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 S5884-088 - S5884-088 Benefit Details |
$15.00 | $265 | None | Yes | cost-sharing data not available. | 68,966 | ||
AARP MedicareRx Plan - Saver - S5921-021 Benefit Details |
$19.50 | $265 | None | Yes | cost-sharing data not available. | 2,037 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Enhanced S5884-028 - S5884-028 Benefit Details |
$21.80 | $0 | None | cost-sharing data not available. | 45,987 | |||
Prescription Pathway Gold Plan Reg 30 - S5597-062 Benefit Details |
$22.30 | $0 | None | cost-sharing data not available. | 1,432 | |||
WellCare Classic - S5967-167 Benefit Details |
$22.40 | $265 | None | Yes | cost-sharing data not available. | 1,332 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5674-044 Benefit Details |
$23.90 | $0 | None | cost-sharing data not available. | 3,539 | |||
HealthSpring Prescription Drug Plan-Reg 30 - S5932-029 Benefit Details |
$24.00 | $265 | None | Yes | cost-sharing data not available. | 1,238 | ||
Prescription Pathway Bronze Plan Reg 30 - S5597-095 Benefit Details |
$24.10 | $265 | None | Yes | cost-sharing data not available. | 12,887 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-030 Benefit Details |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 12,641 | ||
SilverScript - S5601-060 Benefit Details |
$24.90 | $265 | None | Yes | cost-sharing data not available. | 16,352 | ||
Health Net Orange Option 1 - S5678-006 Benefit Details |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 9,377 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-029 Benefit Details |
$25.90 | $0 | None | Yes | cost-sharing data not available. | 106,462 | ||
Advantage Star Plan by RxAmerica - S5644-083 Benefit Details |
$26.60 | $265 | None | Yes | cost-sharing data not available. | 11,387 | ||
Community Care Rx BASIC - S5803-099 Benefit Details |
$26.70 | $265 | None | Yes | cost-sharing data not available. | 27,285 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx - S5917-006 Benefit Details |
$27.00 | $265 | None | Yes | cost-sharing data not available. | 12,546 | ||
UnitedHealth Rx Basic - S5921-022 Benefit Details |
$27.60 | $0 | None | Yes | cost-sharing data not available. | 19,026 | ||
Aetna Medicare Rx Essentials - S5810-064 Benefit Details |
$27.70 | $190 | None | Yes | cost-sharing data not available. | 1,602 | ||
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 - S5678-012 Benefit Details |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 10,506 | ||
CIGNATURE Rx Value Plan - S5617-148 Benefit Details |
$28.00 | $265 | None | Yes | cost-sharing data not available. | 3,652 | ||
Fox Rx Care Choice Plan - S5557-005 Benefit Details |
$28.90 | $230 | None | cost-sharing data not available. | 65 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-064 Benefit Details |
$29.50 | $0 | None | cost-sharing data not available. | 19,078 | |||
NMHC Medicare PDP Gold - S8841-030 Benefit Details |
$29.60 | $0 | None | cost-sharing data not available. | 28 | |||
SierraRx Basic - S5917-031 Benefit Details |
$30.00 | $265 | None | cost-sharing data not available. | 42 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus - S5960-066 Benefit Details |
$30.80 | $0 | None | cost-sharing data not available. | 431 | |||
UA Medicare Part D Rx Covg - Silver Plan - S5755-068 Benefit Details |
$31.00 | $265 | None | cost-sharing data not available. | 37 | |||
Advantage Freedom Plan by RxAmerica - S5644-062 Benefit Details |
$31.20 | $265 | None | cost-sharing data not available. | 5,015 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-061 Benefit Details |
$33.60 | $0 | None | cost-sharing data not available. | 282 | |||
Community Care Rx CHOICE - S5803-167 Benefit Details |
$34.30 | $0 | None | cost-sharing data not available. | 2,296 | |||
AdvantraRx Premier - S5674-045 Benefit Details |
