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 S5884-081 - S5884-081 Benefit Details ![]() |
$15.00 | $265 | None | Yes | cost-sharing data not available. | 25,617 | ||
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WellCare Classic - S5967-160 Benefit Details ![]() |
$20.10 | $265 | None | Yes | cost-sharing data not available. | 447 | ||
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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 S5884-021 - S5884-021 Benefit Details ![]() |
$21.60 | $0 | None | cost-sharing data not available. | 17,277 | |||
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AARP MedicareRx Plan - Saver - S5921-201 Benefit Details ![]() |
$23.40 | $265 | None | Yes | cost-sharing data not available. | 785 | ||
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Advantage Star Plan by RxAmerica - S5644-197 Benefit Details ![]() |
$24.20 | $265 | None | Yes | cost-sharing data not available. | 436 | ||
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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 23 - S5597-055 Benefit Details ![]() |
$25.30 | $0 | None | cost-sharing data not available. | 713 | |||
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First Health Premier - S5768-046 Benefit Details ![]() |
$25.50 | $0 | None | Yes | cost-sharing data not available. | 969 | ||
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AdvantraRx Value - S5670-123 Benefit Details ![]() |
$26.80 | $0 | None | cost-sharing data not available. | 1,012 | |||
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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 23 - S5932-022 Benefit Details ![]() |
$27.40 | $265 | None | Yes | cost-sharing data not available. | 817 | ||
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Prescription Pathway Bronze Plan Reg 23 - S5597-088 Benefit Details ![]() |
$27.50 | $265 | None | Yes | cost-sharing data not available. | 8,348 | ||
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WellCare Signature - S5967-057 Benefit Details ![]() |
$27.80 | $0 | None | Yes | cost-sharing data not available. | 10,567 | ||
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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 - S5678-052 Benefit Details ![]() |
$28.20 | $265 | None | Yes | cost-sharing data not available. | 869 | ||
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Advantage Freedom Plan by RxAmerica - S5644-183 Benefit Details ![]() |
$29.00 | $265 | None | Yes | cost-sharing data not available. | 440 | ||
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CIGNATURE Rx Value Plan - S5617-113 Benefit Details ![]() |
$29.00 | $265 | None | Yes | cost-sharing data not available. | 2,029 | ||
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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 - S5820-022 Benefit Details ![]() |
$29.80 | $0 | None | Yes | cost-sharing data not available. | 37,575 | ||
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Aetna Medicare Rx Essentials - S5810-057 Benefit Details ![]() |
$29.90 | $210 | None | Yes | cost-sharing data not available. | 1,168 | ||
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SilverScript - S5601-046 Benefit Details ![]() |
$30.00 | $265 | None | Yes | cost-sharing data not available. | 8,293 | ||
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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 | ||||||
Medicare Blue Rx Basic - S5566-001 Benefit Details ![]() |
$30.50 | $265 | None | cost-sharing data not available. | 10,369 | |||
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MedicareRx Rewards Value - S5960-023 Benefit Details ![]() |
$30.50 | $265 | None | cost-sharing data not available. | 7,233 | |||
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Community Pharmacists Care Rx BASIC - S5803-092 Benefit Details ![]() |
$30.90 | $265 | None | cost-sharing data not available. | 26,183 | |||
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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 - S5678-051 Benefit Details ![]() |
$31.20 | $0 | None | cost-sharing data not available. | 39 | |||
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Medicare Blue Rx Basic Plus - S5566-002 Benefit Details ![]() |
$31.90 | $0 | None | cost-sharing data not available. | 21,937 | |||
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UnitedHealth Rx Basic - S5921-202 Benefit Details ![]() |
$31.90 | $0 | None | cost-sharing data not available. | 7,194 | |||
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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 - S5755-061 Benefit Details ![]() |
$33.00 | $265 | None | cost-sharing data not available. | 34 | |||
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AmeriHealth Advantage Rx Option I - S5783-018 Benefit Details ![]() |
$33.10 | $265 | None | cost-sharing data not available. | ||||
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Medco YOURx PLAN - S5660-023 Benefit Details ![]() |
$33.20 | $100 | None | cost-sharing data not available. | 2,392 | |||
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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 - S8841-023 Benefit Details ![]() |
$33.20 | $0 | None | cost-sharing data not available. | < 10 | |||
SierraRx Basic - S5917-024 Benefit Details ![]() |
$36.00 | $265 | None | cost-sharing data not available. | < 10 | |||
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Sterling Rx - S4802-014 Benefit Details ![]() |
