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 S5884-072 - S5884-072 Benefit Details ![]() |
$16.00 | $265 | None | Yes | cost-sharing data not available. | 75,258 | ||
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AARP MedicareRx Plan - Saver - S5921-051 Benefit Details ![]() |
$18.90 | $265 | None | Yes | cost-sharing data not available. | 34,839 | ||
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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 - S5967-151 Benefit Details ![]() |
$20.70 | $265 | None | Yes | cost-sharing data not available. | 653 | ||
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Blue MedicareRx Value - S5596-013 Benefit Details ![]() |
$23.00 | $250 | None | Yes | cost-sharing data not available. | 20,350 | ||
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Prescription Pathway Gold Plan Reg 14 - S5597-046 Benefit Details ![]() |
$23.00 | $0 | None | cost-sharing data not available. | 1,972 | |||
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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 Value - S5960-014 Benefit Details ![]() |
$23.10 | $265 | None | Yes | cost-sharing data not available. | 12,556 | ||
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AdvantraRx Value - S5670-075 Benefit Details ![]() |
$23.80 | $0 | None | Yes | cost-sharing data not available. | 22,564 | ||
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Bravo Rx II - S5998-011 Benefit Details ![]() |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 967 | ||
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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 1 - S5678-034 Benefit Details ![]() |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 1,368 | ||
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Prescription Pathway Bronze Plan Reg 14 - S5597-079 Benefit Details ![]() |
$25.00 | $265 | None | Yes | cost-sharing data not available. | 1,774 | ||
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Humana PDP Enhanced S5884-012 - S5884-012 Benefit Details ![]() |
$25.20 | $0 | None | cost-sharing data not available. | 36,465 | |||
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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 - S5803-083 Benefit Details ![]() |
$27.00 | $265 | None | Yes | cost-sharing data not available. | 33,454 | ||
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Aetna Medicare Rx Essentials - S5810-048 Benefit Details ![]() |
$27.50 | $200 | None | Yes | cost-sharing data not available. | 1,979 | ||
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HealthSpring Prescription Drug Plan-Reg 14 - S5932-013 Benefit Details ![]() |
$27.60 | $265 | None | Yes | cost-sharing data not available. | 987 | ||
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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 Plus - S5596-014 Benefit Details ![]() |
$28.20 | $0 | None | cost-sharing data not available. | 10,663 | |||
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WellCare Signature - S5967-048 Benefit Details ![]() |
$28.20 | $0 | None | Yes | cost-sharing data not available. | 40,162 | ||
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Paramount Drug Plan - S5588-001 Benefit Details ![]() |
$28.80 | $0 | None | cost-sharing data not available. | 247 | |||
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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 - S5617-068 Benefit Details ![]() |
$29.00 | $265 | None | cost-sharing data not available. | 3,163 | |||
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Health Net Orange Option 2 - S5678-033 Benefit Details ![]() |
$29.00 | $0 | None | cost-sharing data not available. | 240 | |||
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Advantage Star Plan by RxAmerica - S5644-189 Benefit Details ![]() |
$29.30 | $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 | ||||||
SilverScript - S5601-028 Benefit Details ![]() |
$29.30 | $265 | None | cost-sharing data not available. | 22,424 | |||
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AARP MedicareRx Plan - S5820-013 Benefit Details ![]() |
$29.70 | $0 | None | cost-sharing data not available. | 144,592 | |||
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SierraRx Basic - S5917-017 Benefit Details ![]() |
$29.70 | $265 | None | cost-sharing data not available. | 24 | |||
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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 - S4802-026 Benefit Details ![]() |
$30.30 | $100 | None | cost-sharing data not available. | 45 | |||
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UPMC for Life Prescription Drug Plan - S8201-001 Benefit Details ![]() |
$30.50 | $0 | None | cost-sharing data not available. | < 10 | |||
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AmeriHealth Advantage Rx Option I - S5783-006 Benefit Details ![]() |
$31.10 | $265 | None | cost-sharing data not available. | ||||
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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 - S5921-052 Benefit Details ![]() |
$31.40 | $0 | None | cost-sharing data not available. | 7,905 | |||
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First Health Premier - S5768-017 Benefit Details ![]() |
$32.20 | $0 | None | cost-sharing data not available. | 5,902 | |||
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NMHC Medicare PDP Gold - S8841-014 Benefit Details ![]() |
$32.30 | $0 | None | cost-sharing data not available. | 32 | |||
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 - S5755-052 Benefit Details ![]() |
$32.80 | $265 | None | cost-sharing data not available. | 54 | |||
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Bravo Rx I - S5998-012 Benefit Details ![]() |
