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 - S5967-166 Benefit Details ![]() |
$10.60 | $265 | None | Yes | cost-sharing data not available. | 802 | ||
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Humana PDP Standard S5884-087 - S5884-087 Benefit Details ![]() |
$15.50 | $265 | None | Yes | cost-sharing data not available. | 11,853 | ||
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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 - S5921-265 Benefit Details ![]() |
$17.00 | $265 | None | Yes | cost-sharing data not available. | 6,528 | ||
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MedicareRx Rewards Value - S5960-029 Benefit Details ![]() |
$17.70 | $265 | None | Yes | cost-sharing data not available. | 2,503 | ||
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Blue MedicareRx Value - S5596-029 Benefit Details ![]() |
$19.00 | $250 | None | Yes | cost-sharing data not available. | 3,284 | ||
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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 - S5967-063 Benefit Details ![]() |
$19.80 | $0 | None | Yes | cost-sharing data not available. | 6,827 | ||
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Health Net Orange Option 1 - S5678-062 Benefit Details ![]() |
$20.50 | $265 | None | Yes | cost-sharing data not available. | 1,035 | ||
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Advantage Star Plan by RxAmerica - S5644-082 Benefit Details ![]() |
$20.70 | $265 | None | cost-sharing data not available. | 65 | |||
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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 29 - S5597-061 Benefit Details ![]() |
$21.60 | $0 | None | cost-sharing data not available. | 235 | |||
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SierraRx Basic - S5917-030 Benefit Details ![]() |
$22.30 | $265 | None | cost-sharing data not available. | 3,413 | |||
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Prescription Pathway Bronze Plan Reg 29 - S5597-094 Benefit Details ![]() |
$23.10 | $265 | None | cost-sharing data not available. | 99 | |||
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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 S5884-027 - S5884-027 Benefit Details ![]() |
$23.20 | $0 | None | cost-sharing data not available. | 5,599 | |||
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AdvantraRx Value - S5670-147 Benefit Details ![]() |
$23.60 | $0 | None | cost-sharing data not available. | 439 | |||
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SilverScript - S5601-058 Benefit Details ![]() |
$23.60 | $265 | None | cost-sharing data not available. | 102 | |||
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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 29 - S5932-028 Benefit Details ![]() |
$23.80 | $265 | None | cost-sharing data not available. | < 10 | |||
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CIGNATURE Rx Value Plan - S5617-143 Benefit Details ![]() |
$24.00 | $265 | None | cost-sharing data not available. | 344 | |||
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First Health Premier - S5768-031 Benefit Details ![]() |
$24.80 | $0 | None | cost-sharing data not available. | 1,809 | |||
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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 - S5820-028 Benefit Details ![]() |
$24.90 | $0 | None | cost-sharing data not available. | 12,749 | |||
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Blue MedicareRx Plus - S5596-030 Benefit Details ![]() |
$25.00 | $0 | None | cost-sharing data not available. | 851 | |||
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Advantage Freedom Plan by RxAmerica - S5644-061 Benefit Details ![]() |
$25.50 | $265 | None | cost-sharing data not available. | 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 | ||||||
UnitedHealth Rx Basic - S5921-266 Benefit Details ![]() |
$26.50 | $0 | None | cost-sharing data not available. | 1,431 | |||
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Health Net Orange Option 2 - S5678-061 Benefit Details ![]() |
$27.00 | $0 | None | cost-sharing data not available. | 62 | |||
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Aetna Medicare Rx Essentials - S5810-063 Benefit Details ![]() |
$27.10 | $190 | None | cost-sharing data not available. | 84 | |||
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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 - S5755-067 Benefit Details ![]() |
$29.00 | $265 | None | cost-sharing data not available. | 16 | |||
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Community Care Rx BASIC - S5803-098 Benefit Details ![]() |
$29.60 | $265 | None | cost-sharing data not available. | 536 | |||
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SierraRx - S5917-005 Benefit Details ![]() |
$30.50 | $265 | None | cost-sharing data not available. | 1,428 | |||
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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 - S8841-029 Benefit Details ![]() |
