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 S5884-062 - S5884-062 Benefit Details ![]() |
$10.20 | $265 | None | Yes | cost-sharing data not available. | 53,783 | ||
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WellCare Classic - S5967-141 Benefit Details ![]() |
$15.10 | $265 | None | Yes | cost-sharing data not available. | 323 | ||
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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 | ||||||
Horizon Medicare Rx Plan 1 - S5993-001 Benefit Details ![]() |
$15.40 | $265 | None | Yes | cost-sharing data not available. | 100,211 | ||
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Humana PDP Enhanced S5884-003 - S5884-003 Benefit Details ![]() |
$17.40 | $0 | None | cost-sharing data not available. | 24,890 | |||
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AARP MedicareRx Plan - Saver - S5921-286 Benefit Details ![]() |
$18.50 | $265 | None | Yes | cost-sharing data not available. | 7,337 | ||
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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 - S5617-018 Benefit Details ![]() |
$20.30 | $265 | None | Yes | cost-sharing data not available. | 1,852 | ||
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Bravo Rx II - S5998-003 Benefit Details ![]() |
$20.90 | $265 | None | Yes | cost-sharing data not available. | 209 | ||
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Prescription Pathway Gold Plan Reg 4 - S5597-036 Benefit Details ![]() |
$22.50 | $0 | None | cost-sharing data not available. | 468 | |||
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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 Signature - S5967-038 Benefit Details ![]() |
$22.60 | $0 | None | Yes | cost-sharing data not available. | 18,445 | ||
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Prescription Pathway Bronze Plan Reg 4 - S5597-069 Benefit Details ![]() |
$24.40 | $265 | None | Yes | cost-sharing data not available. | 14,177 | ||
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AdvantraRx Value - S5674-014 Benefit Details ![]() |
$24.50 | $0 | None | cost-sharing data not available. | 1,030 | |||
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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 4 - S5932-005 Benefit Details ![]() |
$25.30 | $265 | None | Yes | cost-sharing data not available. | 422 | ||
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AARP MedicareRx Plan - S5820-003 Benefit Details ![]() |
$25.40 | $0 | None | Yes | cost-sharing data not available. | 150,156 | ||
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Health Net Orange Option 1 - S5678-005 Benefit Details ![]() |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 7,109 | ||
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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 - S4802-001 Benefit Details ![]() |
$25.70 | $100 | None | Yes | cost-sharing data not available. | 45 | ||
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UnitedHealth Rx Basic - S5921-288 Benefit Details ![]() |
$26.90 | $0 | None | Yes | cost-sharing data not available. | 9,497 | ||
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Advantage Star Plan by RxAmerica - S5644-005 Benefit Details ![]() |
$27.70 | $265 | None | Yes | cost-sharing data not available. | 477 | ||
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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 - S5768-007 Benefit Details ![]() |
$27.70 | $0 | None | Yes | cost-sharing data not available. | 22,041 | ||
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Bravo Rx I - S5998-004 Benefit Details ![]() |
$27.80 | $0 | None | Yes | cost-sharing data not available. | 220 | ||
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MedicareRx Rewards Value - S5960-004 Benefit Details ![]() |
$27.80 | $265 | None | Yes | cost-sharing data not available. | 14,808 | ||
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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 2 - S5678-011 Benefit Details ![]() |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 8,128 | ||
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Aetna Medicare Rx Essentials - S5810-038 Benefit Details ![]() |
$28.10 | $200 | None | Yes | cost-sharing data not available. | 826 | ||
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CIGNATURE Rx Plus Plan - S5617-020 Benefit Details ![]() |
$28.20 | $0 | None | cost-sharing data not available. | 765 | |||
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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 - S5601-008 Benefit Details ![]() |
$29.20 | $265 | None | cost-sharing data not available. | 13,778 | |||
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Community Care Rx BASIC - S5803-073 Benefit Details ![]() |
$31.00 | $265 | None | cost-sharing data not available. | 1,572 | |||
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SierraRx Basic - S5917-009 Benefit Details ![]() |
$31.40 | $265 | None | cost-sharing data not available. | 10 | |||
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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 - S5644-049 Benefit Details ![]() |
$32.40 | $265 | None | cost-sharing data not available. | 409 | |||
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UA Medicare Part D Rx Covg - Silver Plan - S5755-042 Benefit Details ![]() |
$32.40 | $265 | None | cost-sharing data not available. | 11 | |||
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NMHC Medicare PDP Gold - S8841-004 Benefit Details ![]() |
