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 S5884-083 - S5884-083 Benefit Details ![]() |
$10.60 | $265 | None | Yes | cost-sharing data not available. | 165,209 | ||
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Humana PDP Enhanced S5884-023 - S5884-023 Benefit Details ![]() |
$17.10 | $0 | None | cost-sharing data not available. | 129,395 | |||
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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 | ||||||
WellCare Classic - S5967-162 Benefit Details ![]() |
$18.80 | $265 | None | Yes | cost-sharing data not available. | 831 | ||
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MedicareRx Rewards Value - S5960-025 Benefit Details ![]() |
$19.40 | $265 | None | Yes | cost-sharing data not available. | 17,161 | ||
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AARP MedicareRx Plan - Saver - S5921-247 Benefit Details ![]() |
$20.10 | $265 | None | Yes | cost-sharing data not available. | 1,474 | ||
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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 1 - S5743-001 Benefit Details ![]() |
$21.50 | $265 | None | Yes | cost-sharing data not available. | 188,661 | ||
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MedicareRx Rewards Plus - S5960-061 Benefit Details ![]() |
$21.50 | $0 | None | cost-sharing data not available. | 3,409 | |||
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SilverScript - S5601-050 Benefit Details ![]() |
$22.60 | $265 | None | Yes | cost-sharing data not available. | 20,495 | ||
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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 25 - S5597-057 Benefit Details ![]() |
$22.90 | $0 | None | cost-sharing data not available. | 669 | |||
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Health Net Orange Option 1 - S5678-056 Benefit Details ![]() |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 1,340 | ||
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AdvantraRx Value - S5674-032 Benefit Details ![]() |
$24.40 | $0 | None | cost-sharing data not available. | 3,726 | |||
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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 - S5803-094 Benefit Details ![]() |
$24.50 | $265 | None | Yes | cost-sharing data not available. | 64,742 | ||
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Prescription Pathway Bronze Plan Reg 25 - S5597-090 Benefit Details ![]() |
$25.00 | $265 | None | Yes | cost-sharing data not available. | 16,959 | ||
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Advantage Star Plan by RxAmerica - S5644-080 Benefit Details ![]() |
$25.60 | $265 | None | Yes | cost-sharing data not available. | 8,742 | ||
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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 25 - S5932-024 Benefit Details ![]() |
$26.50 | $265 | None | Yes | cost-sharing data not available. | 1,466 | ||
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WellCare Signature - S5967-059 Benefit Details ![]() |
$26.80 | $0 | None | Yes | cost-sharing data not available. | 24,192 | ||
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AARP MedicareRx Plan - S5820-024 Benefit Details ![]() |
$28.50 | $0 | None | Yes | cost-sharing data not available. | 78,629 | ||
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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 | ||||||
Fox Rx Care Choice Plan - S5557-003 Benefit Details ![]() |
$28.70 | $190 | None | Yes | cost-sharing data not available. | 1,543 | ||
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Aetna Medicare Rx Essentials - S5810-059 Benefit Details ![]() |
$28.90 | $200 | None | Yes | cost-sharing data not available. | 1,842 | ||
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Health Net Orange Option 2 - S5678-055 Benefit Details ![]() |
$29.00 | $0 | None | Yes | cost-sharing data not available. | 925 | ||
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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 - S5617-123 Benefit Details ![]() |
$29.60 | $265 | None | cost-sharing data not available. | 2,630 | |||
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Advantage Freedom Plan by RxAmerica - S5644-059 Benefit Details ![]() |
$30.30 | $265 | None | cost-sharing data not available. | 13,924 | |||
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UnitedHealth Rx Basic - S5921-248 Benefit Details ![]() |
$30.40 | $0 | None | cost-sharing data not available. | 21,166 | |||
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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 - S8841-025 Benefit Details ![]() |
$30.50 | $0 | None | cost-sharing data not available. | 31 | |||
SilverScript Plus - S5601-051 Benefit Details ![]() |
$31.40 | $0 | None | cost-sharing data not available. | 260 | |||
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UA Medicare Part D Rx Covg - Silver Plan - S5755-063 Benefit Details ![]() |
$32.40 | $265 | None | cost-sharing data not available. | 38 | |||
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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 - S5803-162 Benefit Details ![]() |
