2008 PDP-DrugFinder: Helps you find the right Medicare Part D Plan!
Select a letter for the drug you wish to find. You will be take to a page show all Medicare Part D drugs beginning with this letter. Click on the medication. You will return to this page. Select your state (if not already shown). Then click "Search" to see all Medicare Part D plans which have this drug on their formulary and the plan premium, deductible, and drug cost-sharing details.
Just enter your preferences in the chart below and click Search.
You will instantly receive a list of the Medicare Part D plans that fulfill your requirements.
What does all this mean? Below are a few notes to help you understand the above 2008 Medicare Part D Plan Formulary.
A few notes to help with the understanding of the 2008 Medicare Part D Plan chart above.
Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state.
Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase.
Deductible: This is the $275 deductible that was presented in the CMS Standard Plan. Many provider's plans do not have a deductible, however the premium may be higher.
Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3216.25 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following:
No Gap Coverage: you must pay the $3216.25;
Some Generics, All Preferred Generics, All Generics : Various Generics are covered, but you must pay for Brand Drugs up to $3216.25;
All Generic & Some Brands: One regional plan, only available in Florida covers all Generics and some of the Brands.
Plan ID: This is the unique id for this particular plan.
Drug Tier Information - These fields represent the Tier for this particular medication on each plan’s Formulary or Drug List.
Tier Number - This is the numerical tier level from the formulary. Most plans have four (4) tiers 1=Preferred Generics, 2=Preferred Brands, 3=Non-preferred Brands and Generics, 4=Specialty Drugs
Drug Description - This is the plan’s description of this tier.
Cost Sharing - Copay / Coinsurance - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown here
Network Preferred Pharmacy - (Ntwk. Pharm) - This is the cost-share amount you would pay during the intial coverage phase at a network pharamacy
Mail Order - This is the cost-share amount you would pay during the intial coverage phase if you purchased your medication through your plan’s mail order partner(s)
Drug Use Management - (Drug Use Mgmt) - This show if the plan requires drug use management controls for this particular medication.
None - This drug does not fall under any drug use management controls
Q - Quantity Limits -This drug is subject to quantity limits
P - Prior Authorization -This drug is subject to prior authorization
S - Step Therapy -This drug is subject to step therapy
(Chart Source: Centers for Medicare and Medicaid files: 2008LandscapeSourceData_PDP_09_25_07.xls, CMS PHARM Data (09/30/2008) and Medicare.gov website plan finder.)
Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.