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 - S5967-148 Benefit Details ![]() |
$10.20 | $265 | None | Yes | cost-sharing data not available. | 4,533 | ||
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AARP MedicareRx Plan - Saver - S5921-141 Benefit Details ![]() |
$12.30 | $265 | None | Yes | cost-sharing data not available. | 172,891 | ||
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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 S5884-069 - S5884-069 Benefit Details ![]() |
$15.90 | $265 | None | Yes | cost-sharing data not available. | 141,215 | ||
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WellCare Signature - S5967-045 Benefit Details ![]() |
$17.80 | $0 | None | Yes | cost-sharing data not available. | 76,549 | ||
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Health Net Orange Option 1 - S5678-028 Benefit Details ![]() |
$20.50 | $265 | None | Yes | cost-sharing data not available. | 4,637 | ||
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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 11 - S5932-011 Benefit Details ![]() |
$22.80 | $265 | None | cost-sharing data not available. | 46 | |||
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MedicareRx Rewards Value - S5960-011 Benefit Details ![]() |
$23.10 | $265 | None | cost-sharing data not available. | 89,204 | |||
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Humana PDP Enhanced S5884-010 - S5884-010 Benefit Details ![]() |
$23.50 | $0 | None | cost-sharing data not available. | 34,607 | |||
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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 Value - S5674-020 Benefit Details ![]() |
$23.70 | $0 | None | cost-sharing data not available. | 6,027 | |||
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Prescription Pathway Gold Plan Reg 11 - S5597-043 Benefit Details ![]() |
$23.80 | $0 | None | cost-sharing data not available. | 5,478 | |||
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CIGNATURE Rx Value Plan - S5617-053 Benefit Details ![]() |
$24.10 | $265 | None | cost-sharing data not available. | 5,738 | |||
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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 | ||||||
MedicareBlue Rx-Option 3 - S5904-003 Benefit Details ![]() |
$24.10 | $100 | None | cost-sharing data not available. | 6,433 | |||
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Bravo Rx II - S5998-007 Benefit Details ![]() |
$24.20 | $265 | None | cost-sharing data not available. | < 10 | |||
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AHC Prescription Drug Plan - S9086-001 Benefit Details ![]() |
$24.90 | $265 | None | cost-sharing data not available. | 512 | |||
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 - S5803-080 Benefit Details ![]() |
$25.20 | $265 | None | cost-sharing data not available. | 11,782 | |||
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Advantage Star Plan by RxAmerica - S5644-188 Benefit Details ![]() |
$25.70 | $265 | None | cost-sharing data not available. | 26 | |||
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First Health Premier - S5768-041 Benefit Details ![]() |
$25.80 | $0 | None | cost-sharing data not available. | 255 | |||
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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 11 - S5597-076 Benefit Details ![]() |
$26.10 | $265 | None | cost-sharing data not available. | 1,430 | |||
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Aetna Medicare Rx Essentials - S5810-045 Benefit Details ![]() |
$26.90 | $180 | None | cost-sharing data not available. | 1,101 | |||
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Health Net Orange Option 2 - S5678-027 Benefit Details ![]() |
$27.00 | $0 | None | cost-sharing data not available. | 253 | |||
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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 - S5601-022 Benefit Details ![]() |
$27.10 | $265 | None | cost-sharing data not available. | 884 | |||
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AARP MedicareRx Plan - S5820-010 Benefit Details ![]() |
$27.60 | $0 | None | cost-sharing data not available. | 215,545 | |||
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Sterling Rx - S4802-008 Benefit Details ![]() |
$28.50 | $100 | None | cost-sharing data not available. | 12 | |||
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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 - S5921-142 Benefit Details ![]() |
$29.30 | $0 | None | cost-sharing data not available. | 21,439 | |||
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MedicareRx Rewards Plus - S5960-047 Benefit Details ![]() |
$29.60 | $0 | None | cost-sharing data not available. | 1,170 | |||
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AmeriHealth Advantage Rx Option I - S5783-004 Benefit Details ![]() |
$30.00 | $265 | None | cost-sharing data not available. | ||||
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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 - S5755-049 Benefit Details ![]() |
$30.40 | $265 | None | cost-sharing data not available. | 84 | |||
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Advantage Freedom Plan by RxAmerica - S5644-174 Benefit Details ![]() |
$30.60 | $265 | None | cost-sharing data not available. | 55 | |||
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NMHC Medicare PDP Gold - S8841-011 Benefit Details ![]() |
$32.00 | $0 | None | cost-sharing data not available. | 43 | |||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Quality Rx - S8475-001 Benefit Details ![]() |