$32.50 | $0 | None | cost-sharing data not available. | 7,190 | |||
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MedicareRx Rewards Premier - S5960-095 Benefit Details ![]() |
$33.40 | $0 | Generics | cost-sharing data not available. | 1,819 | |||
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Sterling Rx - S4802-030 Benefit Details ![]() |
$33.90 | $100 | None | cost-sharing data not available. | 604 | |||
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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 - S5601-096 Benefit Details ![]() |
$35.40 | $0 | Generics | cost-sharing data not available. | 275 | |||
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AdvantraRx Premier - S5674-033 Benefit Details ![]() |
$35.70 | $0 | None | cost-sharing data not available. | 5,219 | |||
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MedicareBlue Rx Option 2 - S5743-003 Benefit Details ![]() |
$35.90 | $0 | None | cost-sharing data not available. | 62,914 | |||
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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 Select - S5768-072 Benefit Details ![]() |
$36.80 | $0 | None | cost-sharing data not available. | 38 | |||
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Medco YOURx PLAN - S5660-025 Benefit Details ![]() |
$36.90 | $100 | None | cost-sharing data not available. | 3,858 | |||
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Community Care Rx GOLD - S5803-242 Benefit Details ![]() |
$38.90 | $0 | Generics | cost-sharing data not available. | 5,050 | |||
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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 Plus Plan - S5617-125 Benefit Details ![]() |
$39.10 | $0 | None | cost-sharing data not available. | 776 | |||
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WellCare Complete - S5967-094 Benefit Details ![]() |
$39.50 | $0 | Generics | cost-sharing data not available. | 1,053 | |||
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UA Medicare Part D Prescription Drug Cov - S5755-028 Benefit Details ![]() |
$41.90 | $0 | None | cost-sharing data not available. | 2,662 | |||
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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 - S5810-161 Benefit Details ![]() |
$42.80 | $0 | None | cost-sharing data not available. | 502 | |||
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UnitedHealth Rx Extended - S5820-128 Benefit Details ![]() |
$43.30 | $0 | None | cost-sharing data not available. | 3,164 | |||
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Prescription Pathway Platinum Plan Reg 25 - S5597-222 Benefit Details ![]() |
$43.50 | $0 | Generics | cost-sharing data not available. | 110 | |||
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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 - S5678-097 Benefit Details ![]() |
$44.10 | $0 | Generics | cost-sharing data not available. | 26 | |||
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AARP MedicareRx Plan - Enhanced - S5921-249 Benefit Details ![]() |
$46.50 | $0 | Generics | cost-sharing data not available. | 2,548 | |||
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EnvisionRxPlus Standard - S7694-025 Benefit Details ![]() |
$46.50 | $265 | None | cost-sharing data not available. | 34 | |||
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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 - S7950-025 Benefit Details ![]() |
$46.90 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5674-035 Benefit Details ![]() |
$47.50 | $0 | Generics | cost-sharing data not available. | 10,752 | |||
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CIGNATURE Rx Complete Plan - S5617-195 Benefit Details ![]() |
$50.90 | $0 | Generics | cost-sharing data not available. | 349 | |||
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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 | ||||||
Fox Rx Care High Value Plan - S5557-008 Benefit Details ![]() |
$53.80 | $0 | Generics | cost-sharing data not available. | < 10 | |||
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Sterling Rx Plus - S4802-058 Benefit Details ![]() |
$58.70 | $100 | Generics | cost-sharing data not available. | 411 | |||
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Humana PDP Complete S5884-053 - S5884-053 Benefit Details ![]() |
$71.60 | $0 | Generics | cost-sharing data not available. | 17,047 | |||
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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 - S5810-195 Benefit Details ![]() |
$72.60 | $0 | Generics | cost-sharing data not available. | 1,589 | |||
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EnvisionRxPlus Gold - S7694-059 Benefit Details ![]() |
$73.50 | $0 | Generics | cost-sharing data not available. | 254 | |||
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MedicareBlue Rx Option 3 - S5743-004 Benefit Details ![]() |
$110.30 | $0 | All Formulary Drugs | cost-sharing data not available. | 69,206 | |||
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