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 AR Blue Cross - Medi-Pak Rx Basic | $21.60 | $185 | No Gap Coverage | Yes | S5795 -003 | $5.00 | $30.00 | $68.00 | 25% | 23,824 members | ||
2010 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $25.90 | $200 | No Gap Coverage | Yes | $6.00 | $36.00 | $76.00 | 25% | tbd members | |||
2009 AR Blue Cross - Medi-Pak Rx Classic | $39.60 | $0 | No Gap Coverage | No | S5795 -006 | $5.00 | $30.00 | $68.00 | 25% | 13,081 members | ||
2010 AR Blue Cross - Medi-Pak Rx Classic (PDP) | $57.20 | $0 | No Gap Coverage | No | $6.00 | $36.00 | $76.00 | 25% | tbd members | |||
2009 AR Blue Cross - Medi-Pak Rx Premier | $64.90 | $0 | Many Generics | No | S5795 -002 | $5.00 | $30.00 | $68.00 | 25% | 6,891 members | ||
2010 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $86.50 | $0 | Many Generics | No | $5.00 | $36.00 | $76.00 | 25% | tbd members | |||
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