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 Prescription Blue Option A (PDP) | $54.30 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5584 -001 | $4.00 | $15.00 | $45.00 | $95.00 | 3883 2013 Formulary | ||
2014 Prescription Blue Option A (PDP) | $62.80 | $195 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $15.00 | $45.00 | $95.00 | 3472 2014 Formulary | |||
2013 Prescription Blue Option B (PDP) | $87.30 | $0 | Many Generics | No | S5584 -002 | $4.00 | $10.00 | $45.00 | $85.00 | 3978 2013 Formulary | ||
2014 Prescription Blue Option B (PDP) | $98.30 | $0 | Some Generics | No | $2.00 | $5.00 | $45.00 | $85.00 | 3532 2014 Formulary | |||
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