$33.20 | $0 | None | cost-sharing data not available. | 18 | |||
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Advantage Freedom Plan by RxAmerica - S5644-175 Benefit Details ![]() |
$34.00 | $265 | None | cost-sharing data not available. | 17 | |||
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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 | ||||||
Paramount Enhanced Drug Plan - S5588-002 Benefit Details ![]() |
$34.60 | $0 | None | cost-sharing data not available. | 147 | |||
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Community Care Rx CHOICE - S5803-151 Benefit Details ![]() |
$34.90 | $0 | None | cost-sharing data not available. | 2,112 | |||
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AdvantraRx Premier - S5670-076 Benefit Details ![]() |
$36.20 | $0 | None | cost-sharing data not available. | 8,576 | |||
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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 - S5660-014 Benefit Details ![]() |
$36.80 | $100 | None | cost-sharing data not available. | 4,562 | |||
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Advantage Plan Standard Rx - S3230-001 Benefit Details ![]() |
$36.90 | $0 | None | cost-sharing data not available. | 64 | |||
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CIGNATURE Rx Plus Plan - S5617-070 Benefit Details ![]() |
$37.90 | $0 | None | cost-sharing data not available. | 1,274 | |||
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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 | ||||||
Blue MedicareRx Premier - S5596-015 Benefit Details ![]() |
$39.60 | $0 | Generics | cost-sharing data not available. | 11,031 | |||
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SilverScript Plus - S5601-029 Benefit Details ![]() |
$39.60 | $0 | None | cost-sharing data not available. | 386 | |||
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First Health Select - S5768-061 Benefit Details ![]() |
$41.00 | $0 | Generics | cost-sharing data not available. | 173 | |||
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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 - S5803-231 Benefit Details ![]() |
$41.20 | $0 | Generics | cost-sharing data not available. | 1,088 | |||
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EnvisionRxPlus Standard - S7694-014 Benefit Details ![]() |
$41.50 | $265 | None | cost-sharing data not available. | 74 | |||
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Aetna Medicare Rx Plus - S5810-150 Benefit Details ![]() |
$41.60 | $0 | None | 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 | ||||||
UA Medicare Part D Prescription Drug Cov - S5755-017 Benefit Details ![]() |
$42.30 | $0 | None | cost-sharing data not available. | 7,591 | |||
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MedicareRx Rewards Premier - S5960-084 Benefit Details ![]() |
$43.50 | $0 | Generics | cost-sharing data not available. | 723 | |||
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Prescription Pathway Platinum Plan Reg 14 - S5597-211 Benefit Details ![]() |
$43.50 | $0 | Generics | cost-sharing data not available. | 617 | |||
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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 - S5820-117 Benefit Details ![]() |
$43.90 | $0 | None | cost-sharing data not available. | 2,651 | |||
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Health Net Orange Option 3 - S5678-086 Benefit Details ![]() |
$44.10 | $0 | Generics | cost-sharing data not available. | 20 | |||
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SilverScript Complete - S5601-085 Benefit Details ![]() |
$46.20 | $0 | Generics | cost-sharing data not available. | 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 | ||||||
SAMAScript - S7950-014 Benefit Details ![]() |
$47.20 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5670-078 Benefit Details ![]() |
$48.30 | $0 | Generics | cost-sharing data not available. | 8,638 | |||
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AARP MedicareRx Plan - Enhanced - S5921-053 Benefit Details ![]() |
$48.60 | $0 | Generics | cost-sharing data not available. | 4,273 | |||
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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 - S5617-184 Benefit Details ![]() |
$49.70 | $0 | Generics | cost-sharing data not available. | 594 | |||
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Advantage Plan Premium Rx - S3230-002 Benefit Details ![]() |
$50.50 | $0 | Generics | cost-sharing data not available. | 49 | |||
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WellCare Complete - S5967-082 Benefit Details ![]() |
$53.40 | $0 | Generics | cost-sharing data not available. | 1,337 | |||
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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 | ||||||
Sterling Rx Plus - S4802-047 Benefit Details ![]() |
$59.00 | $100 | Generics | cost-sharing data not available. | 88 | |||
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EnvisionRxPlus Gold - S7694-048 Benefit Details ![]() |
$60.00 | $0 | Generics | cost-sharing data not available. | 955 | |||
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Aetna Medicare Rx Premier - S5810-184 Benefit Details ![]() |
$69.70 | $0 | Generics | cost-sharing data not available. | 4,712 | |||
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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 S5884-042 - S5884-042 Benefit Details ![]() |
$85.00 | $0 | Generics | cost-sharing data not available. | 9,008 | |||
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SierraRx Plus - S5917-042 Benefit Details ![]() |
$95.90 | $0 | All Formulary Drugs | cost-sharing data not available. | 2,523 | |||
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