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 S5884-084 - S5884-084 Benefit Details |
$15.50 | $265 | None | Yes | cost-sharing data not available. | 12,787 | ||
WellCare Classic - S5967-163 Benefit Details |
$17.30 | $265 | None | Yes | cost-sharing data not available. | 4,373 | ||
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 - S5921-261 Benefit Details |
$18.20 | $265 | None | Yes | cost-sharing data not available. | 12,846 | ||
Prescription Pathway Gold Plan Reg 26 - S5597-058 Benefit Details |
$19.20 | $0 | None | cost-sharing data not available. | 144 | |||
Advantage Star Plan by RxAmerica - S5644-199 Benefit Details |
$19.80 | $265 | None | Yes | cost-sharing data not available. | 664 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Presbyterian Prescription Drug Plan 1 - S5902-001 Benefit Details |
$20.00 | $0 | None | Yes | cost-sharing data not available. | 6,905 | ||
Health Net Orange Option 1 - S5678-058 Benefit Details |
$20.50 | $265 | None | Yes | cost-sharing data not available. | 749 | ||
Prescription Pathway Bronze Plan Reg 26 - S5597-091 Benefit Details |
$20.60 | $265 | None | Yes | cost-sharing data not available. | 5,493 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-026 Benefit Details |
$21.40 | $265 | None | Yes | cost-sharing data not available. | 5,296 | ||
Humana PDP Enhanced S5884-024 - S5884-024 Benefit Details |
$22.10 | $0 | None | cost-sharing data not available. | 3,365 | |||
SilverScript - S5601-052 Benefit Details |
$22.40 | $265 | None | Yes | cost-sharing data not available. | 5,675 | ||
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 26 - S5932-025 Benefit Details |
$22.80 | $265 | None | cost-sharing data not available. | 13 | |||
CIGNATURE Rx Value Plan - S5617-128 Benefit Details |
$23.20 | $265 | None | cost-sharing data not available. | 416 | |||
AdvantraRx Value - S5674-038 Benefit Details |
$23.30 | $0 | None | cost-sharing data not available. | 391 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Premier - S5768-048 Benefit Details |
$23.40 | $0 | None | cost-sharing data not available. | 19 | |||
Advantage Freedom Plan by RxAmerica - S5644-185 Benefit Details |
$24.40 | $265 | None | cost-sharing data not available. | 11 | |||
Community Care Rx BASIC - S5803-095 Benefit Details |
$24.50 | $265 | None | cost-sharing data not available. | 3,162 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-262 Benefit Details |
$24.80 | $0 | None | cost-sharing data not available. | 490 | |||
AARP MedicareRx Plan - S5820-025 Benefit Details |
$25.10 | $0 | None | cost-sharing data not available. | 14,830 | |||
Blue Medicare Rx - Standard - S5715-008 Benefit Details |
$25.30 | $265 | None | cost-sharing data not available. | 387 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-060 Benefit Details |
$25.40 | $0 | None | cost-sharing data not available. | 3,067 | |||
UA Medicare Part D Rx Covg - Silver Plan - S5755-064 Benefit Details |
$25.60 | $265 | None | cost-sharing data not available. | 16 | |||
Blue Medicare Rx - Value - S5715-003 Benefit Details |
$26.00 | $0 | None | cost-sharing data not available. | 1,706 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-027 Benefit Details |
$26.60 | $265 | None | cost-sharing data not available. | < 10 | |||
SierraRx - S5917-002 Benefit Details |
$26.70 | $265 | None | cost-sharing data not available. | 1,144 | |||
Aetna Medicare Rx Essentials - S5810-060 Benefit Details |
$26.90 | $180 | None | cost-sharing data not available. | 39 | |||
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 - S5678-057 Benefit Details |
$27.00 | $0 | None | cost-sharing data not available. | 120 | |||
MedicareRx Rewards Plus - S5960-062 Benefit Details |
$27.60 | $0 | None | cost-sharing data not available. | 92 | |||
