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 - S5967-139 Benefit Details ![]() |
$13.40 | $265 | None | Yes | cost-sharing data not available. | 1,963 | ||
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Humana PDP Standard S5884-061 - S5884-061 Benefit Details ![]() |
$16.90 | $265 | None | Yes | cost-sharing data not available. | 93,504 | ||
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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 - S5921-181 Benefit Details ![]() |
$18.50 | $265 | None | Yes | cost-sharing data not available. | 2,441 | ||
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CIGNATURE Rx Value Plan - S5617-008 Benefit Details ![]() |
$21.10 | $265 | None | Yes | cost-sharing data not available. | 4,147 | ||
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WellCare Signature - S5967-036 Benefit Details ![]() |
$21.50 | $0 | None | Yes | cost-sharing data not available. | 49,146 | ||
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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 MedicareRx Value - S2893-014 Benefit Details ![]() |
$22.00 | $265 | None | Yes | cost-sharing data not available. | 36,836 | ||
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MedicareRx Rewards Value - S5960-002 Benefit Details ![]() |
$22.10 | $265 | None | Yes | cost-sharing data not available. | 30,920 | ||
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Advantage Star Plan by RxAmerica - S5644-068 Benefit Details ![]() |
$23.20 | $265 | None | Yes | cost-sharing data not available. | 1,341 | ||
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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 2 - S5597-035 Benefit Details ![]() |
$23.20 | $0 | None | cost-sharing data not available. | 1,397 | |||
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AdvantraRx Value - S5674-008 Benefit Details ![]() |
$24.10 | $0 | None | cost-sharing data not available. | 2,484 | |||
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Health Net Orange Option 1 - S5678-004 Benefit Details ![]() |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 21,995 | ||
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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 - S5820-036 Benefit Details ![]() |
$24.40 | $0 | None | cost-sharing data not available. | 79 | |||
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SilverScript - S5601-004 Benefit Details ![]() |
$24.40 | $265 | None | Yes | cost-sharing data not available. | 38,983 | ||
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HealthSpring Prescription Drug Plan -Reg 2 - S5932-003 Benefit Details ![]() |
$24.70 | $265 | None | Yes | cost-sharing data not available. | 1,122 | ||
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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 2 - S5597-068 Benefit Details ![]() |
$25.20 | $265 | None | Yes | cost-sharing data not available. | 38,816 | ||
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AARP MedicareRx Plan - Saver - S5820-149 Benefit Details ![]() |
$25.60 | $265 | None | cost-sharing data not available. | < 10 | |||
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Humana PDP Enhanced S5884-002 - S5884-002 Benefit Details ![]() |
$25.80 | $0 | None | cost-sharing data not available. | 30,902 | |||
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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 - S5820-002 Benefit Details ![]() |
$26.30 | $0 | None | Yes | cost-sharing data not available. | 159,360 | ||
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Sterling Rx - S4802-023 Benefit Details ![]() |
$27.00 | $100 | None | Yes | cost-sharing data not available. | 40 | ||
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Community Care Rx BASIC - S5803-071 Benefit Details ![]() |
$27.20 | $265 | None | Yes | cost-sharing data not available. | 6,158 | ||
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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 Premier - S5768-038 Benefit Details ![]() |
$27.40 | $0 | None | cost-sharing data not available. | 108 | |||
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Advantage Freedom Plan by RxAmerica - S5644-047 Benefit Details ![]() |
$27.90 | $265 | None | cost-sharing data not available. | 1,779 | |||
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UnitedHealth Rx Basic - S5921-182 Benefit Details ![]() |
$28.00 | $0 | None | cost-sharing data not available. | 36,806 | |||
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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 - S5810-036 Benefit Details ![]() |
$28.30 | $200 | None | cost-sharing data not available. | 268 | |||
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Health Net Orange Option 2 - S5678-010 Benefit Details ![]() |
$29.00 | $0 | None | cost-sharing data not available. | 21,989 | |||
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CIGNATURE Rx Plus Plan - S5617-010 Benefit Details ![]() |
$29.10 | $0 | None | cost-sharing data not available. | 1,198 | |||
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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 MedicareRx Value Plus - S2893-001 Benefit Details ![]() |
