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2011 Medicare Prescription Drug Plan Benefit Details for the First Health Part D Premier (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2011 Medicare Prescription Drug Plan Details
Medicare Plan Name:First Health Part D Premier (PDP)
   by First Health Part D
State:Kansas
Plan ID:S5768 - 047 - 0     Click to see other plans
Member Services:1-866-865-0662 TTY users 1-866-236-1068
— 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 First Health Part D Premier (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$33.70
Annual Deductible:$150
$0 Premium if LIS Benefits?Yes, this plan does qualify for the $0 Premium.
Annual Initial Coverage Limit (ICL):$2,840
Drug Benefit Type ❔Basic Alternative Standard (BA)
Additional Gap Coverage?No additional gap coverage, only the Donut Hole Discount
Total Number of Formulary Drugs:3,128 drugsBrowse the First Health Part D Premier (PDP) Formulary
This plan has 4 drug tiers. See cost-sharing highlights below.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$8.0018%36%29% 
• Number of Drugs per
  Tier:		13922821298156
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in Kansas:23,928 members     (CMS Region 24)
Number of Members enrolled in this plan nationally:1,054,734 members




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