$30.60 | $0 | None | cost-sharing data not available. | < 10 | |||
CIGNATURE Rx Plus Plan - S5617-145 Benefit Details ![]() |
$32.20 | $0 | None | cost-sharing data not available. | 311 | |||
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Sterling Rx - S4802-019 Benefit Details ![]() |
$32.20 | $100 | None | cost-sharing data not available. | 30 | |||
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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 - S5660-029 Benefit Details ![]() |
$33.10 | $100 | None | cost-sharing data not available. | 352 | |||
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AdvantraRx Premier - S5670-148 Benefit Details ![]() |
$34.40 | $0 | None | cost-sharing data not available. | 841 | |||
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Blue MedicareRx Premier - S5596-031 Benefit Details ![]() |
$34.60 | $0 | Generics | cost-sharing data not available. | 1,038 | |||
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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 - S5601-059 Benefit Details ![]() |
$34.90 | $0 | None | cost-sharing data not available. | 43 | |||
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MedicareRx Rewards Premier - S5960-099 Benefit Details ![]() |
$36.20 | $0 | Generics | cost-sharing data not available. | 214 | |||
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Community Care Rx CHOICE - S5803-166 Benefit Details ![]() |
$37.50 | $0 | None | cost-sharing data not available. | 136 | |||
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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 - S5678-100 Benefit Details ![]() |
$37.60 | $0 | Generics | cost-sharing data not available. | 17 | |||
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UA Medicare Part D Prescription Drug Cov - S5755-032 Benefit Details ![]() |
$38.20 | $0 | None | cost-sharing data not available. | 2,365 | |||
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First Health Select - S5768-076 Benefit Details ![]() |
$39.30 | $0 | Generics | 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 | ||||||
SilverScript Complete - S5601-100 Benefit Details ![]() |
$39.90 | $0 | Generics | cost-sharing data not available. | 22 | |||
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UnitedHealth Rx Extended - S5820-132 Benefit Details ![]() |
$39.90 | $0 | None | cost-sharing data not available. | 604 | |||
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Prescription Pathway Platinum Plan Reg 29 - S5597-226 Benefit Details ![]() |
$40.60 | $0 | Generics | cost-sharing data not available. | 91 | |||
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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 - S5921-273 Benefit Details ![]() |
$42.00 | $0 | Generics | cost-sharing data not available. | 815 | |||
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Aetna Medicare Rx Plus - S5810-165 Benefit Details ![]() |
$42.40 | $0 | None | cost-sharing data not available. | 124 | |||
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CIGNATURE Rx Complete Plan - S5617-199 Benefit Details ![]() |
$42.60 | $0 | Generics | cost-sharing data not available. | 129 | |||
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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 - S5967-098 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 151 | |||
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EnvisionRxPlus Standard - S7694-029 Benefit Details ![]() |
$45.00 | $265 | None | cost-sharing data not available. | < 10 | |||
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AdvantraRx Premier Plus - S5670-150 Benefit Details ![]() |
$45.50 | $0 | Generics | cost-sharing data not available. | 1,028 | |||
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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 GOLD - S5803-246 Benefit Details ![]() |
$46.00 | $0 | Generics | cost-sharing data not available. | 101 | |||
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SAMAScript - S7950-029 Benefit Details ![]() |
$46.00 | $265 | None | cost-sharing data not available. | < 10 | |||
Sterling Rx Plus - S4802-062 Benefit Details ![]() |
$58.40 | $100 | Generics | cost-sharing data not available. | 35 | |||
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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 - S7694-063 Benefit Details ![]() |
$68.00 | $0 | Generics | cost-sharing data not available. | 112 | |||
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Aetna Medicare Rx Premier - S5810-199 Benefit Details ![]() |
$71.60 | $0 | Generics | cost-sharing data not available. | 315 | |||
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Humana PDP Complete S5884-057 - S5884-057 Benefit Details ![]() |
$79.60 | $0 | Generics | cost-sharing data not available. | 1,237 | |||
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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 - S5917-055 Benefit Details ![]() |
$84.30 | $0 | All Formulary Drugs | cost-sharing data not available. | 480 | |||
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