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 S5884-074 - S5884-074 Benefit Details ![]() |
$14.80 | $265 | None | Yes | cost-sharing data not available. | 29,663 | ||
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WellCare Classic - S5967-153 Benefit Details ![]() |
$15.90 | $265 | None | Yes | cost-sharing data not available. | 982 | ||
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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 - S5921-071 Benefit Details ![]() |
$20.80 | $265 | None | Yes | cost-sharing data not available. | 729 | ||
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Prescription Pathway Gold Plan Reg 16 - S5597-048 Benefit Details ![]() |
$23.00 | $0 | None | cost-sharing data not available. | 1,625 | |||
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AdvantraRx Value - S5670-081 Benefit Details ![]() |
$23.40 | $0 | None | cost-sharing data not available. | 2,148 | |||
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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 - S5601-032 Benefit Details ![]() |
$23.40 | $265 | None | Yes | cost-sharing data not available. | 9,722 | ||
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Humana PDP Enhanced S5884-014 - S5884-014 Benefit Details ![]() |
$23.50 | $0 | None | cost-sharing data not available. | 26,051 | |||
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Health Net Orange Option 1 - S5678-038 Benefit Details ![]() |
$24.30 | $265 | None | Yes | cost-sharing data not available. | 788 | ||
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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 - S5967-050 Benefit Details ![]() |
$24.50 | $0 | None | Yes | cost-sharing data not available. | 14,080 | ||
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Prescription Pathway Bronze Plan Reg 16 - S5597-081 Benefit Details ![]() |
$25.00 | $265 | None | Yes | cost-sharing data not available. | 10,171 | ||
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DeanCare Rx Classic - S5954-004 Benefit Details ![]() |
$25.90 | $250 | None | Yes | cost-sharing data not available. | 25,341 | ||
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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 - S5820-015 Benefit Details ![]() |
$26.10 | $0 | None | Yes | cost-sharing data not available. | 38,240 | ||
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MedicareRx Rewards Value - S5960-016 Benefit Details ![]() |
$26.20 | $265 | None | Yes | cost-sharing data not available. | 5,224 | ||
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HealthSpring Prescription Drug Plan-Reg 16 - S5932-015 Benefit Details ![]() |
$26.50 | $265 | None | Yes | cost-sharing data not available. | 1,238 | ||
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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 - S5596-021 Benefit Details ![]() |
$27.50 | $250 | None | Yes | cost-sharing data not available. | 8,485 | ||
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UnitedHealth Rx Basic - S5921-072 Benefit Details ![]() |
$27.60 | $0 | None | Yes | cost-sharing data not available. | 13,464 | ||
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Community Care Rx BASIC - S5803-085 Benefit Details ![]() |
$27.70 | $265 | None | Yes | cost-sharing data not available. | 16,217 | ||
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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 - S5617-078 Benefit Details ![]() |
$28.60 | $265 | None | Yes | cost-sharing data not available. | 2,432 | ||
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Health Net Orange Option 2 - S5678-037 Benefit Details ![]() |
$29.00 | $0 | None | Yes | cost-sharing data not available. | 728 | ||
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Aetna Medicare Rx Essentials - S5810-050 Benefit Details ![]() |
$29.20 | $200 | None | Yes | cost-sharing data not available. | 1,468 | ||
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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 - S5644-191 Benefit Details ![]() |
$29.30 | $265 | None | Yes | cost-sharing data not available. | 1,242 | ||
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NMHC Medicare PDP Gold - S8841-016 Benefit Details ![]() |
$29.30 | $0 | None | Yes | cost-sharing data not available. | 1,216 | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-054 Benefit Details ![]() |
$30.60 | $265 | None | cost-sharing data not available. | 7,140 | |||
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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 - S5601-033 Benefit Details ![]() |
$31.70 | $0 | None | cost-sharing data not available. | 164 | |||
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Sterling Rx - S4802-027 Benefit Details ![]() |
$31.70 | $100 | None | cost-sharing data not available. | < 10 | |||
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Advantage Freedom Plan by RxAmerica - S5644-177 Benefit Details ![]() |
$34.00 | $265 | None | cost-sharing data not available. | < 10 | |||
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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 - S5670-082 Benefit Details ![]() |
$34.20 | $0 | None | cost-sharing data not available. | 2,251 | |||
