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 S5884-067 - S5884-067 Benefit Details ![]() |
$16.60 | $265 | None | Yes | cost-sharing data not available. | 33,841 | ||
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First Health Premier - S5768-012 Benefit Details ![]() |
$20.30 | $0 | None | Yes | cost-sharing data not available. | 12,758 | ||
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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 - S5967-146 Benefit Details ![]() |
$20.50 | $265 | None | Yes | cost-sharing data not available. | 305 | ||
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CIGNATURE Rx Value Plan - S5617-043 Benefit Details ![]() |
$21.60 | $265 | None | Yes | cost-sharing data not available. | 3,098 | ||
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Advantage Star Plan by RxAmerica - S5644-075 Benefit Details ![]() |
$22.60 | $265 | None | Yes | cost-sharing data not available. | 4,216 | ||
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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 S5884-008 - S5884-008 Benefit Details ![]() |
$23.60 | $0 | None | cost-sharing data not available. | 14,393 | |||
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AARP MedicareRx Plan - Saver - S5921-121 Benefit Details ![]() |
$23.80 | $265 | None | Yes | cost-sharing data not available. | 530 | ||
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Prescription Pathway Gold Plan Reg 9 - S5597-041 Benefit Details ![]() |
$24.90 | $0 | None | cost-sharing data not available. | 1,142 | |||
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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 Value - S5670-051 Benefit Details ![]() |
$25.70 | $0 | None | cost-sharing data not available. | 2,806 | |||
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HealthSpring Prescription Drug Plan -Reg 9 - S5932-009 Benefit Details ![]() |
$25.70 | $265 | None | Yes | cost-sharing data not available. | 441 | ||
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Prescription Pathway Bronze Plan Reg 9 - S5597-074 Benefit Details ![]() |
$27.00 | $265 | None | Yes | cost-sharing data not available. | 9,164 | ||
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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 - S5644-054 Benefit Details ![]() |
$27.40 | $265 | None | Yes | cost-sharing data not available. | 7,212 | ||
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AARP MedicareRx Plan - S5820-008 Benefit Details ![]() |
$27.60 | $0 | None | Yes | cost-sharing data not available. | 54,339 | ||
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WellCare Signature - S5967-043 Benefit Details ![]() |
$27.80 | $0 | None | Yes | cost-sharing data not available. | 13,969 | ||
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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 - S5678-024 Benefit Details ![]() |
$28.20 | $265 | None | Yes | cost-sharing data not available. | 265 | ||
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CIGNATURE Rx Plus Plan - S5617-045 Benefit Details ![]() |
$29.80 | $0 | None | cost-sharing data not available. | 1,082 | |||
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UnitedHealth Rx Basic - S5921-122 Benefit Details ![]() |
$29.80 | $0 | None | Yes | cost-sharing data not available. | 12,588 | ||
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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 Essentials - S5810-043 Benefit Details ![]() |
$30.20 | $200 | None | Yes | cost-sharing data not available. | 651 | ||
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UA Medicare Part D Rx Covg - Silver Plan - S5755-047 Benefit Details ![]() |
$30.20 | $265 | None | Yes | cost-sharing data not available. | 449 | ||
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Health Net Orange Option 2 - S5678-023 Benefit Details ![]() |
$31.20 | $0 | None | Yes | cost-sharing data not available. | 282 | ||
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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 | ||||||
PerformRx Option I - S5650-001 Benefit Details ![]() |
$31.50 | $265 | None | cost-sharing data not available. | 7,568 | |||
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SilverScript - S5601-018 Benefit Details ![]() |
$31.50 | $265 | None | cost-sharing data not available. | 8,387 | |||
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Community Care Rx BASIC - S5803-078 Benefit Details ![]() |
$31.60 | $265 | None | cost-sharing data not available. | 24,508 | |||
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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 - S5660-008 Benefit Details ![]() |
$31.70 | $100 | None | cost-sharing data not available. | 9,582 | |||
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MedicareRx Rewards Value - S5960-009 Benefit Details ![]() |
$32.00 | $265 | None | cost-sharing data not available. | 8,110 | |||
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InStil Rx - S5946-001 Benefit Details ![]() |
$32.10 | $265 | None | cost-sharing data not available. | 4,687 | |||
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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 | ||||||
PerformRx Option II - S5650-003 Benefit Details ![]() |
$33.00 | $0 | None | cost-sharing data not available. | 160 | |||
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NMHC Medicare PDP Gold - S8841-009 Benefit Details ![]() |
$33.10 | $0 | None | cost-sharing data not available. | 17 | |||
Sterling Rx - S4802-006 Benefit Details ![]() |
$33.10 | $100 | None | cost-sharing data not available. | 248 | |||
