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 Blue Medicare Rx Standard (PDP) | $61.00 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5540 -002 | $4.00 | $25.00 | $45.00 | $95.00 | 3949 2013 Formulary | ||
2014 Blue Medicare Rx Standard (PDP) | $41.00 | $145 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $10.00 | $40.00 | $85.00 | 2244 2014 Formulary | |||
2013 Blue Medicare Rx Enhanced (PDP) | $83.90 | $0 | Some Generics, Few Brands |
No | S5540 -004 | $4.00 | $20.00 | $30.00 | $70.00 | 3949 2013 Formulary | ||
2014 Blue Medicare Rx Enhanced (PDP) | $78.60 | $0 | Some Generics | No | $3.00 | $6.00 | $30.00 | $70.00 | 3752 2014 Formulary | |||
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