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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WellCare Classic - S5967-165 Benefit Details |
$10.40 | $265 | None | Yes | cost-sharing data not available. | 723 | ||
Humana PDP Standard S5884-086 - S5884-086 Benefit Details |
$13.40 | $265 | None | Yes | cost-sharing data not available. | 28,661 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-028 Benefit Details |
$16.90 | $265 | None | Yes | cost-sharing data not available. | 11,666 | ||
Humana PDP Enhanced S5884-026 - S5884-026 Benefit Details |
$18.20 | $0 | None | cost-sharing data not available. | 17,399 | |||
WellCare Signature - S5967-062 Benefit Details |
$18.20 | $0 | None | Yes | cost-sharing data not available. | 2,164 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - Saver - S5921-231 Benefit Details |
$18.60 | $265 | None | Yes | cost-sharing data not available. | 20,182 | ||
Health Net Orange Option 1 - S5678-001 Benefit Details |
$20.50 | $265 | None | Yes | cost-sharing data not available. | 11,780 | ||
CIGNATURE Rx Value Plan - S5617-138 Benefit Details |
$20.70 | $265 | None | Yes | cost-sharing data not available. | 1,467 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-029 Benefit Details |
$20.80 | $265 | None | Yes | cost-sharing data not available. | 7,235 | ||
Prescription Pathway Gold Plan Reg 28 - S5597-060 Benefit Details |
$22.00 | $0 | None | cost-sharing data not available. | 1,069 | |||
MedicareRx Rewards Plus - S5960-064 Benefit Details |
$22.50 | $0 | None | cost-sharing data not available. | 455 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript - S5601-056 Benefit Details |
$22.70 | $265 | None | cost-sharing data not available. | 619 | |||
HealthSpring Prescription Drug Plan-Reg 28 - S5932-027 Benefit Details |
$23.30 | $265 | None | cost-sharing data not available. | 19 | |||
AdvantraRx Value - S5670-141 Benefit Details |
$23.50 | $0 | None | cost-sharing data not available. | 889 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Prescription Pathway Bronze Plan Reg 28 - S5597-093 Benefit Details |
$23.60 | $265 | None | cost-sharing data not available. | 231 | |||
Advantage Star Plan by RxAmerica - S5644-081 Benefit Details |
$24.70 | $265 | None | cost-sharing data not available. | 103 | |||
Fox Rx Care Choice Plan - S5557-004 Benefit Details |
$25.40 | $120 | None | cost-sharing data not available. | 11 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-027 Benefit Details |
$25.70 | $0 | None | cost-sharing data not available. | 51,575 | |||
Aetna Medicare Rx Essentials - S5810-062 Benefit Details |
$26.20 | $200 | None | cost-sharing data not available. | 219 | |||
Health Net Orange Option 2 - S5678-007 Benefit Details |
$27.00 | $0 | None | cost-sharing data not available. | 3,578 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-232 Benefit Details |
$27.30 | $0 | None | cost-sharing data not available. | 3,600 | |||
Community Care Rx BASIC - S5803-097 Benefit Details |
$28.20 | $265 | None | cost-sharing data not available. | 1,473 | |||
SierraRx - S5917-004 Benefit Details |
$28.80 | $265 | None | cost-sharing data not available. | 2,968 | |||
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 - S5617-140 Benefit Details |
$28.90 | $0 | None | cost-sharing data not available. | 464 | |||
Advantage Freedom Plan by RxAmerica - S5644-060 Benefit Details |
$29.40 | $265 | None | cost-sharing data not available. | 422 | |||
UA Medicare Part D Rx Covg - Silver Plan - S5755-066 Benefit Details |
$29.40 | $265 | None | cost-sharing data not available. | 16 | |||
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 - S8841-028 Benefit Details |
$29.70 | $0 | None | cost-sharing data not available. | < 10 | |||
Sterling Rx - S4802-018 Benefit Details |
$32.70 | $100 | None | cost-sharing data not available. | 123 | |||
Medco YOURx PLAN - S5660-028 Benefit Details |
$34.10 | $100 | None | cost-sharing data not available. | 621 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5670-142 Benefit Details |
$34.20 | $0 | None | cost-sharing data not available. | 1,822 | |||
SilverScript Plus - S5601-057 Benefit Details |
$34.80 | $0 | None | cost-sharing data not available. | 194 | |||
MedicareRx Rewards Premier - S5960-098 Benefit Details |
$34.90 | $0 | Generics | cost-sharing data not available. | 373 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Select - S5768-075 Benefit Details |
$35.30 | $0 | None | cost-sharing data not available. | 16 | |||
Community Care Rx CHOICE - S5803-165 Benefit Details |
$36.40 | $0 | None | cost-sharing data not available. | 405 | |||
Health Net Orange Option 3 - S5678-069 Benefit Details |
$37.60 | $0 | Generics | cost-sharing data not available. | 109 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Complete - S5967-097 Benefit Details |
$38.30 | $0 | Generics | cost-sharing data not available. | 336 | |||
UA Medicare Part D Prescription Drug Cov - S5755-031 Benefit Details |
$38.70 | $0 | None | cost-sharing data not available. | 2,393 | |||
CIGNATURE Rx Complete Plan - S5617-198 Benefit Details |
$38.80 | $0 | Generics | cost-sharing data not available. | 223 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Complete - S5601-099 Benefit Details |
$39.90 | $0 | Generics | cost-sharing data not available. | 149 | |||
UnitedHealth Rx Extended - S5820-131 Benefit Details |
$40.40 | $0 | None | cost-sharing data not available. | 732 | |||
Aetna Medicare Rx Plus - S5810-164 Benefit Details |
$41.20 | $0 | None | cost-sharing data not available. | 533 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Prescription Pathway Platinum Plan Reg 28 - S5597-225 Benefit Details |
$41.40 | $0 | Generics | cost-sharing data not available. | 433 | |||
AARP MedicareRx Plan - Enhanced - S5921-233 Benefit Details |
$43.80 | $0 | Generics | cost-sharing data not available. | 2,972 | |||
EnvisionRxPlus Standard - S7694-028 Benefit Details |
$45.00 | $265 | None | cost-sharing data not available. | < 10 | |||
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 - S5803-245 Benefit Details |
$45.20 | $0 | Generics | cost-sharing data not available. | 598 | |||
SAMAScript - S7950-028 Benefit Details |
$45.50 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5670-144 Benefit Details |
$46.10 | $0 | Generics | cost-sharing data not available. | 1,665 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Fox Rx Care High Value Plan - S5557-009 Benefit Details |
$51.20 | $0 | Generics | cost-sharing data not available. | < 10 | |||
Sterling Rx Plus - S4802-061 Benefit Details |
$58.90 | $100 | Generics | cost-sharing data not available. | 60 | |||
EnvisionRxPlus Gold - S7694-062 Benefit Details |
$68.00 | $0 | Generics | cost-sharing data not available. | 165 | |||
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 - S5810-198 Benefit Details |
$68.90 | $0 | Generics | cost-sharing data not available. | 1,266 | |||
Humana PDP Complete S5884-056 - S5884-056 Benefit Details |
$74.70 | $0 | Generics | cost-sharing data not available. | 2,909 | |||
SierraRx Plus - S5917-054 Benefit Details |
$78.10 | $0 | All Formulary Drugs | cost-sharing data not available. | 941 | |||
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