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 S5884-064 - S5884-064 Benefit Details ![]() |
$14.80 | $265 | None | Yes | cost-sharing data not available. | 79,262 | ||
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BlueRx Value - S5593-004 Benefit Details ![]() |
$17.90 | $100 | None | Yes | cost-sharing data not available. | 3,680 | ||
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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 - S5617-028 Benefit Details ![]() |
$19.40 | $265 | None | Yes | cost-sharing data not available. | 6,825 | ||
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WellCare Classic - S5967-143 Benefit Details ![]() |
$19.90 | $265 | None | Yes | cost-sharing data not available. | 990 | ||
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SecureRx - Option 3 - S8067-001 Benefit Details ![]() |
$20.30 | $0 | None | Yes | cost-sharing data not available. | 6,944 | ||
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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 - S5921-091 Benefit Details ![]() |
$20.80 | $265 | None | Yes | cost-sharing data not available. | 30,286 | ||
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Geisinger Health Plan Gold Rx Standard - S4248-001 Benefit Details ![]() |
$21.90 | $265 | None | Yes | cost-sharing data not available. | 836 | ||
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GHP Gold Rx No Deductible - S4248-002 Benefit Details ![]() |
$22.80 | $0 | None | Yes | cost-sharing data not available. | 1,090 | ||
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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 S5884-005 - S5884-005 Benefit Details ![]() |
$22.90 | $0 | None | cost-sharing data not available. | 67,309 | |||
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BlueRx Plus - S5593-002 Benefit Details ![]() |
$23.20 | $0 | None | Yes | cost-sharing data not available. | 92,820 | ||
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UPMC for Life Prescription Drug Plan - S3389-005 Benefit Details ![]() |
$23.50 | $0 | None | Yes | cost-sharing data not available. | 2,027 | ||
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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 | ||||||
Bravo Rx II - S5998-005 Benefit Details ![]() |
$23.60 | $265 | None | Yes | cost-sharing data not available. | 2,063 | ||
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Prescription Pathway Gold Plan Reg 6 - S5597-038 Benefit Details ![]() |
$23.70 | $0 | None | cost-sharing data not available. | 2,286 | |||
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AdvantraRx Value - S5670-033 Benefit Details ![]() |
$24.00 | $0 | None | cost-sharing data not available. | 4,195 | |||
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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 | ||||||
MedicareRx Rewards Value - S5960-006 Benefit Details ![]() |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 18,030 | ||
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Health Net Orange Option 1 - S5678-018 Benefit Details ![]() |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 991 | ||
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Prescription Pathway Bronze Plan Reg 6 - S5597-071 Benefit Details ![]() |
$25.90 | $265 | None | Yes | cost-sharing data not available. | 17,015 | ||
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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 Star Plan by RxAmerica - S5644-072 Benefit Details ![]() |
$26.10 | $265 | None | Yes | cost-sharing data not available. | 15,516 | ||
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HealthSpring Prescription Drug Plan -Reg 6 - S5932-006 Benefit Details ![]() |
$26.30 | $265 | None | Yes | cost-sharing data not available. | 1,759 | ||
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Community Care Rx BASIC - S5803-075 Benefit Details ![]() |
$26.70 | $265 | None | Yes | cost-sharing data not available. | 42,522 | ||
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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 - S5967-040 Benefit Details ![]() |
$27.10 | $0 | None | Yes | cost-sharing data not available. | 25,595 | ||
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CIGNATURE Rx Plus Plan - S5617-030 Benefit Details ![]() |
$27.20 | $0 | None | cost-sharing data not available. | 1,459 | |||
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AARP MedicareRx Plan - S5820-005 Benefit Details ![]() |
$27.40 | $0 | None | Yes | cost-sharing data not available. | 133,424 | ||
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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 - S5678-017 Benefit Details ![]() |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 1,020 | ||
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Aetna Medicare Rx Essentials - S5810-040 Benefit Details ![]() |
$28.50 | $220 | None | cost-sharing data not available. | 15,278 | |||
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First Health Premier - S5768-009 Benefit Details ![]() |
$28.80 | $0 | None | cost-sharing data not available. | 25,147 | |||
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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 - S4802-003 Benefit Details ![]() |
$28.90 | $100 | None | cost-sharing data not available. | 143 | |||
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UnitedHealth Rx Basic - S5921-092 Benefit Details ![]() |
$29.20 | $0 | None | cost-sharing data not available. | 17,366 | |||
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SilverScript - S5601-012 Benefit Details ![]() |
$29.30 | $265 | None | cost-sharing data not available. | 15,573 | |||
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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 | ||||||
AmeriHealth Advantage Rx Option I - S2770-001 Benefit Details ![]() |
$30.30 | $265 | None | cost-sharing data not available. | 41,702 | |||
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SecureRx - Option 2 - S8067-002 Benefit Details ![]() |
$30.40 | $0 | None | cost-sharing data not available. | 1,136 | |||
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MedicareRx Rewards Plus - S5960-042 Benefit Details ![]() |
$30.80 | $0 | None | cost-sharing data not available. | 952 | |||
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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 - S5644-051 Benefit Details ![]() |
