2010 Medicare Part D Plan Information
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| Plan Name |
Monthly Prem. |
Deduct- ible |
(Donut Hole) Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
PrescribaRx Bronze (PDP)
|
$22.00 |
$310 |
No Gap Coverage |
Yes |
S5597 -246 | Tier 1: 25% Tier 2: 25% Tier 3: 25%
| 2852
|
 |
 |
 |
Community CCRx Basic (PDP)
|
$23.50 |
$310 |
No Gap Coverage |
Yes |
S5803 -081 | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 65%
| 2887
|
 |
 |
 |
Windsor Rx (PDP)
|
$25.10 |
$310 |
No Gap Coverage |
Yes |
S2505 -001 | Tier 1 - Preferred Generic: $5.00 Tier 2 - Preferred Brand: 20% Tier 3 - Specialty: 25% Tier 4 - NonPreferred Brand/NonPreferred Generic: 45%
| 2629
|
 |
 |
 |
CIGNA Medicare Rx Plan One (PDP)
|
$26.40 |
$310 |
No Gap Coverage |
Yes |
S5617 -220 | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $79.00 Tier 4: 25%
| 3458
|
 |
 |
 |
AARP MedicareRx Saver (PDP)
|
$26.50 |
$310 |
No Gap Coverage |
Yes |
S5921 -151 | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $25.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $71.50 Tier 4 Specialty: 25%
| 3614
|
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Humana Value S5884-106 (PDP)
|
$27.80 |
$150 |
No Gap Coverage |
No |
S5884 -106 | Preferred Generic: $5.00 Non-Preferred Generics/Preferred Brand: $35.00 Non-Preferred Brand: 33%
| 3041
|
 |
 |
 |
BlueRx Option I (PDP)
|
$28.50 |
$220 |
No Gap Coverage |
Yes |
S1030 -006 | Tier 1: $3.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: $60.00 Tier 5: 25%
| 3326
|
 |
 |
 |
First Health Part D-Secure (PDP)
|
$30.00 |
$175 |
No Gap Coverage |
No |
S5768 -094 | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 52% Specialty - Generic and Brand: 28%
| 2791
|
 |
 |
 |
Medco Medicare Prescription Plan - Value (PDP)
|
$30.00 |
$310 |
No Gap Coverage |
Yes |
S5660 -114 | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25%
| 3061
|
 |
 |
 |
HealthSpring Prescription Drug Plan -Reg12 (PDP)
|
$30.20 |
$310 |
No Gap Coverage |
Yes |
S5932 -001 | Tier 1: 25% Tier 2: 25%
| 3035
|
 |
 |
 |
First Health Part D-Premier (PDP)
|
$30.70 |
$150 |
No Gap Coverage |
Yes |
S5768 -015 | Preferred Generic: $7.00 Preferred Brand: 11% Non-Preferred Generic/Non-Preferred Brand: 43% Specialty - Generic and Brand: 29%
| 3031
|
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
MedicareRx Rewards Standard (PDP)
|
$31.20 |
$310 |
No Gap Coverage |
No |
S5960 -118 | Tier 1 Preferred Generic Drugs: $6.50 Tier 2 Preferred Brand Certain Generic Drugs: 25% Tier 3 Non-Specialty Injectable Drugs: 25% Tier 4 Specialty Drugs: 25%
| 3251
|
 |
 |
 |
Aetna Medicare Rx Essentials (PDP)
|
$31.30 |
$310 |
No Gap Coverage |
No |
S5810 -046 | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $27.00 Tier 3 - Preferred Brand: $28.00 Tier 4 - Non-Preferred Brand: $70.00 Tier 5 Specialty: 25%
| 3448
|
 |
 |
 |
BravoRx (PDP)
|
$31.50 |
$310 |
No Gap Coverage |
No |
S5998 -020 | Tier 1: 25% Tier 2: 25% Tier 3: 25%
| 2912
|
 |
 |
 |
CIGNA Medicare Rx Plan Two (PDP)
|
$32.30 |
$100 |
No Gap Coverage |
No |
S5617 -060 | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $37.00 Tier 4: $84.00 Tier 5: 25%