$34.70 | $0 | None | cost-sharing data not available. | 3,432 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Asuris Medicare Script - S5609-001 Benefit Details |
$35.30 | $265 | None | cost-sharing data not available. | 32,537 | |||
Sterling Rx - S4802-020 Benefit Details |
$35.70 | $100 | None | cost-sharing data not available. | 2,068 | |||
First Health Select - S5768-077 Benefit Details |
$35.80 | $0 | None | cost-sharing data not available. | 22 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Medco YOURx PLAN - S5660-030 Benefit Details |
$35.80 | $100 | None | cost-sharing data not available. | 1,541 | |||
ODS Advantage Rx - S5975-001 Benefit Details |
$36.80 | $265 | None | cost-sharing data not available. | 518 | |||
CIGNATURE Rx Plus Plan - S5617-150 Benefit Details |
$37.10 | $0 | None | cost-sharing data not available. | 905 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Complete - S5601-101 Benefit Details |
$38.20 | $0 | Generics | cost-sharing data not available. | 430 | |||
UA Medicare Part D Prescription Drug Cov - S5755-033 Benefit Details |
$40.50 | $0 | None | cost-sharing data not available. | 3,191 | |||
UnitedHealth Rx Extended - S5820-133 Benefit Details |
$40.80 | $0 | None | cost-sharing data not available. | 1,437 | |||
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 30 - S5597-227 Benefit Details |
$42.20 | $0 | Generics | cost-sharing data not available. | 453 | |||
Aetna Medicare Rx Plus - S5810-166 Benefit Details |
$42.50 | $0 | None | cost-sharing data not available. | 605 | |||
Community Care Rx GOLD - S5803-247 Benefit Details |
$42.60 | $0 | Generics | cost-sharing data not available. | 7,185 | |||
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 - S5678-074 Benefit Details |
$43.10 | $0 | Generics | cost-sharing data not available. | 60 | |||
AARP MedicareRx Plan - Enhanced - S5921-023 Benefit Details |
$43.50 | $0 | Generics | cost-sharing data not available. | 4,261 | |||
WellCare Complete - S5967-099 Benefit Details |
$43.80 | $0 | Generics | cost-sharing data not available. | 642 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-100 Benefit Details |
$45.00 | $0 | Generics | cost-sharing data not available. | 277 | |||
Asuris Medicare Script Enhanced - S5609-002 Benefit Details |
$45.70 | $0 | Generics | cost-sharing data not available. | 2,650 | |||
EnvisionRxPlus Standard - S7694-030 Benefit Details |
$46.00 | $265 | None | cost-sharing data not available. | 54 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SAMAScript - S7950-030 Benefit Details |
$46.00 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5674-047 Benefit Details |
$46.30 | $0 | Generics | cost-sharing data not available. | 10,278 | |||
CIGNATURE Rx Complete Plan - S5617-200 Benefit Details |
$48.60 | $0 | Generics | cost-sharing data not available. | 474 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Fox Rx Care Comprehensive Plan - S5557-010 Benefit Details |
$50.90 | $0 | Generics | cost-sharing data not available. | < 10 | |||
ODS Advantage Rx Extra - S5975-002 Benefit Details |
$55.40 | $0 | Generics | cost-sharing data not available. | 299 | |||
Sterling Rx Plus - S4802-063 Benefit Details |
$62.30 | $100 | Generics | cost-sharing data not available. | 944 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Gold - S7694-064 Benefit Details |
$70.50 | $0 | Generics | cost-sharing data not available. | 425 | |||
Aetna Medicare Rx Premier - S5810-200 Benefit Details |
$71.40 | $0 | Generics | cost-sharing data not available. | 1,587 | |||
SierraRx Plus - S5917-056 Benefit Details |
$75.00 | $0 | All Formulary Drugs | cost-sharing data not available. | 3,425 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-058 - S5884-058 Benefit Details |
$78.10 | $0 | Generics | cost-sharing data not available. | 8,205 | |||
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