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 S5884-079 - S5884-079 Benefit Details |
$16.00 | $265 | None | Yes | cost-sharing data not available. | 41,450 | ||
WellCare Classic - S5967-158 Benefit Details |
$18.20 | $265 | None | Yes | cost-sharing data not available. | 1,508 | ||
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 - S5921-331 Benefit Details |
$21.50 | $265 | None | Yes | cost-sharing data not available. | 36,744 | ||
CIGNATURE Rx Value Plan - S5617-103 Benefit Details |
$21.80 | $265 | None | Yes | cost-sharing data not available. | 5,950 | ||
Humana PDP Enhanced S5884-019 - S5884-019 Benefit Details |
$22.50 | $0 | None | cost-sharing data not available. | 13,499 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-036 Benefit Details |
$24.40 | $0 | None | cost-sharing data not available. | 79 | |||
AARP MedicareRx Plan - S5820-038 Benefit Details |
$24.40 | $0 | None | cost-sharing data not available. | 2,473 | |||
Prescription Pathway Gold Plan Reg 21 - S5597-053 Benefit Details |
$25.40 | $0 | None | cost-sharing data not available. | 627 | |||
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 - S5820-149 Benefit Details |
$25.60 | $265 | None | cost-sharing data not available. | < 10 | |||
AARP MedicareRx Plan - Saver - S5820-151 Benefit Details |
$25.60 | $265 | None | cost-sharing data not available. | 19 | |||
WellCare Signature - S5967-055 Benefit Details |
$26.00 | $0 | None | Yes | cost-sharing data not available. | 17,219 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5670-111 Benefit Details |
$26.70 | $0 | None | cost-sharing data not available. | 1,369 | |||
HealthSpring Prescription Drug Plan-Reg 21 - S5932-020 Benefit Details |
$26.70 | $265 | None | Yes | cost-sharing data not available. | 3,065 | ||
Prescription Pathway Bronze Plan Reg 21 - S5597-086 Benefit Details |
$27.70 | $265 | None | Yes | cost-sharing data not available. | 15,023 | ||
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 1 - S5678-048 Benefit Details |
$28.20 | $265 | None | Yes | cost-sharing data not available. | 2,965 | ||
Advantage Star Plan by RxAmerica - S5644-196 Benefit Details |
$28.80 | $265 | None | cost-sharing data not available. | 12 | |||
Aetna Medicare Rx Essentials - S5810-055 Benefit Details |
$29.30 | $190 | None | cost-sharing data not available. | 291 | |||
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 - S5617-105 Benefit Details |
$29.90 | $0 | None | cost-sharing data not available. | 1,039 | |||
Community Care Rx BASIC - S5803-090 Benefit Details |
$30.30 | $265 | None | cost-sharing data not available. | 41,676 | |||
MedicareRx Rewards Value - S5960-021 Benefit Details |
$30.50 | $265 | None | cost-sharing data not available. | 11,209 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Premier - S5768-044 Benefit Details |
$30.80 | $0 | None | cost-sharing data not available. | 28 | |||
SilverScript - S5601-042 Benefit Details |
$30.80 | $265 | None | cost-sharing data not available. | 4,347 | |||
Health Net Orange Option 2 - S5678-047 Benefit Details |
$31.20 | $0 | None | cost-sharing data not available. | 58 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-020 Benefit Details |
$32.00 | $0 | None | cost-sharing data not available. | 23,502 | |||
Community Care Rx BASIC - S5803-211 Benefit Details |
$32.80 | $265 | None | cost-sharing data not available. | 638 | |||
Sterling Rx - S4802-012 Benefit Details |
$33.30 | $100 | None | cost-sharing data not available. | 480 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Advantage Freedom Plan by RxAmerica - S5644-182 Benefit Details |
$33.80 | $265 | None | cost-sharing data not available. | < 10 | |||
NMHC Medicare PDP Gold - S8841-021 Benefit Details |
$33.80 | $0 | None | cost-sharing data not available. | < 10 | |||
UnitedHealth Rx Basic - S5921-332 Benefit Details |
$33.90 | $0 | None | cost-sharing data not available. | 1,550 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UA Medicare Part D Rx Covg - Silver Plan - S5755-059 Benefit Details |
$34.10 | $265 | None | cost-sharing data not available. | 44 | |||
SierraRx Basic - S5917-023 Benefit Details |
$34.20 | $265 | None | cost-sharing data not available. | 11 | |||