| 3510
|
 |
 |
 |
Advantage Star Plan by RxAmerica (PDP)
|
$32.40 |
$310 |
No Gap Coverage |
No |
S5644 -012 | Preferred Generic: $3.50 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45%
| 2629
|
 |
 |
 |
Health Net Orange Option 1 (PDP)
|
$32.80 |
$310 |
No Gap Coverage |
No |
S5678 -030 | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $38.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25%
| 3650
|
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
SilverScript Value (PDP)
|
$33.00 |
$310 |
No Gap Coverage |
No |
S5601 -024 | Generic Tier: $7.00 Preferred Brand Tier: $19.75 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25%
| 3178
|
 |
 |
 |
Aetna Medicare Rx Plus (PDP)
|
$33.50 |
$0 |
No Gap Coverage |
No |
S5810 -216 | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $38.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 33%
| 3448
|
 |
 |
 |
EnvisionRxPlus Silver (PDP)
|
$33.60 |
$310 |
No Gap Coverage |
No |
S7694 -012 | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25%
| 2318
|
 |
 |
 |
WellCare Classic (PDP)
|
$33.70 |
$310 |
No Gap Coverage |
tbd |
S5967 -149 | Tier 1: $4.00 Tier 2: $33.00 Tier 3: $65.00 Tier 4: 25%
| tbd
|
 |
 |
 |
PrescribaRx Gold (PDP)
|
$35.80 |
$150 |
No Gap Coverage |
No |
S5597 -044 | Generic: $6.00 Brand: $43.00 Specialty: 29%
| 2852
|
 |
 |
 |
MedicareRx Rewards Plus (PDP)
|
$37.90 |
$0 |
No Gap Coverage |
No |
S5960 -148 | Tier 1 Preferred Generic Drugs: $7.00 Tier 2 Preferred Brand Certain Generic Drugs: $43.00 Tier 3 Non-Preferred Brand Certain Generic Drugs: $85.00 Tier 4 Non-Specialty Injectable Drugs: 33% Tier 5 Specialty Drugs: 33%
| 3318
|
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Community CCRx Choice (PDP)
|
$38.60 |
$150 |
No Gap Coverage |
No |
S5803 -149 | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29%
| 2887
|
 |
 |
 |
AdvantraRx Value (PDP)
|
$39.10 |
$100 |
No Gap Coverage |
No |
S5670 -063 | Preferred Generic: $7.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 62% Specialty - Generic and Brand: 30%
| 2811
|
 |
 |
 |
UA Medicare Part D Rx Covg - Silver Plan (PDP)
|
$40.30 |
$160 |
No Gap Coverage |
No |
S5755 -050 | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25%
| 3092
|
 |
 |
 |
AARP MedicareRx Preferred (PDP)
|
$40.90 |
$0 |
No Gap Coverage |
No |
S5820 -011 | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $63.25 Tier 4 Specialty: 33%
| 4916
|
 |
 |
 |
Humana Enhanced S5884-001 (PDP)
|
$43.60 |
$0 |
No Gap Coverage |
No |
S5884 -001 | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $75.00 Specialty: 33%
| 4024
|
 |
 |
 |
Medco Medicare Prescription Plan - Choice (PDP)
|
$43.80 |
$100 |
No Gap Coverage |
No |
S5660 -012 | Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: 75% Specialty: 30%
| 3061
|
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
WellCare Signature (PDP)
|
$44.00 |
$0 |
No Gap Coverage |
tbd |
S5967 -046 | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33%
| tbd
|
 |
 |
 |
AdvantraRx Premier (PDP)
|
$46.80 |
$0 |
No Gap Coverage |
No |
S5670 -064 | Preferred Generic: $12.00 Preferred Brand: 16% Non-Preferred Generic and Non-Preferred Brand: 49% Specialty - Generic and Brand: 33%
