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 Express Scripts Medicare - Value (PDP) | $34.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -114 | $4.00 | $6.00 | 25% | 50% | 3381 2013 Formulary | ||
2014 Express Scripts Medicare - Value (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $6.00 | 25% | 50% | 3171 2014 Formulary | |||
2013 Express Scripts Medicare - Choice (PDP) | $82.80 | $200 | Many Generics | No | S5660 -182 | $8.00 | $45.00 | $95.00 | 28% | 3408 2013 Formulary | ||
2014 Express Scripts Medicare - Choice (PDP) | $70.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $9.00 | $40.00 | $90.00 | 3250 2014 Formulary | |||
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