2009 / 2010 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
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Plan Name | Monthly Premium |
Deduct- ible |
(Donut Hole) Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing | Members In This Plan | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2009 AdvantraRx Value | $37.00 | $0 | No Gap Coverage | No | S5674 -068 | $9.00 | $25.00 | $53.00 | 33% | 125 members | ||
2010 AdvantraRx Value (PDP) | $40.80 | $100 | No Gap Coverage | No | $6.00 | 20% | 66% | 30% | tbd members | |||
2009 AdvantraRx Premier | $57.60 | $0 | No Gap Coverage | No | S5674 -069 | $5.00 | $25.00 | $66.00 | 33% | 30 members | ||
2010 AdvantraRx Premier (PDP) | $73.40 | $0 | No Gap Coverage | No | $12.00 | 16% | 52% | 33% | tbd members | |||
2009 AdvantraRx Premier Plus | $76.20 | $0 | Many Generics | No | S5674 -071 | $4.00 | $29.00 | $74.00 | 33% | 34 members | ||
2010 AdvantraRx Premier Plus (PDP) | $82.10 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | |||
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