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 EnvisionRxPlus Silver (PDP) | $31.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -021 | 25% | 25% | 25% | 25% | 4,301 members | ||
2013 EnvisionRxPlus Silver (PDP) | $37.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $67.50 | $0 | Some Generics | No | S7694 -091 | $0.00 | 20% | 15% | 30% | 66 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
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