Medco YOURx PLAN - S5660-021 Benefit Details |
$35.30 | $100 | None | cost-sharing data not available. | 2,517 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AmeriHealth Advantage Rx Option I - S5783-008 Benefit Details |
$35.60 | $265 | None | cost-sharing data not available. | ||||
RxBLUE - S5937-001 Benefit Details |
$37.40 | $0 | None | cost-sharing data not available. | 11,481 | |||
MedicareRx Rewards Plus - S5960-057 Benefit Details |
$37.60 | $0 | None | cost-sharing data not available. | 253 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community Care Rx CHOICE - S5803-158 Benefit Details |
$38.00 | $0 | None | cost-sharing data not available. | 2,264 | |||
AdvantraRx Premier - S5670-112 Benefit Details |
$38.30 | $0 | None | cost-sharing data not available. | 3,271 | |||
CIGNATURE Rx Complete Plan - S5617-191 Benefit Details |
$40.00 | $0 | Generics | cost-sharing data not available. | 535 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community Care Rx CHOICE - S5803-215 Benefit Details |
$41.00 | $0 | None | cost-sharing data not available. | 202 | |||
SilverScript Plus - S5601-043 Benefit Details |
$41.70 | $0 | None | cost-sharing data not available. | 78 | |||
AARP MedicareRx Plan - Enhanced - S5820-146 Benefit Details |
$42.50 | $0 | Generics | cost-sharing data not available. | 30 | |||
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 - S5820-144 Benefit Details |
$42.50 | $0 | Generics | cost-sharing data not available. | < 10 | |||
EnvisionRxPlus Standard - S7694-021 Benefit Details |
$42.50 | $265 | None | cost-sharing data not available. | < 10 | |||
Health Net Orange Option 3 - S5678-093 Benefit Details |
$42.90 | $0 | Generics | cost-sharing data not available. | 23 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Plus - S5810-157 Benefit Details |
$43.20 | $0 | None | cost-sharing data not available. | 335 | |||
UA Medicare Part D Prescription Drug Cov - S5755-024 Benefit Details |
$43.80 | $0 | None | cost-sharing data not available. | 3,286 | |||
First Health Select - S5768-068 Benefit Details |
$44.10 | $0 | Generics | cost-sharing data not available. | 70 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Complete - S5967-089 Benefit Details |
$45.30 | $0 | Generics | cost-sharing data not available. | 676 | |||
UnitedHealth Rx Extended - S5820-124 Benefit Details |
$45.90 | $0 | None | cost-sharing data not available. | 1,404 | |||
Community Care Rx GOLD - S5803-238 Benefit Details |
$46.40 | $0 | Generics | cost-sharing data not available. | 2,400 | |||
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 21 - S5597-218 Benefit Details |
$47.80 | $0 | Generics | cost-sharing data not available. | 256 | |||
SilverScript Complete - S5601-092 Benefit Details |
$49.00 | $0 | Generics | cost-sharing data not available. | 94 | |||
Community Care Rx GOLD - S5803-253 Benefit Details |
$49.80 | $0 | Generics | cost-sharing data not available. | 690 | |||
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 - S5921-333 Benefit Details |
$50.20 | $0 | Generics | cost-sharing data not available. | 1,237 | |||
AdvantraRx Premier Plus - S5670-114 Benefit Details |
$50.30 | $0 | Generics | cost-sharing data not available. | 2,159 | |||
SAMAScript - S7950-021 Benefit Details |
$50.60 | $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 | ||||||
MedicareRx Rewards Premier - S5960-091 Benefit Details |
$52.80 | $0 | Generics | cost-sharing data not available. | 142 | |||
Sterling Rx Plus - S4802-054 Benefit Details |
$62.80 | $100 | Generics | cost-sharing data not available. | 259 | |||
EnvisionRxPlus Gold - S7694-055 Benefit Details |
$66.00 | $0 | Generics | cost-sharing data not available. | 51 | |||
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 - S5810-191 Benefit Details |
$73.60 | $0 | Generics | cost-sharing data not available. | 1,636 | |||
Humana PDP Complete S5884-049 - S5884-049 Benefit Details |
$80.80 | $0 | Generics | cost-sharing data not available. | 5,123 | |||
SierraRx Plus - S5917-048 Benefit Details |
$110.40 | $0 | All Formulary Drugs | cost-sharing data not available. | 960 | |||
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