2007 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
Humana PDP Standard S5884-068 - S5884-068 Benefit Details ![]() |
$17.40 | $265 | None | Yes | cost-sharing data not available. | 60,084 | ||
![]() |
![]() |
|||||||
CIGNATURE Rx Value Plan - S5617-048 Benefit Details ![]() |
$19.50 | $265 | None | Yes | cost-sharing data not available. | 5,395 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-147 Benefit Details ![]() |
$20.70 | $265 | None | Yes | cost-sharing data not available. | 464 | ||
![]() |
![]() |
|||||||
AARP MedicareRx Plan - Saver - S5921-131 Benefit Details ![]() |
$23.40 | $265 | None | Yes | cost-sharing data not available. | 1,685 | ||
![]() |
![]() |
|||||||
Advantage Star Plan by RxAmerica - S5644-076 Benefit Details ![]() |
$24.60 | $265 | None | Yes | cost-sharing data not available. | 11,152 | ||
![]() |
![]() |
|||||||
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 10 - S5597-042 Benefit Details ![]() |
$25.00 | $0 | None | cost-sharing data not available. | 1,162 | |||
![]() |
![]() |
|||||||
Health Net Orange Option 1 - S5678-026 Benefit Details ![]() |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 438 | ||
![]() |
![]() |
|||||||
Humana PDP Enhanced S5884-009 - S5884-009 Benefit Details ![]() |
$25.40 | $0 | None | cost-sharing data not available. | 23,161 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5670-057 Benefit Details ![]() |
$26.00 | $0 | None | cost-sharing data not available. | 5,219 | |||
![]() |
![]() |
|||||||
HealthSpring Prescription Drug Plan-Reg 10 - S5932-010 Benefit Details ![]() |
$26.10 | $265 | None | Yes | cost-sharing data not available. | 681 | ||
![]() |
![]() |
|||||||
First Health Premier - S5768-040 Benefit Details ![]() |
$26.50 | $0 | None | Yes | cost-sharing data not available. | 823 | ||
![]() |
![]() |
|||||||
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 10 - S5597-075 Benefit Details ![]() |
$27.10 | $265 | None | Yes | cost-sharing data not available. | 12,757 | ||
![]() |
![]() |
|||||||
CIGNATURE Rx Plus Plan - S5617-050 Benefit Details ![]() |
$27.40 | $0 | None | cost-sharing data not available. | 1,781 | |||
![]() |
![]() |
|||||||
WellCare Signature - S5967-044 Benefit Details ![]() |
$27.80 | $0 | None | Yes | cost-sharing data not available. | 22,188 | ||
![]() |
![]() |
|||||||
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 - S5678-025 Benefit Details ![]() |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 554 | ||
![]() |
![]() |
|||||||
Aetna Medicare Rx Essentials - S5810-044 Benefit Details ![]() |
$28.80 | $210 | None | Yes | cost-sharing data not available. | 12,996 | ||
![]() |
![]() |
|||||||
Advantage Freedom Plan by RxAmerica - S5644-055 Benefit Details ![]() |
$29.10 | $265 | None | Yes | cost-sharing data not available. | 2,954 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-009 Benefit Details ![]() |
$29.50 | $0 | None | Yes | cost-sharing data not available. | 122,420 | ||
![]() |
![]() |
|||||||
UA Medicare Part D Rx Covg - Silver Plan - S5755-048 Benefit Details ![]() |
$30.10 | $265 | None | Yes | cost-sharing data not available. | 696 | ||
![]() |
![]() |
|||||||
Community Care Rx BASIC - S5803-079 Benefit Details ![]() |
$30.40 | $265 | None | Yes | cost-sharing data not available. | 96,961 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-132 Benefit Details ![]() |
$31.20 | $0 | None | cost-sharing data not available. | 15,696 | |||
![]() |
![]() |
|||||||
InStil Rx - S5946-002 Benefit Details ![]() |
$31.40 | $265 | None | cost-sharing data not available. | 11,817 | |||
![]() |
![]() |
|||||||
Medco YOURx PLAN - S5660-009 Benefit Details ![]() |
$31.40 | $100 | None | cost-sharing data not available. | 14,087 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript - S5601-020 Benefit Details ![]() |
$33.00 | $265 | None | cost-sharing data not available. | 521 | |||
![]() |
![]() |
|||||||
MedicareRx Rewards Value - S5960-010 Benefit Details ![]() |
$33.10 | $265 | None | cost-sharing data not available. | 10,721 | |||
![]() |
![]() |
|||||||
NMHC Medicare PDP Gold - S8841-010 Benefit Details ![]() |
$33.40 | $0 | None | cost-sharing data not available. | 33 | |||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AmeriHealth Advantage Rx Option I - S5783-003 Benefit Details ![]() |
$33.50 | $265 | None | cost-sharing data not available. | ||||
![]() |
![]() |
|||||||
Sterling Rx - S4802-007 Benefit Details ![]() |
