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 S5884-075 - S5884-075 Benefit Details ![]() |
$17.10 | $265 | None | Yes | cost-sharing data not available. | 62,764 | ||
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WellCare Classic - S5967-154 Benefit Details ![]() |
$18.70 | $265 | None | Yes | cost-sharing data not available. | 1,286 | ||
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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 - S5921-081 Benefit Details ![]() |
$20.20 | $265 | None | Yes | cost-sharing data not available. | 1,822 | ||
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Bravo Rx II - S5822-005 Benefit Details ![]() |
$20.70 | $265 | None | Yes | cost-sharing data not available. | 991 | ||
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Prescription Pathway Gold Plan Reg 17 - S5597-049 Benefit Details ![]() |
$22.80 | $0 | None | cost-sharing data not available. | 2,499 | |||
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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 - S5617-083 Benefit Details ![]() |
$24.00 | $265 | None | Yes | cost-sharing data not available. | 4,807 | ||
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Prescription Pathway Bronze Plan Reg 17 - S5597-082 Benefit Details ![]() |
$24.70 | $265 | None | Yes | cost-sharing data not available. | 21,653 | ||
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Health Net Orange Option 1 - S5678-040 Benefit Details ![]() |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 1,118 | ||
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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 S5884-015 - S5884-015 Benefit Details ![]() |
$25.50 | $0 | None | cost-sharing data not available. | 22,941 | |||
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SilverScript - S5601-034 Benefit Details ![]() |
$25.50 | $265 | None | Yes | cost-sharing data not available. | 22,996 | ||
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WellCare Signature - S5967-051 Benefit Details ![]() |
$25.90 | $0 | None | Yes | cost-sharing data not available. | 31,891 | ||
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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 | ||||||
AARP MedicareRx Plan - S5820-016 Benefit Details ![]() |
$26.00 | $0 | None | Yes | cost-sharing data not available. | 208,877 | ||
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HealthSpring Prescription Drug Plan-Reg 17 - S5932-016 Benefit Details ![]() |
$26.20 | $265 | None | Yes | cost-sharing data not available. | 20,247 | ||
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AdvantraRx Value - S5670-087 Benefit Details ![]() |
$26.50 | $0 | None | cost-sharing data not available. | 2,416 | |||
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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 | ||||||
Bravo Rx I - S5822-006 Benefit Details ![]() |
$27.60 | $0 | None | Yes | cost-sharing data not available. | 1,025 | ||
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First Health Premier - S5768-042 Benefit Details ![]() |
$27.70 | $0 | None | Yes | cost-sharing data not available. | 2,111 | ||
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Health Net Orange Option 2 - S5678-039 Benefit Details ![]() |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 1,215 | ||
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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 - S5921-082 Benefit Details ![]() |
$28.60 | $0 | None | Yes | cost-sharing data not available. | 101,374 | ||
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Aetna Medicare Rx Essentials - S5810-051 Benefit Details ![]() |
$28.80 | $220 | None | Yes | cost-sharing data not available. | 21,054 | ||
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Advantage Star Plan by RxAmerica - S5644-192 Benefit Details ![]() |
$29.30 | $265 | None | Yes | cost-sharing data not available. | 1,988 | ||
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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 - S5803-086 Benefit Details ![]() |
$29.80 | $265 | None | cost-sharing data not available. | 29,173 | |||
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Blue Medicare Rx - Standard - S5715-007 Benefit Details ![]() |
$30.30 | $265 | None | cost-sharing data not available. | 28,506 | |||
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MedicareRx Rewards Value - S5960-017 Benefit Details ![]() |
$30.50 | $265 | None | cost-sharing data not available. | 20,308 | |||
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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 | ||||||
NMHC Medicare PDP Gold - S8841-017 Benefit Details ![]() |
$30.80 | $0 | None | cost-sharing data not available. | 40 | |||
Sterling Rx - S4802-028 Benefit Details ![]() |
$31.00 | $100 | None | cost-sharing data not available. | 223 | |||
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Blue Medicare Rx - Value - S5715-001 Benefit Details ![]() |
$31.10 | $0 | None | cost-sharing data not available. | 98,274 | |||
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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 - S5755-055 Benefit Details ![]() |
$32.30 | $265 | None | cost-sharing data not available. | 39 | |||
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CIGNATURE Rx Plus Plan - S5617-085 Benefit Details ![]() |
$32.50 | $0 | None | cost-sharing data not available. | 1,029 | |||
