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2009 Medicare Prescription Drug Plan Benefit Details for the Aetna Medicare Rx Premier
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2009 Medicare Prescription Drug Plan Details
Medicare Plan Name:Aetna Medicare Rx Premier
   by Aetna Medicare
State:Idaho
Plan ID:S5810 - 201 - 0     Click to see other plans
Member Services:1-877-238-6211 TTY users 1-888-760-4748
— This plan information is for research purposes only. —
Click here to see plans for the current plan year
Medicare Contact Information:Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.
TTY users 1-877-486-2048
or contact your local SHIP for assistance
Email a copy of the Aetna Medicare Rx Premier benefit details
— Medicare Plan Features —
Monthly Premium:$113.70
Annual Deductible:$0
$0 Premium if LIS Benefits?No, this plan does NOT qualify for the $0 Premium.
Drug Benefit Type ❔No drug coverage
Gap Coverage?Many Generics
Total Number of Formulary Drugs:5,374 drugsBrowse the Aetna Medicare Rx Premier Formulary
This plan has 5 drug tiers. See cost-sharing highlights below.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$0.00$10.00$30.00$65.0033%
• Number of Drugs per
  Tier:		67714915252238443
Plan Offers Mail Order?Yes
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in your CMS Region:205 members     (CMS Region 31)
Number of Members enrolled in this plan nationally:37,650 members




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