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2014 Medicare Prescription Drug Plan Benefit Details for the Aetna CVS/pharmacy Prescription Drug Plan (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2014 Medicare Prescription Drug Plan Details
Medicare Plan Name:Aetna CVS/pharmacy Prescription Drug Plan (PDP)
   by Aetna Medicare
State:Alabama
Plan ID:S5810 - 046 - 0     Click to see other plans
Member Services:1-877-238-6211 TTY users 1-888-760-4748
— This plan information is for research purposes only. —
Click here to see plans for the current plan year
Medicare Contact Information:Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.
TTY users 1-877-486-2048
or contact your local SHIP for assistance
Email a copy of the Aetna CVS/pharmacy Prescription Drug Plan (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$31.40
Annual Deductible:$310
$0 Premium if LIS Benefits?Yes, this plan does qualify for the $0 Premium.
Annual Initial Coverage Limit (ICL):$2,850
Drug Benefit Type ❔Actuarially Equivalent Standard (AE)
Additional Gap Coverage?No additional gap coverage, only the Donut Hole Discount
Total Number of Formulary Drugs:3,136 drugsBrowse the Aetna CVS/pharmacy Prescription Drug Plan (PDP) Formulary
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. 
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$2.00$36.00$90.0025%$1.00
• Number of Drugs per
  Tier:		155552165535748
Plan Offers Mail Order?Yes
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in your CMS Region:14,127 members     (CMS Region 12)
Number of Members enrolled in this plan nationally:532,733 members
Plan’s Summary Star Rating: 3 out of 5 Stars.
• Customer Service Rating: 5 out of 5 Stars.
• Member Experience Rating: 4 out of 5 Stars.
• Drug Cost Accuracy Rating: 3 out of 5 Stars.




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