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 BlueMedicare Rx-Option 1 (PDP) | $43.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5904 -001 | $6.00 | $16.00 | $32.00 | $90.00 | 3729 2013 Formulary | ||
2014 BlueMedicare Rx-Option 1 (PDP) | $47.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $31.00 | $43.00 | $94.00 | 3663 2014 Formulary | |||
2013 BlueMedicare Rx-Option 2 (PDP) | $127.60 | $0 | All Generics | No | S5904 -002 | $2.00 | $6.00 | $35.00 | $85.00 | 3729 2013 Formulary | ||
2014 BlueMedicare Rx-Option 2 (PDP) | $174.70 | $0 | Many Generics | No | $3.00 | $10.00 | $43.00 | $94.00 | 3663 2014 Formulary | |||
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