2007 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
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Plan Name | Monthly Prem. |
Deduct- ible |
(Donut Hole) Gap Coverage |
$0 Prem. with Full LIS? |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
Members In This State | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Windsor Rx - S2505-001 Benefit Details |
$19.50 | $0 | None | Yes | cost-sharing data not available. | 3,800 | ||
Prescription Pathway Gold Plan Reg 12 - S5597-044 Benefit Details |
$24.60 | $0 | None | cost-sharing data not available. | 1,328 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Premier - S5768-015 Benefit Details |
$26.40 | $0 | None | Yes | cost-sharing data not available. | 47,035 | ||
Humana PDP Enhanced S5884-001 - S5884-001 Benefit Details |
$26.50 | $0 | None | cost-sharing data not available. | 45,407 | |||
AdvantraRx Value - S5670-063 Benefit Details |
$26.80 | $0 | None | cost-sharing data not available. | 3,151 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Plus Plan - S5617-060 Benefit Details |
$29.90 | $0 | None | cost-sharing data not available. | 3,107 | |||
WellCare Signature - S5967-046 Benefit Details |
$30.00 | $0 | None | cost-sharing data not available. | 53,270 | |||
Windsor Rx Plus - S2505-002 Benefit Details |
$31.00 | $0 | Generics | cost-sharing data not available. | 479 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Health Net Orange Option 2 - S5678-029 Benefit Details |
$31.20 | $0 | None | cost-sharing data not available. | 167 | |||
AARP MedicareRx Plan - S5820-011 Benefit Details |
$31.30 | $0 | None | cost-sharing data not available. | 153,087 | |||
UnitedHealth Rx Basic - S5921-152 Benefit Details |
$33.30 | $0 | None | cost-sharing data not available. | 4,475 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
NMHC Medicare PDP Gold - S8841-012 Benefit Details |
$33.40 | $0 | None | cost-sharing data not available. | 43 | |||
MedicareRx Rewards Plus - S5960-048 Benefit Details |
$34.70 | $0 | None | cost-sharing data not available. | 686 | |||
Community Care Rx CHOICE - S5803-149 Benefit Details |
$35.30 | $0 | None | cost-sharing data not available. | 6,340 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue Rx Option I - S1030-001 Benefit Details |
$35.50 | $0 | None | cost-sharing data not available. | 6,035 | |||
AdvantraRx Premier - S5670-064 Benefit Details |
$38.30 | $0 | None | cost-sharing data not available. | 9,579 | |||
CIGNATURE Rx Complete Plan - S5617-182 Benefit Details |
$39.80 | $0 | Generics | cost-sharing data not available. | 1,619 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-025 Benefit Details |
$42.00 | $0 | None | cost-sharing data not available. | 302 | |||
Health Net Orange Option 3 - S5678-084 Benefit Details |
$42.90 | $0 | Generics | cost-sharing data not available. | 44 | |||
Aetna Medicare Rx Plus - S5810-148 Benefit Details |
$43.00 | $0 | None | cost-sharing data not available. | 1,124 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community Care Rx GOLD - S5803-229 Benefit Details |
$43.60 | $0 | Generics | cost-sharing data not available. | 7,372 | |||
UA Medicare Part D Prescription Drug Cov - S5755-015 Benefit Details |
$43.80 | $0 | None | cost-sharing data not available. | 8,951 | |||
First Health Select - S5768-059 Benefit Details |
$43.90 | $0 | Generics | cost-sharing data not available. | 349 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Extended - S5820-115 Benefit Details |
$45.30 | $0 | None | cost-sharing data not available. | 4,118 | |||
Prescription Pathway Platinum Plan Reg 12 - S5597-209 Benefit Details |
$45.90 | $0 | Generics | cost-sharing data not available. | 591 | |||
AdvantraRx Premier Plus - S5670-066 Benefit Details |
$48.20 | $0 | Generics | cost-sharing data not available. | 7,498 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Complete - S5601-083 Benefit Details |
$49.40 | $0 | Generics | cost-sharing data not available. | 232 | |||
MedicareRx Rewards Premier - S5960-082 Benefit Details |
$49.50 | $0 | Generics | cost-sharing data not available. | 364 | |||
WellCare Complete - S5967-080 Benefit Details |
$49.70 | $0 | Generics | cost-sharing data not available. | 1,696 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - Enhanced - S5921-153 Benefit Details |
$50.60 | $0 | Generics | cost-sharing data not available. | 4,095 | |||
Blue Rx Option II - S1030-003 Benefit Details |
$59.00 | $0 | Generics | cost-sharing data not available. | 4,096 | |||
EnvisionRxPlus Gold - S7694-046 Benefit Details |
$61.50 | $0 | Generics | cost-sharing data not available. | 1,059 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Premier - S5810-182 Benefit Details |
$73.10 | $0 | Generics | cost-sharing data not available. | 3,928 | |||
Humana PDP Complete S5884-040 - S5884-040 Benefit Details |
$88.40 | $0 | Generics | cost-sharing data not available. | 14,004 | |||
SierraRx Plus - S5917-041 Benefit Details |
$123.80 | $0 | All Formulary Drugs | cost-sharing data not available. | 1,423 | |||
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