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 S5884-085 - S5884-085 Benefit Details ![]() |
$16.60 | $265 | None | Yes | cost-sharing data not available. | 23,343 | ||
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WellCare Classic - S5967-164 Benefit Details ![]() |
$17.00 | $265 | None | Yes | cost-sharing data not available. | 210 | ||
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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 - Saver - S5921-221 Benefit Details ![]() |
$19.20 | $265 | None | Yes | cost-sharing data not available. | 685 | ||
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Health Net Orange Option 1 - S5678-060 Benefit Details ![]() |
$20.50 | $265 | None | Yes | cost-sharing data not available. | 337 | ||
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MedicareRx Rewards Value - S5960-027 Benefit Details ![]() |
$21.40 | $265 | None | Yes | cost-sharing data not available. | 2,486 | ||
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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 Gold Plan Reg 27 - S5597-059 Benefit Details ![]() |
$22.20 | $0 | None | cost-sharing data not available. | 601 | |||
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Blue MedicareRx Value - S5596-025 Benefit Details ![]() |
$22.50 | $250 | None | Yes | cost-sharing data not available. | 3,994 | ||
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AdvantraRx Value - S5670-135 Benefit Details ![]() |
$23.40 | $0 | None | cost-sharing data not available. | 1,563 | |||
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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 BASIC - S5803-096 Benefit Details ![]() |
$23.60 | $265 | None | Yes | cost-sharing data not available. | 13,071 | ||
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Prescription Pathway Bronze Plan Reg 27 - S5597-092 Benefit Details ![]() |
$24.10 | $265 | None | Yes | cost-sharing data not available. | 5,027 | ||
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SilverScript - S5601-054 Benefit Details ![]() |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 5,328 | ||
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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 Enhanced S5884-025 - S5884-025 Benefit Details ![]() |
$24.40 | $0 | None | cost-sharing data not available. | 12,913 | |||
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HealthSpring Prescription Drug Plan-Reg 27 - S5932-026 Benefit Details ![]() |
$24.90 | $265 | None | Yes | cost-sharing data not available. | 230 | ||
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SierraRx - S5917-003 Benefit Details ![]() |
$25.90 | $265 | None | Yes | cost-sharing data not available. | 5,071 | ||
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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 - S5820-026 Benefit Details ![]() |
$26.30 | $0 | None | Yes | cost-sharing data not available. | 35,808 | ||
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WellCare Signature - S5967-061 Benefit Details ![]() |
$26.30 | $0 | None | Yes | cost-sharing data not available. | 7,945 | ||
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Health Net Orange Option 2 - S5678-059 Benefit Details ![]() |
$27.00 | $0 | None | Yes | cost-sharing data not available. | 174 | ||
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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 Essentials - S5810-061 Benefit Details ![]() |
$27.10 | $180 | None | Yes | cost-sharing data not available. | 482 | ||
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Advantage Star Plan by RxAmerica - S5644-200 Benefit Details ![]() |
$27.90 | $265 | None | cost-sharing data not available. | < 10 | |||
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UnitedHealth Rx Basic - S5921-222 Benefit Details ![]() |
$28.10 | $0 | None | cost-sharing data not available. | 7,682 | |||
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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 - S5617-133 Benefit Details ![]() |
$28.60 | $265 | None | cost-sharing data not available. | 739 | |||
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SierraRx Basic - S5917-028 Benefit Details ![]() |
$28.70 | $265 | None | cost-sharing data not available. | 15 | |||
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Blue MedicareRx Plus - S5596-026 Benefit Details ![]() |
$29.20 | $0 | None | cost-sharing data not available. | 2,421 | |||
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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 - S5755-065 Benefit Details ![]() |
$30.00 | $265 | None | cost-sharing data not available. | 17 | |||
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NMHC Medicare PDP Gold - S8841-027 Benefit Details ![]() |
$30.40 | $0 | None | cost-sharing data not available. | < 10 | |||
Community Care Rx CHOICE - S5803-164 Benefit Details ![]() |
$31.60 | $0 | None | cost-sharing data not available. | 728 | |||
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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 - S5644-186 Benefit Details ![]() |
$32.70 | $265 | None | cost-sharing data not available. | 10 | |||
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SilverScript Plus - S5601-055 Benefit Details ![]() |