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Blue MedicareRx Plus - S5596-022 Benefit Details ![]() |
$34.60 | $0 | None | cost-sharing data not available. | 6,176 | |||
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First Health Select - S5768-063 Benefit Details ![]() |
$35.30 | $0 | None | cost-sharing data not available. | 20 | |||
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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 CHOICE - S5803-153 Benefit Details ![]() |
$35.70 | $0 | None | cost-sharing data not available. | 1,112 | |||
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Medco YOURx PLAN - S5660-016 Benefit Details ![]() |
$35.80 | $100 | None | cost-sharing data not available. | 2,353 | |||
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SilverScript Complete - S5601-087 Benefit Details ![]() |
$35.80 | $0 | Generics | cost-sharing data not available. | 148 | |||
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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 | ||||||
WPS MedicareRx Plan 1 - S5753-006 Benefit Details ![]() |
$37.30 | $0 | None | cost-sharing data not available. | 19,582 | |||
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CIGNATURE Rx Plus Plan - S5617-080 Benefit Details ![]() |
$37.50 | $0 | None | cost-sharing data not available. | 294 | |||
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UA Medicare Part D Prescription Drug Cov - S5755-019 Benefit Details ![]() |
$39.90 | $0 | None | cost-sharing data not available. | 895 | |||
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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 - S5820-119 Benefit Details ![]() |
$40.60 | $0 | None | cost-sharing data not available. | 2,173 | |||
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WPS MedicareRx Plan 2 - S5753-007 Benefit Details ![]() |
$42.50 | $0 | Generics | cost-sharing data not available. | 16,769 | |||
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Aetna Medicare Rx Plus - S5810-152 Benefit Details ![]() |
$42.70 | $0 | None | cost-sharing data not available. | 640 | |||
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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 16 - S5597-213 Benefit Details ![]() |
$43.50 | $0 | Generics | cost-sharing data not available. | 351 | |||
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AARP MedicareRx Plan - Enhanced - S5921-073 Benefit Details ![]() |
$44.00 | $0 | Generics | cost-sharing data not available. | 1,782 | |||
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Health Net Orange Option 3 - S5678-088 Benefit Details ![]() |
$44.10 | $0 | Generics | cost-sharing data not available. | 15 | |||
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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 - S5803-233 Benefit Details ![]() |
$44.30 | $0 | Generics | cost-sharing data not available. | 395 | |||
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SAMAScript - S7950-016 Benefit Details ![]() |
$44.60 | $265 | None | cost-sharing data not available. | < 10 | |||
EnvisionRxPlus Standard - S7694-016 Benefit Details ![]() |
$45.00 | $265 | None | cost-sharing data not available. | < 10 | |||
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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 - S5596-023 Benefit Details ![]() |
$45.40 | $0 | Generics | cost-sharing data not available. | 5,045 | |||
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WellCare Complete - S5967-084 Benefit Details ![]() |
$45.50 | $0 | Generics | cost-sharing data not available. | 536 | |||
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MedicareRx Rewards Premier - S5960-086 Benefit Details ![]() |
$47.40 | $0 | Generics | cost-sharing data not available. | 143 | |||
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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 - S5670-084 Benefit Details ![]() |
$48.30 | $0 | Generics | cost-sharing data not available. | 5,464 | |||
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CIGNATURE Rx Complete Plan - S5617-186 Benefit Details ![]() |
$48.90 | $0 | Generics | cost-sharing data not available. | 130 | |||
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DeanCare Rx Enhanced - S5954-005 Benefit Details ![]() |
$48.90 | $0 | Generics | cost-sharing data not available. | 3,224 | |||
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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 - S4802-049 Benefit Details ![]() |
$57.00 | $100 | Generics | cost-sharing data not available. | 82 | |||
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EnvisionRxPlus Gold - S7694-050 Benefit Details ![]() |
$69.00 | $0 | Generics | cost-sharing data not available. | 45 | |||
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Aetna Medicare Rx Premier - S5810-186 Benefit Details ![]() |
$72.20 | $0 | Generics | cost-sharing data not available. | 1,470 | |||
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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 S5884-044 - S5884-044 Benefit Details ![]() |
$80.30 | $0 | Generics | cost-sharing data not available. | 3,702 | |||
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