2012 / 2013 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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2012 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $34.40 | $255 | No additional gap coverage, only the Donut Hole Discount | No | S5795 -003 | $6.00 | $45.00 | $84.00 | 25% | 26,354 members | ||
2013 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $31.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $11.00 | 20% | 31% | tbd members | |||
2012 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $90.80 | $0 | Many Generics | No | S5795 -002 | $6.00 | $45.00 | $84.00 | 25% | 14,439 members | ||
2013 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $88.80 | $0 | Many Generics, Few Brands |
No | $6.00 | $45.00 | $84.00 | 25% | tbd members | |||
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