$31.10 | $265 | None | cost-sharing data not available. | 2,168 | |||
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Bravo Rx I - S5998-006 Benefit Details ![]() |
$31.10 | $0 | None | cost-sharing data not available. | 12 | |||
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SierraRx Basic - S5917-011 Benefit Details ![]() |
$32.00 | $265 | None | cost-sharing data not available. | 31 | |||
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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 - S8841-006 Benefit Details ![]() |
$32.30 | $0 | None | cost-sharing data not available. | 19 | |||
UA Medicare Part D Rx Covg - Silver Plan - S5755-044 Benefit Details ![]() |
$32.30 | $265 | None | cost-sharing data not available. | 54 | |||
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Community Care Rx CHOICE - S5803-143 Benefit Details ![]() |
$34.50 | $0 | None | cost-sharing data not available. | 1,512 | |||
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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 - S5670-034 Benefit Details ![]() |
$35.20 | $0 | None | cost-sharing data not available. | 9,400 | |||
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CIGNATURE Rx Complete Plan - S5617-176 Benefit Details ![]() |
$36.80 | $0 | Generics | cost-sharing data not available. | 614 | |||
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Medco YOURx PLAN - S5660-005 Benefit Details ![]() |
$37.10 | $100 | None | cost-sharing data not available. | 4,571 | |||
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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 | ||||||
UPMC for Life PDP Enhanced - S3389-006 Benefit Details ![]() |
$37.50 | $0 | Generics | cost-sharing data not available. | 202 | |||
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SilverScript Plus - S5601-013 Benefit Details ![]() |
$39.60 | $0 | None | cost-sharing data not available. | 205 | |||
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First Health Select - S5768-053 Benefit Details ![]() |
$40.30 | $0 | Generics | cost-sharing data not available. | 87 | |||
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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 - S5803-223 Benefit Details ![]() |
$40.90 | $0 | Generics | cost-sharing data not available. | 1,278 | |||
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EnvisionRxPlus Standard - S7694-006 Benefit Details ![]() |
$41.00 | $265 | None | cost-sharing data not available. | 51 | |||
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Aetna Medicare Rx Plus - S5810-142 Benefit Details ![]() |
$41.80 | $0 | None | cost-sharing data not available. | 958 | |||
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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 - S5755-009 Benefit Details ![]() |
$41.80 | $0 | None | cost-sharing data not available. | 5,447 | |||
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UnitedHealth Rx Extended - S5820-109 Benefit Details ![]() |
$41.90 | $0 | None | cost-sharing data not available. | 2,455 | |||
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AmeriHealth Rx Option I - S2321-001 Benefit Details ![]() |
$42.50 | $265 | None | cost-sharing data not available. | 3,769 | |||
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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 - S5678-078 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 14 | |||
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SecureRx - Option 1 - S8067-003 Benefit Details ![]() |
$44.40 | $0 | Generics | cost-sharing data not available. | 2,396 | |||
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MedicareRx Rewards Premier - S5960-076 Benefit Details ![]() |
$45.00 | $0 | Generics | cost-sharing data not available. | 510 | |||
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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 Platinum Plan Reg 6 - S5597-203 Benefit Details ![]() |
$45.10 | $0 | Generics | cost-sharing data not available. | 1,060 | |||
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AARP MedicareRx Plan - Enhanced - S5921-093 Benefit Details ![]() |
$45.80 | $0 | Generics | cost-sharing data not available. | 4,346 | |||
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SilverScript Complete - S5601-077 Benefit Details ![]() |
$46.20 | $0 | Generics | cost-sharing data not available. | 184 | |||
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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 - S7950-006 Benefit Details ![]() |
$46.50 | $265 | None | cost-sharing data not available. | < 10 | |||
WellCare Complete - S5967-074 Benefit Details ![]() |
$46.60 | $0 | Generics | cost-sharing data not available. | 1,406 | |||
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AdvantraRx Premier Plus - S5670-036 Benefit Details ![]() |
$47.60 | $0 | Generics | cost-sharing data not available. | 7,653 | |||
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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 | ||||||
BlueRx Complete - S5593-003 Benefit Details ![]() |
$49.90 | $0 | Generics | cost-sharing data not available. | 28,119 | |||
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AmeriHealth Rx Option II Enhanced - S2321-002 Benefit Details ![]() |
$52.20 | $0 | Generics | cost-sharing data not available. | 1,420 | |||
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Sterling Rx Plus - S4802-039 Benefit Details ![]() |
$57.20 | $100 | Generics | cost-sharing data not available. | 127 | |||
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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 - S7694-040 Benefit Details ![]() |
$62.00 | $0 | Generics | cost-sharing data not available. | 557 | |||
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Aetna Medicare Rx Premier - S5810-176 Benefit Details ![]() |
$69.90 | $0 | Generics | cost-sharing data not available. | 3,395 | |||
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Humana PDP Complete S5884-034 - S5884-034 Benefit Details ![]() |
$79.70 | $0 | Generics | cost-sharing data not available. | 10,386 | |||
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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 - S5917-036 Benefit Details ![]() |
$104.50 | $0 | All Formulary Drugs | cost-sharing data not available. | 1,722 | |||
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