NMHC Medicare PDP Gold - S8841-026 Benefit Details |
$28.40 | $0 | 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 | ||||||
Presbyterian Prescription Drug Plan 2 - S5902-002 Benefit Details |
$31.00 | $0 | Generics | cost-sharing data not available. | < 10 | |||
SilverScript Plus - S5601-053 Benefit Details |
$31.10 | $0 | None | cost-sharing data not available. | 46 | |||
Medco YOURx PLAN - S5660-026 Benefit Details |
$31.40 | $100 | None | cost-sharing data not available. | 226 | |||
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 - S5617-130 Benefit Details |
$31.50 | $0 | None | cost-sharing data not available. | 209 | |||
Community Care Rx CHOICE - S5803-163 Benefit Details |
$32.50 | $0 | None | cost-sharing data not available. | 1,057 | |||
Sterling Rx - S4802-016 Benefit Details |
$32.80 | $100 | 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 | ||||||
WellCare Complete - S5967-095 Benefit Details |
$33.30 | $0 | Generics | cost-sharing data not available. | 232 | |||
AdvantraRx Premier - S5674-039 Benefit Details |
$34.20 | $0 | None | cost-sharing data not available. | 536 | |||
UA Medicare Part D Prescription Drug Cov - S5755-029 Benefit Details |
$34.50 | $0 | None | cost-sharing data not available. | 2,723 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Complete - S5601-097 Benefit Details |
$35.00 | $0 | Generics | cost-sharing data not available. | 41 | |||
Prescription Pathway Platinum Plan Reg 26 - S5597-223 Benefit Details |
$36.80 | $0 | Generics | cost-sharing data not available. | 32 | |||
Health Net Orange Option 3 - S5678-098 Benefit Details |
$37.60 | $0 | Generics | cost-sharing data not available. | 20 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Select - S5768-073 Benefit Details |
$38.70 | $0 | Generics | cost-sharing data not available. | 13 | |||
UnitedHealth Rx Extended - S5820-129 Benefit Details |
$38.80 | $0 | None | cost-sharing data not available. | 265 | |||
Community Care Rx GOLD - S5803-243 Benefit Details |
$38.90 | $0 | Generics | cost-sharing data not available. | 485 | |||
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 - S5921-263 Benefit Details |
$40.00 | $0 | Generics | cost-sharing data not available. | 542 | |||
CIGNATURE Rx Complete Plan - S5617-196 Benefit Details |
$41.20 | $0 | Generics | cost-sharing data not available. | 90 | |||
MedicareRx Rewards Premier - S5960-096 Benefit Details |
$41.20 | $0 | Generics | cost-sharing data not available. | 47 | |||
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 - S5810-162 Benefit Details |
$42.00 | $0 | None | cost-sharing data not available. | 53 | |||
SAMAScript - S7950-026 Benefit Details |
$42.20 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5674-041 Benefit Details |
$45.10 | $0 | Generics | cost-sharing data not available. | 670 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Standard - S7694-026 Benefit Details |
$46.00 | $265 | None | cost-sharing data not available. | < 10 | |||
Blue Medicare Rx - Plus - S5715-004 Benefit Details |
$51.90 | $0 | Generics | cost-sharing data not available. | 1,073 | |||
Sterling Rx Plus - S4802-059 Benefit Details |
$57.80 | $100 | Generics | 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 | ||||||
EnvisionRxPlus Gold - S7694-060 Benefit Details |
$69.50 | $0 | Generics | cost-sharing data not available. | 25 | |||
Aetna Medicare Rx Premier - S5810-196 Benefit Details |
$70.60 | $0 | Generics | cost-sharing data not available. | 196 | |||
SierraRx Plus - S5917-052 Benefit Details |
$72.80 | $0 | All Formulary Drugs | cost-sharing data not available. | 176 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-054 - S5884-054 Benefit Details |
$83.50 | $0 | Generics | cost-sharing data not available. | 736 | |||
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