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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WellCare Classic - S5967-169 Benefit Details ![]() |
$9.70 | $265 | None | Yes | cost-sharing data not available. | 5,326 | ||
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AARP MedicareRx Plan - Saver - S5921-001 Benefit Details ![]() |
$9.80 | $265 | None | Yes | cost-sharing data not available. | 305,467 | ||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-090 - S5884-090 Benefit Details ![]() |
$15.70 | $265 | None | Yes | cost-sharing data not available. | 193,263 | ||
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MedicareRx Rewards Value - S5960-032 Benefit Details ![]() |
$17.70 | $265 | None | Yes | cost-sharing data not available. | 60,771 | ||
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WellCare Signature - S5967-066 Benefit Details ![]() |
$18.20 | $0 | None | Yes | cost-sharing data not available. | 139,659 | ||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Advantage Star Plan by RxAmerica - S5644-084 Benefit Details ![]() |
$18.50 | $265 | None | Yes | cost-sharing data not available. | 5,298 | ||
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Blue Cross MedicareRx Value - S5596-033 Benefit Details ![]() |
$19.00 | $250 | None | Yes | cost-sharing data not available. | 80,698 | ||
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Health Net Orange Option 1 - S5678-002 Benefit Details ![]() |
$19.90 | $265 | None | Yes | cost-sharing data not available. | 118,912 | ||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Value Plan - S5617-158 Benefit Details ![]() |
$20.10 | $265 | None | Yes | cost-sharing data not available. | 9,610 | ||
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Prescription Pathway Gold Plan Reg 32 - S5597-064 Benefit Details ![]() |
$20.20 | $0 | None | cost-sharing data not available. | 932 | |||
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Bravo Rx II - S5998-013 Benefit Details ![]() |
$21.80 | $265 | None | cost-sharing data not available. | 15 | |||
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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 32 - S5597-097 Benefit Details ![]() |
$21.80 | $265 | None | cost-sharing data not available. | 563 | |||
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SierraRx - S5917-008 Benefit Details ![]() |
$22.40 | $265 | None | cost-sharing data not available. | 111,549 | |||
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SierraRx Basic - S5917-033 Benefit Details ![]() |
$22.60 | $265 | None | cost-sharing data not available. | 143 | |||
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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 32 - S5932-031 Benefit Details ![]() |
$22.90 | $265 | None | cost-sharing data not available. | 56 | |||
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Humana PDP Enhanced S5884-030 - S5884-030 Benefit Details ![]() |
$23.10 | $0 | None | cost-sharing data not available. | 47,283 | |||
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Community Care Rx BASIC - S5803-101 Benefit Details ![]() |
$23.30 | $265 | None | cost-sharing data not available. | 27,603 | |||
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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 - S5644-064 Benefit Details ![]() |
$23.40 | $265 | None | cost-sharing data not available. | 3,140 | |||
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AdvantraRx Value - S5674-056 Benefit Details ![]() |
$23.70 | $0 | None | cost-sharing data not available. | 1,718 | |||
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SilverScript - S5601-064 Benefit Details ![]() |
$24.30 | $265 | None | cost-sharing data not available. | 757 | |||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-034 Benefit Details ![]() |
$24.40 | $0 | None | cost-sharing data not available. | 63 | |||
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AARP MedicareRx Plan - S5820-031 Benefit Details ![]() |
$24.70 | $0 | None | cost-sharing data not available. | 150,594 | |||
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Aetna Medicare Rx Essentials - S5810-066 Benefit Details ![]() |
$24.80 | $200 | None | cost-sharing data not available. | 696 | |||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue Cross MedicareRx Plus - S5596-034 Benefit Details ![]() |
$25.00 | $0 | None | cost-sharing data not available. | 32,000 | |||
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Blue Shield Medicare Rx Plan - S2468-002 Benefit Details ![]() |
$25.20 | $265 | None | cost-sharing data not available. | 1,307 | |||
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AARP MedicareRx Plan - Saver - S5820-147 Benefit Details ![]() |
$25.60 | $265 | None | cost-sharing data not available. | < 10 | |||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-002 Benefit Details ![]() |
$25.90 | $0 | None | cost-sharing data not available. | 11,511 | |||
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Health Net Orange Option 2 - S5678-008 Benefit Details ![]() |
$27.00 | $0 | None | cost-sharing data not available. | 25,607 | |||
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CIGNATURE Rx Plus Plan - S5617-160 Benefit Details ![]() |
$27.90 | $0 | None | cost-sharing data not available. | 1,687 | |||