| 3036
|
 |
 |
 |
UA Medicare Part D Prescription Drug Cov (PDP)
|
$48.10 |
$0 |
No Gap Coverage |
No |
S5755 -015 | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33%
| 3179
|
 |
 |
 |
Advantage Freedom Plan by RxAmerica (PDP)
|
$48.60 |
$0 |
No Gap Coverage |
No |
S5644 -056 | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45%
| 2626
|
 |
 |
 |
SilverScript CVS Caremark Plus (PDP)
|
$51.30 |
$50 |
No Gap Coverage |
No |
S5601 -025 | Value Generic Tier: $2.50 Generic Tier: $7.50 Value Brand Tier: $25.00 Preferred Brand Tier: $30.00 Non-Preferred Brand Tier: $90.00
| 3201
|
 |
 |
 |
Health Net Value Orange Option 2 (PDP)
|
$56.20 |
$0 |
No Gap Coverage |
No |
S5678 -029 | Tier 1 Preferred Generic : $9.00 Tier 2 Preferred Brand : $42.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33%
| 3650
|
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
CIGNA Medicare Rx Plan Three (PDP)
|
$60.50 |
$0 |
Many Generics and Few Brand |
No |
S5617 -182 | Tier 1: $6.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33%
| 3848
|
 |
 |
 |
BlueRx Option II (PDP)
|
$61.10 |
$0 |
Few Generics |
No |
S1030 -001 | Tier 1: $2.00 Tier 2: $4.00 Tier 3: $35.00 Tier 4: $60.00 Tier 5: 33%
| 4880
|
 |
 |
 |
EnvisionRxPlus Gold (PDP)
|
$62.60 |
$150 |
No Gap Coverage |
No |
S7694 -046 | Tier 1 Preferred Generic: $4.00 Tier 2 NonPreferred Generics: $30.00 Tier 3 Preferred Brand: $25.00 Tier 4 NonPreferred Brand: 25% Tier 5 Specialty: 25%
| 2336
|
 |
 |
 |
Sterling Rx (PDP)
|
$63.00 |
$310 |
No Gap Coverage |
No |
S4802 -033 | Generic: $9.00 Brand: $31.00 Specialty: 25%
| 2858
|
 |
 |
 |
SilverScript CVS Caremark Complete (PDP)
|
$63.20 |
$0 |
Many Generics |
No |
S5601 -083 | Value Generic Tier: $2.50 Generic Tier: $7.50 Preferred Brand Tier: $39.00 Non-Preferred Brand Tier: $98.00 Specialty Tier: 33%
| 3201
|
 |
 |
 |
AdvantraRx Premier Plus (PDP)
|
$64.30 |
$0 |
Many Generics |
No |
S5670 -066 | Preferred Generic: $5.00 Generics: $25.00 Preferred Brand: 20% Non-Preferred Brand: 75% Specialty - Generic and Brand: 33%
| 3036
|
 |
 |
 |
| Plan Name |
Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Plan ID |
Cost-Sharing Copay/ Coinsurance |
Total Drugs |
| Service |
Exper. |
CostInfo |
Community CCRx Gold (PDP)
|
$72.30 |
$0 |
All Generics |
No |
S5803 -229 | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33%
| 2887
|
 |
 |
 |
AARP MedicareRx Enhanced (PDP)
|
$76.60 |
$0 |
Many Generics |
No |
S5921 -153 | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $90.00 Tier 4 Specialty: 33%
| 4916
|
 |
 |
 |
Medco Medicare Prescription Plan - Access (PDP)
|
$79.20 |
$0 |
Many Generics |
No |
S5660 -182 | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33%
| 3061
|
 |
 |
 |
Aetna Medicare Rx Premier (PDP)
|
$87.20 |
$0 |
Many Generics |
No |
S5810 -182 | Tier 1 - Preferred Generic: $6.00 Tier 2 - Non-Preferred Generic: $35.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $84.00 Tier 5 - Specialty: 33%
| 3448
|
 |
 |
 |
Humana Complete S5884-040 (PDP)
|
$100.70 |
$0 |
Many Generics |
No |
S5884 -040 | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $75.00 Specialty: 33%
| 4024
|
 |
 |
 |