$32.70 | $0 | None | cost-sharing data not available. | 235 | |||
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CIGNATURE Rx Plus Plan - S5617-055 Benefit Details ![]() |
$32.90 | $0 | None | cost-sharing data not available. | 2,934 | |||
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Bravo Rx I - S5998-008 Benefit Details ![]() |
$33.00 | $0 | None | cost-sharing data not available. | 26 | |||
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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 - S5803-148 Benefit Details ![]() |
$33.00 | $0 | None | cost-sharing data not available. | 4,941 | |||
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AdvantraRx Premier - S5674-021 Benefit Details ![]() |
$34.80 | $0 | None | cost-sharing data not available. | 19,228 | |||
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Medco YOURx PLAN - S5660-010 Benefit Details ![]() |
$35.20 | $100 | None | cost-sharing data not available. | 3,665 | |||
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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 | ||||||
Health Net Orange Option 3 - S5678-083 Benefit Details ![]() |
$37.60 | $0 | Generics | cost-sharing data not available. | 118 | |||
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MedicareBlue Rx-Option 1 - S5904-001 Benefit Details ![]() |
$38.00 | $0 | None | cost-sharing data not available. | 39,702 | |||
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Community Care Rx GOLD - S5803-228 Benefit Details ![]() |
$39.30 | $0 | Generics | cost-sharing data not available. | 3,248 | |||
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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 - S5755-014 Benefit Details ![]() |
$39.80 | $0 | None | cost-sharing data not available. | 18,096 | |||
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First Health Select - S5768-058 Benefit Details ![]() |
$39.90 | $0 | Generics | cost-sharing data not available. | 104 | |||
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EnvisionRxPlus Standard - S7694-011 Benefit Details ![]() |
$40.00 | $265 | None | cost-sharing data not available. | 108 | |||
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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 Plus - S5601-023 Benefit Details ![]() |
$40.10 | $0 | None | cost-sharing data not available. | 394 | |||
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Quality Rx Plus - S8475-002 Benefit Details ![]() |
$41.00 | $0 | Generics | cost-sharing data not available. | 472 | |||
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WellCare Complete - S5967-079 Benefit Details ![]() |
$41.40 | $0 | Generics | cost-sharing data not available. | 3,773 | |||
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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 | ||||||
Aetna Medicare Rx Plus - S5810-147 Benefit Details ![]() |
$42.00 | $0 | None | cost-sharing data not available. | 1,231 | |||
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UnitedHealth Rx Extended - S5820-114 Benefit Details ![]() |
$42.00 | $0 | None | cost-sharing data not available. | 3,885 | |||
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MedicareRx Rewards Premier - S5960-081 Benefit Details ![]() |
$43.50 | $0 | Generics | cost-sharing data not available. | 766 | |||
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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 Complete Plan - S5617-181 Benefit Details ![]() |
$43.70 | $0 | Generics | cost-sharing data not available. | 1,378 | |||
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Prescription Pathway Platinum Plan Reg 11 - S5597-208 Benefit Details ![]() |
$45.30 | $0 | Generics | cost-sharing data not available. | 2,674 | |||
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AARP MedicareRx Plan - Enhanced - S5921-143 Benefit Details ![]() |
$45.60 | $0 | Generics | cost-sharing data not available. | 9,815 | |||
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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 - S7950-011 Benefit Details ![]() |
$46.20 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5674-023 Benefit Details ![]() |
$46.80 | $0 | Generics | cost-sharing data not available. | 12,256 | |||
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SilverScript Complete - S5601-082 Benefit Details ![]() |
$46.80 | $0 | Generics | cost-sharing data not available. | 500 | |||
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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 | ||||||
MedicareBlue Rx-Option 2 - S5904-002 Benefit Details ![]() |
$52.70 | $0 | Generics | cost-sharing data not available. | 19,772 | |||
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Sterling Rx Plus - S4802-044 Benefit Details ![]() |
$56.60 | $100 | Generics | cost-sharing data not available. | 68 | |||
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EnvisionRxPlus Gold - S7694-045 Benefit Details ![]() |
$60.50 | $0 | Generics | cost-sharing data not available. | 1,272 | |||
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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 Premier - S5810-181 Benefit Details ![]() |
$70.60 | $0 | Generics | cost-sharing data not available. | 4,330 | |||
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Humana PDP Complete S5884-039 - S5884-039 Benefit Details ![]() |
$83.70 | $0 | Generics | cost-sharing data not available. | 11,124 | |||
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