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 S5884-065 - S5884-065 Benefit Details ![]() |
$13.40 | $265 | None | Yes | cost-sharing data not available. | 44,429 | ||
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WellCare Classic - S5967-144 Benefit Details ![]() |
$19.00 | $265 | None | Yes | cost-sharing data not available. | 720 | ||
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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 S5884-006 - S5884-006 Benefit Details ![]() |
$20.40 | $0 | None | cost-sharing data not available. | 41,987 | |||
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First Health Premier - S5768-010 Benefit Details ![]() |
$23.00 | $0 | None | Yes | cost-sharing data not available. | 11,867 | ||
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AARP MedicareRx Plan - Saver - S5921-101 Benefit Details ![]() |
$23.50 | $265 | None | Yes | cost-sharing data not available. | 963 | ||
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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 7 - S5597-039 Benefit Details ![]() |
$24.00 | $0 | None | cost-sharing data not available. | 2,847 | |||
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AdvantraRx Value - S5670-039 Benefit Details ![]() |
$25.10 | $0 | None | cost-sharing data not available. | 2,076 | |||
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Health Net Orange Option 1 - S5678-020 Benefit Details ![]() |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 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 | ||||||
HealthSpring Prescription Drug Plan -Reg 7 - S5932-007 Benefit Details ![]() |
$25.70 | $265 | None | Yes | cost-sharing data not available. | 1,003 | ||
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Prescription Pathway Bronze Plan Reg 7 - S5597-072 Benefit Details ![]() |
$26.30 | $265 | None | Yes | cost-sharing data not available. | 10,974 | ||
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WellCare Signature - S5967-041 Benefit Details ![]() |
$26.30 | $0 | None | Yes | cost-sharing data not available. | 18,284 | ||
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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 | ||||||
Blue MedicareRx Value - S5596-005 Benefit Details ![]() |
$26.80 | $250 | None | Yes | cost-sharing data not available. | 11,805 | ||
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AARP MedicareRx Plan - S5820-006 Benefit Details ![]() |
$26.90 | $0 | None | Yes | cost-sharing data not available. | 85,200 | ||
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MedicareRx Rewards Value - S5960-007 Benefit Details ![]() |
$27.00 | $265 | None | Yes | cost-sharing data not available. | 5,580 | ||
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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 - S5617-033 Benefit Details ![]() |
$27.20 | $265 | None | Yes | cost-sharing data not available. | 15,001 | ||
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Advantage Star Plan by RxAmerica - S5644-073 Benefit Details ![]() |
$27.80 | $265 | None | Yes | cost-sharing data not available. | 5,267 | ||
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Health Net Orange Option 2 - S5678-019 Benefit Details ![]() |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 635 | ||
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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 - S5810-041 Benefit Details ![]() |
$29.00 | $220 | None | Yes | cost-sharing data not available. | 10,799 | ||
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UnitedHealth Rx Basic - S5921-102 Benefit Details ![]() |
$29.00 | $0 | None | Yes | cost-sharing data not available. | 15,724 | ||
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SilverScript - S5601-014 Benefit Details ![]() |
$29.70 | $265 | None | Yes | cost-sharing data not available. | 9,892 | ||
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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 - S5803-076 Benefit Details ![]() |
$31.40 | $265 | None | cost-sharing data not available. | 19,221 | |||
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NMHC Medicare PDP Gold - S8841-007 Benefit Details ![]() |
$31.80 | $0 | None | cost-sharing data not available. | 20 | |||
Sterling Rx - S4802-004 Benefit Details ![]() |
$32.10 | $100 | None | cost-sharing data not available. | 25 | |||
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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 - S5644-052 Benefit Details ![]() |
$32.40 | $265 | None | cost-sharing data not available. | 8,296 | |||
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UA Medicare Part D Rx Covg - Silver Plan - S5755-045 Benefit Details ![]() |
$32.80 | $265 | None | cost-sharing data not available. | 69 | |||
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SierraRx Basic - S5917-012 Benefit Details ![]() |
$34.80 | $265 | None | cost-sharing data not available. | 25 | |||
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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 - S5596-006 Benefit Details ![]() |
