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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Humana PDP Standard S5884-082 - S5884-082 Benefit Details |
$11.30 | $265 | None | Yes | cost-sharing data not available. | 38,377 | ||
Humana PDP Enhanced S5884-022 - S5884-022 Benefit Details |
$17.20 | $0 | None | cost-sharing data not available. | 25,479 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-161 Benefit Details |
$20.60 | $265 | None | Yes | cost-sharing data not available. | 239 | ||
AARP MedicareRx Plan - Saver - S5921-281 Benefit Details |
$22.10 | $265 | None | Yes | cost-sharing data not available. | 462 | ||
Prescription Pathway Gold Plan Reg 24 - S5597-056 Benefit Details |
$23.30 | $0 | None | cost-sharing data not available. | 294 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Value - S5726-013 Benefit Details |
$23.70 | $250 | None | Yes | cost-sharing data not available. | 10,001 | ||
MedicareRx Rewards Value - S5960-024 Benefit Details |
$24.90 | $265 | None | Yes | cost-sharing data not available. | 4,285 | ||
Health Net Orange Option 1 - S5678-054 Benefit Details |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 175 | ||
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 24 - S5597-089 Benefit Details |
$25.50 | $265 | None | Yes | cost-sharing data not available. | 4,400 | ||
AdvantraRx Value - S5670-129 Benefit Details |
$26.00 | $0 | None | cost-sharing data not available. | 1,312 | |||
CIGNATURE Rx Value Plan - S5617-118 Benefit Details |
$27.50 | $265 | None | Yes | cost-sharing data not available. | 1,745 | ||
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 - S5678-053 Benefit Details |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 296 | ||
WellCare Signature - S5967-058 Benefit Details |
$28.00 | $0 | None | Yes | cost-sharing data not available. | 7,293 | ||
SilverScript - S5601-048 Benefit Details |
$28.10 | $265 | None | Yes | cost-sharing data not available. | 4,482 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
HealthSpring Prescription Drug Plan-Reg 24 - S5932-023 Benefit Details |
$28.30 | $265 | None | Yes | cost-sharing data not available. | 355 | ||
First Health Premier - S5768-047 Benefit Details |
$28.90 | $0 | None | Yes | cost-sharing data not available. | 387 | ||
Blue MedicareRx Plus - S5726-014 Benefit Details |
$29.00 | $0 | None | cost-sharing data not available. | 13,602 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-023 Benefit Details |
$29.10 | $0 | None | Yes | cost-sharing data not available. | 28,572 | ||
Advantage Star Plan by RxAmerica - S5644-198 Benefit Details |
$29.30 | $265 | None | Yes | cost-sharing data not available. | 353 | ||
Aetna Medicare Rx Essentials - S5810-058 Benefit Details |
$29.40 | $200 | None | Yes | 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 | ||||||
Community Care Rx BASIC - S5803-093 Benefit Details |
$30.90 | $265 | None | cost-sharing data not available. | 22,768 | |||
UnitedHealth Rx Basic - S5921-282 Benefit Details |
$30.90 | $0 | None | cost-sharing data not available. | 4,942 | |||
SierraRx Basic - S5917-025 Benefit Details |
$32.10 | $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 | ||||||
NMHC Medicare PDP Gold - S8841-024 Benefit Details |
$32.50 | $0 | None | cost-sharing data not available. | < 10 | |||
UA Medicare Part D Rx Covg - Silver Plan - S5755-062 Benefit Details |
$33.80 | $265 | None | cost-sharing data not available. | 24 | |||
Advantage Freedom Plan by RxAmerica - S5644-184 Benefit Details |
$34.00 | $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 | ||||||
Sterling Rx - S4802-015 Benefit Details |
$35.10 | $100 | None | cost-sharing data not available. | 17 | |||
CIGNATURE Rx Plus Plan - S5617-120 Benefit Details |
$36.50 | $0 | None | cost-sharing data not available. | 508 | |||
Medco YOURx PLAN - S5660-024 Benefit Details |
$37.20 | $100 | None | cost-sharing data not available. | 1,842 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5670-130 Benefit Details |
$37.50 | $0 | None | cost-sharing data not available. | 3,172 | |||
SilverScript Plus - S5601-049 Benefit Details |
$38.50 | $0 | None | cost-sharing data not available. | 111 | |||
Community Care Rx CHOICE - S5803-161 Benefit Details |
$38.60 | $0 | None | cost-sharing data not available. | 2,105 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Premier - S5726-015 Benefit Details |
$40.30 | $0 | Generics | cost-sharing data not available. | 12,095 | |||
First Health Select - S5768-071 Benefit Details |
$42.70 | $0 | Generics | cost-sharing data not available. | 72 | |||
Aetna Medicare Rx Plus - S5810-160 Benefit Details |
$42.80 | $0 | None | cost-sharing data not available. | 265 | |||
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 3 - S5678-096 Benefit Details |
$43.10 | $0 | Generics | cost-sharing data not available. | 25 | |||
UA Medicare Part D Prescription Drug Cov - S5755-027 Benefit Details |
$43.50 | $0 | None | cost-sharing data not available. | 1,740 | |||
UnitedHealth Rx Extended - S5820-127 Benefit Details |
$43.50 | $0 | None | cost-sharing data not available. | 1,300 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Standard - S7694-024 Benefit Details |
$44.50 | $265 | None | cost-sharing data not available. | 39 | |||
Prescription Pathway Platinum Plan Reg 24 - S5597-221 Benefit Details |
$44.60 | $0 | Generics | cost-sharing data not available. | 133 | |||
SilverScript Complete - S5601-095 Benefit Details |
$44.70 | $0 | Generics | cost-sharing data not available. | 151 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-094 Benefit Details |
$45.80 | $0 | Generics | cost-sharing data not available. | 690 | |||
WellCare Complete - S5967-093 Benefit Details |
$46.00 | $0 | Generics | cost-sharing data not available. | 480 | |||
Community Care Rx GOLD - S5803-241 Benefit Details |
$47.10 | $0 | Generics | cost-sharing data not available. | 1,211 | |||
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 - S5921-283 Benefit Details |
$47.60 | $0 | Generics | cost-sharing data not available. | 951 | |||
CIGNATURE Rx Complete Plan - S5617-194 Benefit Details |
$48.10 | $0 | Generics | cost-sharing data not available. | 205 | |||
SAMAScript - S7950-024 Benefit Details |
$48.80 | $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 | ||||||
AdvantraRx Premier Plus - S5670-132 Benefit Details |
$49.60 | $0 | Generics | cost-sharing data not available. | 2,717 | |||
Sterling Rx Plus - S4802-057 Benefit Details |
$62.40 | $100 | Generics | cost-sharing data not available. | 56 | |||
EnvisionRxPlus Gold - S7694-058 Benefit Details |
$69.50 | $0 | Generics | cost-sharing data not available. | 250 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-052 - S5884-052 Benefit Details |
$69.50 | $0 | Generics | cost-sharing data not available. | 5,471 | |||
Aetna Medicare Rx Premier - S5810-194 Benefit Details |
$72.30 | $0 | Generics | cost-sharing data not available. | 1,054 | |||
SierraRx Plus - S5917-050 Benefit Details |
$102.30 | $0 | All Formulary Drugs | cost-sharing data not available. | 1,011 | |||
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