$32.50 | $0 | None | cost-sharing data not available. | 11 | |||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus - S5960-040 Benefit Details ![]() |
$34.70 | $0 | None | cost-sharing data not available. | 209 | |||
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Horizon Medicare Rx Plan 2 - S5993-002 Benefit Details ![]() |
$35.70 | $0 | Generics | cost-sharing data not available. | 34,620 | |||
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AdvantraRx Premier - S5674-015 Benefit Details ![]() |
$35.80 | $0 | None | cost-sharing data not available. | 2,043 | |||
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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 | ||||||
Medco YOURx PLAN - S5660-035 Benefit Details ![]() |
$37.00 | $100 | None | cost-sharing data not available. | 1,225 | |||
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CIGNATURE Rx Complete Plan - S5617-174 Benefit Details ![]() |
$38.20 | $0 | Generics | cost-sharing data not available. | 364 | |||
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Community Care Rx CHOICE - S5803-141 Benefit Details ![]() |
$39.10 | $0 | None | cost-sharing data not available. | 298 | |||
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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 - S5601-009 Benefit Details ![]() |
$40.10 | $0 | None | cost-sharing data not available. | 189 | |||
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UnitedHealth Rx Extended - S5820-107 Benefit Details ![]() |
$40.20 | $0 | None | cost-sharing data not available. | 1,623 | |||
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EnvisionRxPlus Standard - S7694-004 Benefit Details ![]() |
$40.50 | $265 | None | cost-sharing data not available. | 32 | |||
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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 - S5768-051 Benefit Details ![]() |
$41.40 | $0 | Generics | cost-sharing data not available. | 56 | |||
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Aetna Medicare Rx Plus - S5810-140 Benefit Details ![]() |
$41.80 | $0 | None | cost-sharing data not available. | 541 | |||
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UA Medicare Part D Prescription Drug Cov - S5755-007 Benefit Details ![]() |
$42.00 | $0 | None | cost-sharing data not available. | 2,892 | |||
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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 Complete - S5967-072 Benefit Details ![]() |
$42.20 | $0 | Generics | cost-sharing data not available. | 671 | |||
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Prescription Pathway Platinum Plan Reg 4 - S5597-201 Benefit Details ![]() |
$42.50 | $0 | Generics | cost-sharing data not available. | 238 | |||
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AmeriHealth Rx Option I - S4496-001 Benefit Details ![]() |
$43.00 | $265 | None | cost-sharing data not available. | < 10 | |||
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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 - S5678-073 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 16 | |||
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AARP MedicareRx Plan - Enhanced - S5921-293 Benefit Details ![]() |
$43.20 | $0 | Generics | cost-sharing data not available. | 4,021 | |||
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SilverScript Complete - S5601-075 Benefit Details ![]() |
$46.80 | $0 | Generics | cost-sharing data not available. | 101 | |||
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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 - S7950-004 Benefit Details ![]() |
$47.40 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5674-017 Benefit Details ![]() |
$47.70 | $0 | Generics | cost-sharing data not available. | 2,621 | |||
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Community Care Rx GOLD - S5803-221 Benefit Details ![]() |
$47.80 | $0 | Generics | cost-sharing data not available. | 338 | |||
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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 | ||||||
MedicareRx Rewards Premier - S5960-074 Benefit Details ![]() |
$49.50 | $0 | Generics | cost-sharing data not available. | 138 | |||
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Sterling Rx Plus - S4802-037 Benefit Details ![]() |
$51.90 | $100 | Generics | cost-sharing data not available. | 72 | |||
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AmeriHealth Rx Option II Enhanced - S4496-002 Benefit Details ![]() |
$52.40 | $0 | Generics | cost-sharing data not available. | < 10 | |||
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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 Gold - S7694-038 Benefit Details ![]() |
$57.50 | $0 | Generics | cost-sharing data not available. | 536 | |||
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Aetna Medicare Rx Premier - S5810-174 Benefit Details ![]() |
$69.90 | $0 | Generics | cost-sharing data not available. | 1,531 | |||
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Humana PDP Complete S5884-032 - S5884-032 Benefit Details ![]() |
$71.20 | $0 | Generics | cost-sharing data not available. | 4,663 | |||
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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 | ||||||
SierraRx Plus - S5917-034 Benefit Details ![]() |
$135.70 | $0 | All Formulary Drugs | cost-sharing data not available. | 386 | |||
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