5884-114 Benefit Details |
$18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $1.00 Non-Preferred Generics: $3.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty: 25% | 3.50 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-066 Benefit Details |
$28.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic: $2.00 Non-preferred generic: $5.00 Preferred brand: $45.00 Non-preferred brand: 47% Specialty: 25% | 3.50 Stars Browse Formulary | ||
United American - Select (PDP) - S5755-103 Benefit Details |
$36.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $4.00 Preferred Brand Name Drugs: $37.00 Non-Preferred Brand Name Drugs: $95.00 Specialty Drugs: 25% | 3.50 Stars Browse Formulary | ||
Humana Enhanced (PDP) - S5884-030 Benefit Details |
$47.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $44.00 Non-Preferred Brand: $90.00 Specialty: 33% | 3.50 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
United American - Enhanced (PDP) - S5755-035 Benefit Details |
$60.80 | $80 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $1.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty: 29% | 3.50 Stars Browse Formulary | ||
First Health Part D Premier Plus (PDP) - S5674-059 Benefit Details |
$102.40 | $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 Drugs: 33% | 3.50 Stars Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-202 Benefit Details |
$118.40 | $0 | Many Generics, Some Brands |
No | Preferred generic: $5.00 Non-preferred generic: $33.00 Preferred brand: $45.00 Non-preferred brand: tbd Specialty: 25% | 3.50 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
Humana Complete (PDP) - S5884-060 Benefit Details |
$118.60 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $5.00 Preferred Brand: $37.00 Non-Preferred Brand: $69.00 Specialty: 33% | 3.50 Stars Browse Formulary | ||
AARP MedicareRx Saver Plus (PDP) - S5921-376 Benefit Details |
$15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $45.00 Specialty Tier: 25% | 3.00 Stars Browse Formulary | ||
First Health Part D Value Plus (PDP) - S5768-155 Benefit Details |
$24.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 3.00 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
SilverScript Choice (PDP) - S5601-141 Sanctioned Plan |
$29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generics: $0.00 Preferred Brands: $34.00 Non-Preferred Brand Drugs: 35% Specialty: 33% | 3.00 Stars Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-032 Benefit Details |
$29.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: 25% Non-Preferred Generic: 25% Preferred Brand: 23% Non-Preferred Brand: 28% Specialty Tier: 25% | 3.00 Stars Browse Formulary | ||
SilverScript Basic (PDP) - S5601-064 Sanctioned Plan |
$30.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 21% Non-Preferred Brand Drugs: 43% Specialty: 33% | 3.00 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
WellCare Classic (PDP) - S5967-169 Benefit Details |
$33.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 3.00 Stars Browse Formulary | ||
Blue Cross MedicareRx Standard (PDP) - S5596-033 Benefit Details |
$41.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $85.00 Injectable Drugs: 25% Specialty Tier: 25% | 3.00 Stars Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-082 Benefit Details |
$47.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $3.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 48% | 3.00 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred (PDP) - S5820-031 Benefit Details |
$47.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generics: $3.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 3.00 Stars Browse Formulary | ||
WellCare Extra (PDP) - S5967-203 Benefit Details |
$49.00 | $0 | Many Generics | No | Preferred Generic: $0.00 Non-Preferred Generic: 25% Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 33% | 3.00 Stars Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-102 Benefit Details |
$54.00 | $150 | Some Generics | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $25.00 Non-Preferred Brand: 30% Specialty Tier: 29% | 3.00 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
Cigna Medicare Rx Plan One (PDP) - S5617-158 Benefit Details |
$55.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $28.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier: 25% | 3.00 Stars Browse Formulary | ||
Blue Cross MedicareRx Plus (PDP) - S5596-034 Benefit Details |
$76.80 | $0 | Few Generics | No | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Injectable Drugs: $95.00 Specialty Tier: 33% | 3.00 Stars Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-003 Benefit Details |
$98.00 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: $76.00 Specialty Tier: 33% | 3.00 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
Blue Cross MedicareRx Gold (PDP) - S5596-035 Benefit Details |
$113.00 | $0 | Many Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Injectable Drugs: $95.00 Specialty Tier: 33% | 3.00 Stars Browse Formulary | ||
SilverScript Plus (PDP) - S5601-065 Sanctioned Plan |
$113.10 | $0 | Many Generics, Some Brands |
No | Generics: $0.00 Preferred Brands: $34.00 Non-Preferred Brand Drugs: 35% Specialty: 33% | 3.00 Stars Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 32 (PDP) - S5932-031 Benefit Details |
$46.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Forumlary Drugs: 25% | 2.50 Stars Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Summary Star Rating |
||
Service | Exper. | Cost Info | ||||||
SmartD Rx Saver (PDP) - S0064-032 Sanctioned Plan |
$31.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $32.00 Non-preferred Brands: $85.00 Specialty: 25% | plan too new to rate Browse Formulary | ||
new | new | new | ||||||
Reader's Digest Value Rx (PDP) - S0128-033 Benefit Details |
$32.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-preferred Generic: $2.50 Preferred Brand: $37.00 Non-preferred Brand: 27% | plan too new to rate Browse Formulary | ||
new | new | new | ||||||
SmartD Rx Plus (PDP) - S0064-067 Sanctioned Plan |
$73.00 | $0 | Some Generics | No | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $32.00 Non-preferred Brands: $85.00 Specialty: 25% | plan too new to rate Browse Formulary | ||
new | new | new |
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