2011 / 2012 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) Additional 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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2011 BlueRx Standard (PDP) | $84.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5766 -002 | $7.00 | $30.00 | $73.00 | 25% | 21,245 members | ||
2012 BlueRx Standard (PDP) | $87.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $30.00 | $65.00 | 25% | tbd members | |||
2011 BlueRx Enhanced (PDP) | $133.40 | $0 | All Generics | No | S5766 -003 | $5.00 | $30.00 | $73.00 | 25% | 4,349 members | ||
2012 BlueRx Enhanced (PDP) | $131.80 | $0 | Many Generics | No | $8.00 | $30.00 | $65.00 | 25% | tbd members | |||
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