2013 / 2014 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 | Total Formulary Drugs | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 First Health Part D Value Plus (PDP) | $25.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -128 | $0.00 | $35.00 | $70.00 | 33% | 3118 2013 Formulary | ||
2014 First Health Part D Value Plus (PDP) | $39.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $11.00 | $37.00 | $88.00 | 3006 2014 Formulary | |||
2013 First Health Part D Premier (PDP) | $37.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -008 | $1.00 | 25% | 43% | 3113 2013 Formulary | |||
2014 First Health Part D Essentials (PDP) | $49.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 15% | 43% | 2981 2014 Formulary | ||||
2013 First Health Part D Premier Plus (PDP) | $92.90 | $0 | Some Generics, Some Brands |
No | S5670 -030 | $0.00 | $20.00 | 25% | 43% | 3173 2013 Formulary | ||
2014 First Health Part D Premier Plus (PDP) | $95.90 | $0 | Some Generics, Some Brands |
No | $1.00 | $25.00 | 25% | 43% | 3104 2014 Formulary | |||
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