$35.50 | $0 | None | cost-sharing data not available. | 16,655 | |||
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AdvantraRx Premier - S5670-040 Benefit Details ![]() |
$36.30 | $0 | None | cost-sharing data not available. | 4,295 | |||
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CIGNATURE Rx Plus Plan - S5617-035 Benefit Details ![]() |
$36.30 | $0 | None | cost-sharing data not available. | 1,593 | |||
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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 - S5660-006 Benefit Details ![]() |
$36.70 | $100 | None | cost-sharing data not available. | 3,493 | |||
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Community Care Rx CHOICE - S5803-144 Benefit Details ![]() |
$39.70 | $0 | None | cost-sharing data not available. | 1,377 | |||
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SilverScript Plus - S5601-015 Benefit Details ![]() |
$40.20 | $0 | None | cost-sharing data not available. | 121 | |||
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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 - S5768-054 Benefit Details ![]() |
$41.70 | $0 | Generics | cost-sharing data not available. | 130 | |||
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Aetna Medicare Rx Plus - S5810-143 Benefit Details ![]() |
$41.80 | $0 | None | cost-sharing data not available. | 639 | |||
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UnitedHealth Rx Extended - S5820-110 Benefit Details ![]() |
$42.00 | $0 | None | cost-sharing data not available. | 1,441 | |||
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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 - S5755-010 Benefit Details ![]() |
$42.30 | $0 | None | cost-sharing data not available. | 6,119 | |||
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EnvisionRxPlus Standard - S7694-007 Benefit Details ![]() |
$42.50 | $265 | None | cost-sharing data not available. | 64 | |||
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WellCare Complete - S5967-075 Benefit Details ![]() |
$42.50 | $0 | Generics | cost-sharing data not available. | 1,062 | |||
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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 - S5678-079 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 26 | |||
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Blue MedicareRx Premier - S5596-007 Benefit Details ![]() |
$44.40 | $0 | Generics | cost-sharing data not available. | 14,217 | |||
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AARP MedicareRx Plan - Enhanced - S5921-103 Benefit Details ![]() |
$44.60 | $0 | Generics | cost-sharing data not available. | 3,459 | |||
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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 7 - S5597-204 Benefit Details ![]() |
$45.60 | $0 | Generics | cost-sharing data not available. | 913 | |||
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SilverScript Complete - S5601-078 Benefit Details ![]() |
$46.90 | $0 | Generics | cost-sharing data not available. | 107 | |||
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CIGNATURE Rx Complete Plan - S5617-177 Benefit Details ![]() |
$47.70 | $0 | Generics | cost-sharing data not available. | 636 | |||
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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 - S7950-007 Benefit Details ![]() |
$47.80 | $265 | None | cost-sharing data not available. | < 10 | |||
MedicareRx Rewards Premier - S5960-106 Benefit Details ![]() |
$48.50 | $0 | Generics | cost-sharing data not available. | 36 | |||
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Community Care Rx GOLD - S5803-224 Benefit Details ![]() |
$48.60 | $0 | Generics | cost-sharing data not available. | 1,273 | |||
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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 | ||||||
AdvantraRx Premier Plus - S5670-042 Benefit Details ![]() |
$49.10 | $0 | Generics | cost-sharing data not available. | 6,548 | |||
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Sterling Rx Plus - S4802-040 Benefit Details ![]() |
$60.40 | $100 | Generics | cost-sharing data not available. | 59 | |||
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EnvisionRxPlus Gold - S7694-041 Benefit Details ![]() |
$64.50 | $0 | Generics | cost-sharing data not available. | 697 | |||
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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 - S5810-177 Benefit Details ![]() |
$70.10 | $0 | Generics | cost-sharing data not available. | 2,035 | |||
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Humana PDP Complete S5884-035 - S5884-035 Benefit Details ![]() |
$76.30 | $0 | Generics | cost-sharing data not available. | 8,540 | |||
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SierraRx Plus - S5917-037 Benefit Details ![]() |
$92.20 | $0 | All Formulary Drugs | cost-sharing data not available. | 2,325 | |||
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