$30.30 | $0 | None | cost-sharing data not available. | 43,637 | |||
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UA Medicare Part D Rx Covg - Silver Plan - S5755-041 Benefit Details ![]() |
$30.40 | $265 | None | cost-sharing data not available. | 86 | |||
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NMHC Medicare PDP Gold - S8841-002 Benefit Details ![]() |
$30.50 | $0 | None | cost-sharing data not available. | 35 | |||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-005 Benefit Details ![]() |
$33.00 | $0 | None | cost-sharing data not available. | 511 | |||
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AdvantraRx Premier - S5674-009 Benefit Details ![]() |
$35.00 | $0 | None | cost-sharing data not available. | 4,402 | |||
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Medco YOURx PLAN - S5660-003 Benefit Details ![]() |
$35.40 | $100 | None | cost-sharing data not available. | 3,761 | |||
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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 - S5803-139 Benefit Details ![]() |
$35.60 | $0 | None | cost-sharing data not available. | 1,608 | |||
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WellCare Complete - S5967-070 Benefit Details ![]() |
$36.80 | $0 | Generics | cost-sharing data not available. | 1,917 | |||
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SilverScript Complete - S5601-073 Benefit Details ![]() |
$37.40 | $0 | Generics | cost-sharing data not available. | 230 | |||
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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 - S5617-172 Benefit Details ![]() |
$39.10 | $0 | Generics | cost-sharing data not available. | 651 | |||
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First Health Select - S5768-050 Benefit Details ![]() |
$39.80 | $0 | Generics | cost-sharing data not available. | 147 | |||
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UA Medicare Part D Prescription Drug Cov - S5755-006 Benefit Details ![]() |
$39.80 | $0 | None | cost-sharing data not available. | 4,195 | |||
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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 - S5820-106 Benefit Details ![]() |
$41.10 | $0 | None | cost-sharing data not available. | 2,861 | |||
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EnvisionRxPlus Standard - S7694-002 Benefit Details ![]() |
$42.00 | $265 | None | cost-sharing data not available. | 66 | |||
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MedicareRx Rewards Premier - S5960-072 Benefit Details ![]() |
$42.20 | $0 | Generics | cost-sharing data not available. | 658 | |||
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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 - S5820-144 Benefit Details ![]() |
$42.50 | $0 | Generics | cost-sharing data not available. | < 10 | |||
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Aetna Medicare Rx Plus - S5810-138 Benefit Details ![]() |
$42.60 | $0 | None | cost-sharing data not available. | 341 | |||
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Community Care Rx GOLD - S5803-219 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 675 | |||
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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 2 - S5597-200 Benefit Details ![]() |
$43.70 | $0 | Generics | cost-sharing data not available. | 343 | |||
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AARP MedicareRx Plan - Enhanced - S5921-183 Benefit Details ![]() |
$43.80 | $0 | Generics | cost-sharing data not available. | 3,697 | |||
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Health Net Orange Option 3 - S5678-072 Benefit Details ![]() |
$44.10 | $0 | Generics | cost-sharing data not available. | 81 | |||
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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 - S7950-002 Benefit Details ![]() |
$45.20 | $265 | None | cost-sharing data not available. | < 10 | |||
Blue MedicareRx Premier - S2893-003 Benefit Details ![]() |
$45.80 | $0 | Generics | cost-sharing data not available. | 26,178 | |||
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AdvantraRx Premier Plus - S5674-011 Benefit Details ![]() |
$48.40 | $0 | Generics | cost-sharing data not available. | 6,423 | |||
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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 - S4802-035 Benefit Details ![]() |
$52.40 | $100 | Generics | cost-sharing data not available. | 138 | |||
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EnvisionRxPlus Gold - S7694-036 Benefit Details ![]() |
$60.50 | $0 | Generics | cost-sharing data not available. | 779 | |||
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Aetna Medicare Rx Premier - S5810-172 Benefit Details ![]() |
$71.80 | $0 | Generics | cost-sharing data not available. | 1,157 | |||
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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 Complete S5884-031 - S5884-031 Benefit Details ![]() |
$87.40 | $0 | Generics | cost-sharing data not available. | 7,722 | |||
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