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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MedicareRx Rewards Standard (PDP) - S5960-127 Benefit Details |
$51.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $29.00 Non-Preferred Brand: $85.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,838 Browse Formulary | ||
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