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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Prescription Pathway Gold Plan Reg 3 - S5825-017 Benefit Details |
$21.30 | $0 | None | cost-sharing data not available. | 4,286 | |||
WellCare Signature - S5967-037 Benefit Details |
$22.70 | $0 | None | Yes | cost-sharing data not available. | 54,935 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S0197-002 Benefit Details |
$23.20 | $0 | None | cost-sharing data not available. | 901 | |||
First Health Premier - S5569-003 Benefit Details |
$24.60 | $0 | None | cost-sharing data not available. | 42,331 | |||
CIGNATURE Rx Plus Plan - S5617-015 Benefit Details |
$25.20 | $0 | None | cost-sharing data not available. | 1,662 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
HIP Enhanced Part D New York - S5741-003 Benefit Details |
$25.60 | $0 | Generics | cost-sharing data not available. | 786 | |||
AARP MedicareRx Plan - S5805-001 Benefit Details |
$27.40 | $0 | None | cost-sharing data not available. | 119,961 | |||
MedicareRx Rewards Plus - S5960-039 Benefit Details |
$27.60 | $0 | None | cost-sharing data not available. | 594 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Bravo Rx I - S5998-002 Benefit Details |
$27.70 | $0 | None | cost-sharing data not available. | 21 | |||
Health Net Orange Option 2 - S5678-009 Benefit Details |
$27.90 | $0 | None | cost-sharing data not available. | 5,936 | |||
CDPHP Medicare RxCare - S9176-002 Benefit Details |
$28.10 | $0 | None | cost-sharing data not available. | 17 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-207 Benefit Details |
$29.10 | $0 | None | cost-sharing data not available. | 3,625 | |||
Humana PDP Enhanced S5552-001 - S5552-001 Benefit Details |
$29.60 | $0 | None | cost-sharing data not available. | 20,931 | |||
NMHC Medicare PDP Gold - S8841-003 Benefit Details |
$31.40 | $0 | None | cost-sharing data not available. | 12 | |||
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 - S5803-140 Benefit Details |
$31.90 | $0 | None | cost-sharing data not available. | 1,237 | |||
CIGNATURE Rx Complete Plan - S5617-173 Benefit Details |
$34.10 | $0 | Generics | cost-sharing data not available. | 665 | |||
AdvantraRx Premier - S0197-003 Benefit Details |
$34.20 | $0 | None | cost-sharing data not available. | 1,095 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-007 Benefit Details |
$35.30 | $0 | None | cost-sharing data not available. | 2,500 | |||
SmartHealth RX - S5585-001 Benefit Details |
$36.00 | $0 | None | cost-sharing data not available. | 33 | |||
First UA Medicare Part D Prescription Drug - S5580-003 Benefit Details |
$37.90 | $0 | None | cost-sharing data not available. | 8,279 | |||
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 - S5803-220 Benefit Details |
$38.20 | $0 | Generics | cost-sharing data not available. | 907 | |||
Rx 3 - S3521-003 Benefit Details |
$38.40 | $0 | None | cost-sharing data not available. | 1,311 | |||
WellCare Complete - S5967-071 Benefit Details |
$39.10 | $0 | Generics | cost-sharing data not available. | 1,522 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Select - S5569-004 Benefit Details |
$39.60 | $0 | Generics | cost-sharing data not available. | 134 | |||
Prescription Pathway Platinum Plan Reg 3 - S5825-085 Benefit Details |
$40.00 | $0 | Generics | cost-sharing data not available. | 495 | |||
SilverScript Complete - S5601-074 Benefit Details |
$40.40 | $0 | Generics | cost-sharing data not available. | 251 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-073 Benefit Details |
$41.20 | $0 | Generics | cost-sharing data not available. | 371 | |||
Aetna Medicare Rx Plus - S5810-139 Benefit Details |
$41.60 | $0 | None | cost-sharing data not available. | 435 | |||
UnitedHealth Rx Extended - S5805-004 Benefit Details |
$41.70 | $0 | None | cost-sharing data not available. | 1,197 | |||
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 - S5678-071 Benefit Details |
$43.10 | $0 | Generics | cost-sharing data not available. | 141 | |||
CDPHP Medicare Extended RxCare - S9176-003 Benefit Details |
$44.70 | $0 | Generics | cost-sharing data not available. | 51 | |||
AARP MedicareRx Plan - Enhanced - S5921-213 Benefit Details |
$45.80 | $0 | Generics | cost-sharing data not available. | 4,782 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S0197-005 Benefit Details |
$46.30 | $0 | Generics | cost-sharing data not available. | 1,441 | |||
EnvisionRxPlus Gold - S7694-037 Benefit Details |
$55.50 | $0 | Generics | cost-sharing data not available. | 656 | |||
Aetna Medicare Rx Premier - S5810-173 Benefit Details |
$69.70 | $0 | Generics | cost-sharing data not available. | 1,470 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5552-002 - S5552-002 Benefit Details |
$82.10 | $0 | Generics | cost-sharing data not available. | 5,556 | |||
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