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SierraRx Basic - S5917-019 Benefit Details ![]() |
$33.10 | $265 | None | cost-sharing data not available. | 19 | |||
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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 - S5644-178 Benefit Details ![]() |
$34.00 | $265 | None | cost-sharing data not available. | 23 | |||
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SilverScript Plus - S5601-035 Benefit Details ![]() |
$34.80 | $0 | None | cost-sharing data not available. | 1,237 | |||
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Medco YOURx PLAN - S5660-017 Benefit Details ![]() |
$35.20 | $100 | None | cost-sharing data not available. | 5,253 | |||
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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 | ||||||
AdvantraRx Premier - S5670-088 Benefit Details ![]() |
$36.10 | $0 | None | cost-sharing data not available. | 3,662 | |||
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MedicareRx Rewards Plus - S5960-053 Benefit Details ![]() |
$37.60 | $0 | None | cost-sharing data not available. | 1,724 | |||
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Community Care Rx CHOICE - S5803-154 Benefit Details ![]() |
$37.90 | $0 | None | cost-sharing data not available. | 2,470 | |||
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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 - S5601-088 Benefit Details ![]() |
$39.90 | $0 | Generics | cost-sharing data not available. | 615 | |||
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Aetna Medicare Rx Plus - S5810-153 Benefit Details ![]() |
$41.50 | $0 | None | cost-sharing data not available. | 687 | |||
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UA Medicare Part D Prescription Drug Cov - S5755-020 Benefit Details ![]() |
$41.90 | $0 | None | cost-sharing data not available. | 3,953 | |||
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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 Extended - S5820-120 Benefit Details ![]() |
$42.10 | $0 | None | cost-sharing data not available. | 2,591 | |||
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Prescription Pathway Platinum Plan Reg 17 - S5597-214 Benefit Details ![]() |
$43.00 | $0 | Generics | cost-sharing data not available. | 785 | |||
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Health Net Orange Option 3 - S5678-089 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 23 | |||
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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 - S5921-083 Benefit Details ![]() |
$43.30 | $0 | Generics | cost-sharing data not available. | 3,966 | |||
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CIGNATURE Rx Complete Plan - S5617-187 Benefit Details ![]() |
$43.50 | $0 | Generics | cost-sharing data not available. | 468 | |||
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First Health Select - S5768-064 Benefit Details ![]() |
$43.80 | $0 | Generics | cost-sharing data not available. | 83 | |||
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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 | ||||||
EnvisionRxPlus Standard - S7694-017 Benefit Details ![]() |
$44.00 | $265 | None | cost-sharing data not available. | 39 | |||
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Community Care Rx GOLD - S5803-234 Benefit Details ![]() |
$46.50 | $0 | Generics | cost-sharing data not available. | 1,184 | |||
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WellCare Complete - S5967-085 Benefit Details ![]() |
$47.10 | $0 | Generics | cost-sharing data not available. | 1,540 | |||
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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 Plus - S5670-090 Benefit Details ![]() |
$48.00 | $0 | Generics | cost-sharing data not available. | 5,851 | |||
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SAMAScript - S7950-017 Benefit Details ![]() |
$49.50 | $265 | None | cost-sharing data not available. | < 10 | |||
MedicareRx Rewards Premier - S5960-087 Benefit Details ![]() |
$52.80 | $0 | Generics | cost-sharing data not available. | 1,420 | |||
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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 - S4802-050 Benefit Details ![]() |
$56.70 | $100 | Generics | cost-sharing data not available. | 214 | |||
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Blue Medicare Rx - Plus - S5715-002 Benefit Details ![]() |
$57.60 | $0 | Generics | cost-sharing data not available. | 42,767 | |||
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EnvisionRxPlus Gold - S7694-051 Benefit Details ![]() |
$67.00 | $0 | Generics | cost-sharing data not available. | 538 | |||
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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 - S5810-187 Benefit Details ![]() |
$69.40 | $0 | Generics | cost-sharing data not available. | 2,471 | |||
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Humana PDP Complete S5884-045 - S5884-045 Benefit Details ![]() |
$86.00 | $0 | Generics | cost-sharing data not available. | 7,477 | |||
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SierraRx Plus - S5917-044 Benefit Details ![]() |
$106.00 | $0 | All Formulary Drugs | cost-sharing data not available. | 1,728 | |||
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