$33.90 | $100 | None | cost-sharing data not available. | 149 | |||
![]() |
![]() |
|||||||
Blue MedicareRx Value - S5596-009 Benefit Details ![]() |
$34.50 | $250 | None | cost-sharing data not available. | 6,331 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-015 Benefit Details ![]() |
$35.50 | $265 | None | cost-sharing data not available. | 17 | |||
![]() |
![]() |
|||||||
CIGNATURE Rx Complete Plan - S5617-180 Benefit Details ![]() |
$36.80 | $0 | Generics | cost-sharing data not available. | 827 | |||
![]() |
![]() |
|||||||
AdvantraRx Premier - S5670-058 Benefit Details ![]() |
$37.40 | $0 | None | cost-sharing data not available. | 10,936 | |||
![]() |
![]() |
|||||||
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 - S5803-147 Benefit Details ![]() |
$38.80 | $0 | None | cost-sharing data not available. | 13,470 | |||
![]() |
![]() |
|||||||
UA Medicare Part D Prescription Drug Cov - S5755-013 Benefit Details ![]() |
$39.50 | $0 | None | cost-sharing data not available. | 9,211 | |||
![]() |
![]() |
|||||||
EnvisionRxPlus Standard - S7694-010 Benefit Details ![]() |
$41.50 | $265 | None | cost-sharing data not available. | 36 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Select - S5768-057 Benefit Details ![]() |
$41.60 | $0 | Generics | cost-sharing data not available. | 122 | |||
![]() |
![]() |
|||||||
Blue MedicareRx Plus - S5596-010 Benefit Details ![]() |
$41.80 | $0 | None | cost-sharing data not available. | 8,864 | |||
![]() |
![]() |
|||||||
Aetna Medicare Rx Plus - S5810-146 Benefit Details ![]() |
$42.00 | $0 | None | cost-sharing data not available. | 686 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
InStil Rx Plus - S5946-004 Benefit Details ![]() |
$42.10 | $0 | None | cost-sharing data not available. | 818 | |||
![]() |
![]() |
|||||||
SilverScript Plus - S5601-021 Benefit Details ![]() |
$42.90 | $0 | None | cost-sharing data not available. | 143 | |||
![]() |
![]() |
|||||||
Health Net Orange Option 3 - S5678-082 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 20 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Extended - S5820-113 Benefit Details ![]() |
$43.70 | $0 | None | cost-sharing data not available. | 1,874 | |||
![]() |
![]() |
|||||||
WellCare Complete - S5967-078 Benefit Details ![]() |
$45.40 | $0 | Generics | cost-sharing data not available. | 1,121 | |||
![]() |
![]() |
|||||||
Prescription Pathway Platinum Plan Reg 10 - S5597-207 Benefit Details ![]() |
$46.80 | $0 | Generics | cost-sharing data not available. | 183 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SAMAScript - S7950-010 Benefit Details ![]() |
$47.50 | $265 | None | cost-sharing data not available. | < 10 | |||
Community Care Rx GOLD - S5803-227 Benefit Details ![]() |
$47.90 | $0 | Generics | cost-sharing data not available. | 5,375 | |||
![]() |
![]() |
|||||||
AARP MedicareRx Plan - Enhanced - S5921-133 Benefit Details ![]() |
$48.00 | $0 | Generics | cost-sharing data not available. | 3,231 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5670-060 Benefit Details ![]() |
$48.70 | $0 | Generics | cost-sharing data not available. | 6,104 | |||
![]() |
![]() |
|||||||
SilverScript Complete - S5601-081 Benefit Details ![]() |
$50.50 | $0 | Generics | cost-sharing data not available. | 378 | |||
![]() |
![]() |
|||||||
Blue MedicareRx Premier - S5596-011 Benefit Details ![]() |
$53.00 | $0 | Generics | cost-sharing data not available. | 10,344 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-080 Benefit Details ![]() |
$55.60 | $0 | Generics | cost-sharing data not available. | 267 | |||
![]() |
![]() |
|||||||
EnvisionRxPlus Gold - S7694-044 Benefit Details ![]() |
$60.50 | $0 | Generics | cost-sharing data not available. | 493 | |||
![]() |
![]() |
|||||||
Sterling Rx Plus - S4802-043 Benefit Details ![]() |
$64.00 | $100 | Generics | cost-sharing data not available. | 75 | |||
![]() |
![]() |
|||||||
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 - S5810-180 Benefit Details ![]() |
$70.40 | $0 | Generics | cost-sharing data not available. | 2,429 | |||
![]() |
![]() |
|||||||
Humana PDP Complete S5884-038 - S5884-038 Benefit Details ![]() |
$86.60 | $0 | Generics | cost-sharing data not available. | 5,259 | |||
![]() |
![]() |
|||||||
SierraRx Plus - S5917-040 Benefit Details ![]() |
$96.40 | $0 | All Formulary Drugs | cost-sharing data not available. | 1,481 | |||
![]() |
![]() |
|