$33.00 | $0 | None | cost-sharing data not available. | 87 | |||
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AdvantraRx Premier - S5670-136 Benefit Details ![]() |
$34.20 | $0 | None | cost-sharing data not available. | 1,773 | |||
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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 | ||||||
Medco YOURx PLAN - S5660-027 Benefit Details ![]() |
$35.10 | $100 | None | cost-sharing data not available. | 451 | |||
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Sterling Rx - S4802-017 Benefit Details ![]() |
$35.10 | $100 | None | cost-sharing data not available. | 17 | |||
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First Health Select - S5768-074 Benefit Details ![]() |
$35.30 | $0 | 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 | ||||||
SilverScript Complete - S5601-098 Benefit Details ![]() |
$37.50 | $0 | Generics | cost-sharing data not available. | 2,118 | |||
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CIGNATURE Rx Plus Plan - S5617-135 Benefit Details ![]() |
$37.60 | $0 | None | cost-sharing data not available. | 362 | |||
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Health Net Orange Option 3 - S5678-099 Benefit Details ![]() |
$37.60 | $0 | Generics | 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 | ||||||
Community Care Rx GOLD - S5803-244 Benefit Details ![]() |
$38.00 | $0 | Generics | cost-sharing data not available. | 646 | |||
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WellCare Complete - S5967-096 Benefit Details ![]() |
$39.30 | $0 | Generics | cost-sharing data not available. | 270 | |||
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Blue MedicareRx Premier - S5596-027 Benefit Details ![]() |
$39.40 | $0 | Generics | cost-sharing data not available. | 2,515 | |||
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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 - S5755-030 Benefit Details ![]() |
$39.40 | $0 | None | cost-sharing data not available. | 1,734 | |||
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UnitedHealth Rx Extended - S5820-130 Benefit Details ![]() |
$41.10 | $0 | None | cost-sharing data not available. | 1,084 | |||
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MedicareRx Rewards Premier - S5960-097 Benefit Details ![]() |
$41.20 | $0 | Generics | cost-sharing data not available. | 138 | |||
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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 Platinum Plan Reg 27 - S5597-224 Benefit Details ![]() |
$42.00 | $0 | Generics | cost-sharing data not available. | 220 | |||
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Aetna Medicare Rx Plus - S5810-163 Benefit Details ![]() |
$42.40 | $0 | None | cost-sharing data not available. | 309 | |||
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AARP MedicareRx Plan - Enhanced - S5921-223 Benefit Details ![]() |
$43.90 | $0 | Generics | cost-sharing data not available. | 1,545 | |||
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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 | ||||||
SAMAScript - S7950-027 Benefit Details ![]() |
$44.80 | $265 | None | cost-sharing data not available. | < 10 | |||
EnvisionRxPlus Standard - S7694-027 Benefit Details ![]() |
$46.00 | $265 | None | cost-sharing data not available. | 15 | |||
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AdvantraRx Premier Plus - S5670-138 Benefit Details ![]() |
$47.20 | $0 | Generics | cost-sharing data not available. | 2,412 | |||
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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 | ||||||
RMHP Defined Standard Medicare PDP Plan - S5860-001 Benefit Details ![]() |
$47.40 | $265 | None | cost-sharing data not available. | 421 | |||
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CIGNATURE Rx Complete Plan - S5617-197 Benefit Details ![]() |
$49.00 | $0 | Generics | cost-sharing data not available. | 186 | |||
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RMHP Enhanced Alternative Medicare PDP - S5860-002 Benefit Details ![]() |
$49.40 | $0 | None | cost-sharing data not available. | 49 | |||
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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 | ||||||
Sterling Rx Plus - S4802-060 Benefit Details ![]() |
$61.40 | $100 | Generics | cost-sharing data not available. | 25 | |||
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Aetna Medicare Rx Premier - S5810-197 Benefit Details ![]() |
$71.30 | $0 | Generics | cost-sharing data not available. | 920 | |||
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EnvisionRxPlus Gold - S7694-061 Benefit Details ![]() |
$72.50 | $0 | Generics | cost-sharing data not available. | 89 | |||
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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 - S5917-053 Benefit Details ![]() |
$73.00 | $0 | All Formulary Drugs | cost-sharing data not available. | 1,383 | |||
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Humana PDP Complete S5884-055 - S5884-055 Benefit Details ![]() |
$83.30 | $0 | Generics | cost-sharing data not available. | 2,587 | |||
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