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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 - S5755-070 Benefit Details ![]() |
$27.90 | $265 | None | cost-sharing data not available. | 54 | |||
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NMHC Medicare PDP Gold - S8841-032 Benefit Details ![]() |
$29.10 | $0 | None | cost-sharing data not available. | 45 | |||
Bravo Rx I - S5998-014 Benefit Details ![]() |
$29.20 | $0 | None | cost-sharing data not available. | 24 | |||
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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 - S5803-169 Benefit Details ![]() |
$31.30 | $0 | None | cost-sharing data not available. | 2,874 | |||
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Medco YOURx PLAN - S5660-032 Benefit Details ![]() |
$31.70 | $100 | None | cost-sharing data not available. | 3,032 | |||
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Blue Cross MedicareRx Gold - S5596-035 Benefit Details ![]() |
$34.60 | $0 | Generics | cost-sharing data not available. | 64,747 | |||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5674-057 Benefit Details ![]() |
$34.90 | $0 | None | cost-sharing data not available. | 2,481 | |||
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WellCare Complete - S5967-101 Benefit Details ![]() |
$35.50 | $0 | Generics | cost-sharing data not available. | 2,743 | |||
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SilverScript Plus - S5601-065 Benefit Details ![]() |
$35.90 | $0 | None | cost-sharing data not available. | 287 | |||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Select - S5768-079 Benefit Details ![]() |
$36.00 | $0 | None | cost-sharing data not available. | 36 | |||
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MedicareRx Rewards Premier - S5960-102 Benefit Details ![]() |
$36.20 | $0 | Generics | cost-sharing data not available. | 651 | |||
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Blue Shield Medicare Rx Enhanced Plan - S2468-001 Benefit Details ![]() |
$36.30 | $0 | None | cost-sharing data not available. | 18,285 | |||
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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 Prescription Drug Cov - S5755-035 Benefit Details ![]() |
$37.10 | $0 | None | cost-sharing data not available. | 10,564 | |||
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CIGNATURE Rx Complete Plan - S5617-202 Benefit Details ![]() |
$37.40 | $0 | Generics | cost-sharing data not available. | 856 | |||
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Health Net Orange Option 3 - S5678-070 Benefit Details ![]() |
$37.60 | $0 | Generics | cost-sharing data not available. | 641 | |||
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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 - S5803-249 Benefit Details ![]() |
$37.70 | $0 | Generics | cost-sharing data not available. | 1,774 | |||
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Prescription Pathway Platinum Plan Reg 32 - S5597-229 Benefit Details ![]() |
$38.80 | $0 | Generics | cost-sharing data not available. | 340 | |||
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UnitedHealth Rx Extended - S5820-135 Benefit Details ![]() |
$39.30 | $0 | None | cost-sharing data not available. | 1,783 | |||
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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 - S5810-168 Benefit Details ![]() |
$40.10 | $0 | None | cost-sharing data not available. | 1,016 | |||
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SilverScript Complete - S5601-103 Benefit Details ![]() |
$41.20 | $0 | Generics | cost-sharing data not available. | 267 | |||
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AARP MedicareRx Plan - Enhanced - S5921-003 Benefit Details ![]() |
$42.30 | $0 | Generics | cost-sharing data not available. | 7,941 | |||
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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 - S5820-142 Benefit Details ![]() |
$42.50 | $0 | Generics | cost-sharing data not available. | < 10 | |||
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EnvisionRxPlus Standard - S7694-032 Benefit Details ![]() |
$42.50 | $265 | None | cost-sharing data not available. | 60 | |||
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SAMAScript - S7950-032 Benefit Details ![]() |
$45.70 | $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 - S5674-059 Benefit Details ![]() |
$46.00 | $0 | Generics | cost-sharing data not available. | 3,437 | |||
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EnvisionRxPlus Gold - S7694-066 Benefit Details ![]() |
$58.50 | $0 | Generics | cost-sharing data not available. | 1,409 | |||
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Aetna Medicare Rx Premier - S5810-202 Benefit Details ![]() |
$67.30 | $0 | Generics | cost-sharing data not available. | 3,355 | |||
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Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Plus - S5917-058 Benefit Details ![]() |
$74.80 | $0 | All Formulary Drugs | cost-sharing data not available. | 5,462 | |||
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Humana PDP Complete S5884-060 - S5884-060 Benefit Details ![]() |
$80.90 | $0 | Generics | cost-sharing data not available. | 10,909 | |||
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