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 |
Total Formulary Drugs | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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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% | 3,118 Browse Formulary | ||
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% | 2,875 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 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% | 2,835 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% | 3,923 Browse Formulary | ||
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% | 3,829 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 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% | 2,835 Browse Formulary | ||
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% | 3,331 Browse Formulary | ||
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% | 3,178 Browse Formulary | ||
new | new | new | ||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
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% | 3,107 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% | 4,971 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% | 3,173 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
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% | 4,173 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% | 2,875 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% | 3,364 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) - S5884-060 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% | 3,937 Browse Formulary | ||
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