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 MedBlue Rx (PDP) | $45.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5953 -001 | $5.00 | $40.00 | $80.00 | 25% | 2941 2013 Formulary | ||
2014 MedBlue Rx (PDP) | $56.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $7.00 | $44.00 | $95.00 | 2839 2014 Formulary | |||
2013 MedBlue Rx Plus (PDP) | $104.00 | $0 | Many Generics, Few Brands |
No | S5953 -002 | $2.00 | $7.00 | $33.00 | $74.00 | 2941 2013 Formulary | ||
2014 MedBlue Rx Plus (PDP) | $120.00 | $0 | Many Generics | No | $0.00 | $7.00 | $30.00 | $95.00 | 2839 2014 Formulary | |||
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