$37.10 | $100 | None | cost-sharing data not available. | 297 | |||
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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 Plus - S5960-059 Benefit Details ![]() |
$37.60 | $0 | None | cost-sharing data not available. | 215 | |||
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CIGNATURE Rx Plus Plan - S5617-115 Benefit Details ![]() |
$38.10 | $0 | None | cost-sharing data not available. | 403 | |||
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Medicare Blue Rx Enhanced - S5566-003 Benefit Details ![]() |
$38.20 | $0 | Generics | cost-sharing data not available. | 11,796 | |||
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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 | ||||||
AdvantraRx Premier - S5670-124 Benefit Details ![]() |
$38.30 | $0 | None | cost-sharing data not available. | 2,738 | |||
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Community Pharmacists Care Rx CHOICE - S5803-160 Benefit Details ![]() |
$39.10 | $0 | None | cost-sharing data not available. | 4,171 | |||
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WellCare Complete - S5967-092 Benefit Details ![]() |
$40.60 | $0 | Generics | cost-sharing data not available. | 369 | |||
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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 - S5601-047 Benefit Details ![]() |
$40.80 | $0 | None | cost-sharing data not available. | 65 | |||
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UA Medicare Part D Prescription Drug Cov - S5755-026 Benefit Details ![]() |
$42.40 | $0 | None | cost-sharing data not available. | 1,719 | |||
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Health Net Orange Option 3 - S5678-095 Benefit Details ![]() |
$42.90 | $0 | Generics | cost-sharing data not available. | 212 | |||
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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 - S5810-159 Benefit Details ![]() |
$43.00 | $0 | None | cost-sharing data not available. | 476 | |||
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Generations Healthcare Standard PDP - S5704-001 Benefit Details ![]() |
$43.10 | $265 | None | cost-sharing data not available. | 47 | |||
UnitedHealth Rx Extended - S5820-126 Benefit Details ![]() |
$44.40 | $0 | None | cost-sharing data not available. | 706 | |||
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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 - S5768-070 Benefit Details ![]() |
$44.70 | $0 | Generics | cost-sharing data not available. | 51 | |||
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EnvisionRxPlus Standard - S7694-023 Benefit Details ![]() |
$46.00 | $265 | None | cost-sharing data not available. | < 10 | |||
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Prescription Pathway Platinum Plan Reg 23 - S5597-220 Benefit Details ![]() |
$47.40 | $0 | Generics | cost-sharing data not available. | 194 | |||
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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 - S5601-094 Benefit Details ![]() |
$47.60 | $0 | Generics | cost-sharing data not available. | 78 | |||
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AARP MedicareRx Plan - Enhanced - S5921-235 Benefit Details ![]() |
$48.50 | $0 | Generics | cost-sharing data not available. | 993 | |||
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Community Pharmacists Care Rx GOLD - S5803-240 Benefit Details ![]() |
$48.70 | $0 | Generics | cost-sharing data not available. | 2,230 | |||
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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 | ||||||
AdvantraRx Premier Plus - S5670-126 Benefit Details ![]() |
$48.90 | $0 | Generics | cost-sharing data not available. | 1,074 | |||
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CIGNATURE Rx Complete Plan - S5617-193 Benefit Details ![]() |
$49.50 | $0 | Generics | cost-sharing data not available. | 239 | |||
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SAMAScript - S7950-023 Benefit Details ![]() |
$51.00 | $265 | None | cost-sharing data not available. | < 10 | |||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-093 Benefit Details ![]() |
$52.80 | $0 | Generics | cost-sharing data not available. | 128 | |||
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Generations Healthcare Enhanced PDP - S5704-002 Benefit Details ![]() |
$62.30 | $150 | None | cost-sharing data not available. | 13 | |||
Sterling Rx Plus - S4802-056 Benefit Details ![]() |
$66.90 | $100 | Generics | cost-sharing data not available. | 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 | ||||||
EnvisionRxPlus Gold - S7694-057 Benefit Details ![]() |
$68.50 | $0 | Generics | cost-sharing data not available. | 33 | |||
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Aetna Medicare Rx Premier - S5810-193 Benefit Details ![]() |
$73.20 | $0 | Generics | cost-sharing data not available. | 1,573 | |||
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Humana PDP Complete S5884-051 - S5884-051 Benefit Details ![]() |
$79.40 | $0 | Generics | cost-sharing data not available. | 2,850 | |||
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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 - S5917-049 Benefit Details ![]() |
$96.50 | $0 | All Formulary Drugs | cost-sharing data not available. | 637 | |||
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