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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 | ||||||
MedBlue Rx - S5953-001 Benefit Details ![]() |
$33.20 | $0 | None | cost-sharing data not available. | 12,656 | |||
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MedicareRx Rewards Plus - S5960-045 Benefit Details ![]() |
$34.90 | $0 | None | cost-sharing data not available. | 190 | |||
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Carolina Medicare Prime - S8277-001 Benefit Details ![]() |
$35.50 | $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 | ||||||
AdvantraRx Premier - S5670-052 Benefit Details ![]() |
$36.90 | $0 | None | cost-sharing data not available. | 6,528 | |||
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SierraRx Basic - S5917-014 Benefit Details ![]() |
$36.90 | $265 | None | cost-sharing data not available. | < 10 | |||
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MedBlue Rx Plus - S5953-002 Benefit Details ![]() |
$39.30 | $0 | None | cost-sharing data not available. | 7,805 | |||
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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 - S5755-012 Benefit Details ![]() |
$39.40 | $0 | None | cost-sharing data not available. | 3,556 | |||
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CIGNATURE Rx Complete Plan - S5617-179 Benefit Details ![]() |
$39.60 | $0 | Generics | cost-sharing data not available. | 643 | |||
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Community Care Rx CHOICE - S5803-146 Benefit Details ![]() |
$40.10 | $0 | None | cost-sharing data not available. | 3,698 | |||
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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 Standard - S7694-009 Benefit Details ![]() |
$41.00 | $265 | None | cost-sharing data not available. | 24 | |||
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SilverScript Plus - S5601-019 Benefit Details ![]() |
$42.40 | $0 | None | cost-sharing data not available. | 82 | |||
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InStil Rx Plus - S5946-003 Benefit Details ![]() |
$42.50 | $0 | None | cost-sharing data not available. | 1,659 | |||
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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 - S5768-056 Benefit Details ![]() |
$42.60 | $0 | Generics | cost-sharing data not available. | 130 | |||
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UnitedHealth Rx Extended - S5820-112 Benefit Details ![]() |
$42.80 | $0 | None | cost-sharing data not available. | 1,073 | |||
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WellCare Complete - S5967-077 Benefit Details ![]() |
$42.80 | $0 | Generics | cost-sharing data not available. | 790 | |||
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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 - S5678-081 Benefit Details ![]() |
$42.90 | $0 | Generics | cost-sharing data not available. | 22 | |||
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Aetna Medicare Rx Plus - S5810-145 Benefit Details ![]() |
$43.10 | $0 | None | cost-sharing data not available. | 305 | |||
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AARP MedicareRx Plan - Enhanced - S5921-123 Benefit Details ![]() |
$45.60 | $0 | Generics | cost-sharing data not available. | 1,936 | |||
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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 9 - S5597-206 Benefit Details ![]() |
$46.70 | $0 | Generics | cost-sharing data not available. | 489 | |||
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AdvantraRx Premier Plus - S5670-054 Benefit Details ![]() |
$48.30 | $0 | Generics | cost-sharing data not available. | 2,365 | |||
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SAMAScript - S7950-009 Benefit Details ![]() |
$48.30 | $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 | ||||||
Community Care Rx GOLD - S5803-226 Benefit Details ![]() |
$49.10 | $0 | Generics | cost-sharing data not available. | 3,439 | |||
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MedicareRx Rewards Premier - S5960-079 Benefit Details ![]() |
$49.60 | $0 | Generics | cost-sharing data not available. | 114 | |||
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SilverScript Complete - S5601-080 Benefit Details ![]() |
$49.90 | $0 | Generics | cost-sharing data not available. | 162 | |||
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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 | ||||||
Carolina Medicare Prime Plus - S8277-002 Benefit Details ![]() |
$51.50 | $0 | Generics | cost-sharing data not available. | < 10 | |||
EnvisionRxPlus Gold - S7694-043 Benefit Details ![]() |
$62.50 | $0 | Generics | cost-sharing data not available. | 391 | |||
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Sterling Rx Plus - S4802-042 Benefit Details ![]() |
$62.90 | $100 | Generics | cost-sharing data not available. | 77 | |||
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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 Premier - S5810-179 Benefit Details ![]() |
$73.20 | $0 | Generics | cost-sharing data not available. | 925 | |||
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Humana PDP Complete S5884-037 - S5884-037 Benefit Details ![]() |
$84.10 | $0 | Generics | cost-sharing data not available. | 4,688 | |||
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SierraRx Plus - S5917-039 Benefit Details ![]() |
$104.20 | $0 | All Formulary Drugs | cost-sharing data not available. | 970 | |||
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