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 Complete S5884-100 - S5884-100 Benefit Details |
$77.30 | $0 | Generics | cost-sharing data not available. | < 10 | |||
EnvisionRxPlus Gold - S7694-068 Benefit Details |
$77.00 | $0 | Generics | cost-sharing data not available. | 21 | |||
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 - S5810-204 Benefit Details |
$72.20 | $0 | Generics | cost-sharing data not available. | 164 | |||
WellCare Complete - S5967-103 Benefit Details |
$58.40 | $0 | Generics | cost-sharing data not available. | 77 | |||
Sterling Rx Plus - S4802-066 Benefit Details |
$54.70 | $100 | Generics | 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 - S5960-104 Benefit Details |
$54.30 | $0 | Generics | cost-sharing data not available. | 37 | |||
SAMAScript - S7950-034 Benefit Details |
$54.20 | $265 | None | cost-sharing data not available. | < 10 | |||
Community Care Rx GOLD - S5803-251 Benefit Details |
$52.00 | $0 | Generics | cost-sharing data not available. | 80 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5674-071 Benefit Details |
$50.40 | $0 | Generics | cost-sharing data not available. | 24 | |||
EnvisionRxPlus Standard - S7694-034 Benefit Details |
$48.00 | $265 | None | cost-sharing data not available. | < 10 | |||
UA Medicare Part D Prescription Drug Cov - S5755-039 Benefit Details |
$47.30 | $0 | None | cost-sharing data not available. | 18 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Complete Plan - S5617-204 Benefit Details |
$44.80 | $0 | Generics | cost-sharing data not available. | 34 | |||
AARP MedicareRx Plan - Enhanced - S5921-013 Benefit Details |
$44.00 | $0 | Generics | cost-sharing data not available. | 204 | |||
Health Net Orange Option 3 - S5678-103 Benefit Details |
$42.90 | $0 | Generics | 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 | ||||||
Aetna Medicare Rx Plus - S5810-170 Benefit Details |
$42.80 | $0 | None | cost-sharing data not available. | 34 | |||
Community Care Rx CHOICE - S5803-171 Benefit Details |
$42.40 | $0 | None | cost-sharing data not available. | 72 | |||
UnitedHealth Rx Extended - S5820-137 Benefit Details |
$41.60 | $0 | None | cost-sharing data not available. | 203 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Complete - S5601-105 Benefit Details |
$40.70 | $0 | Generics | cost-sharing data not available. | < 10 | |||
First Health Select - S5768-081 Benefit Details |
$39.40 | $0 | None | cost-sharing data not available. | < 10 | |||
MedicareRx Rewards Plus - S5960-070 Benefit Details |
$39.00 | $0 | None | cost-sharing data not available. | 44 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5674-069 Benefit Details |
$38.30 | $0 | None | cost-sharing data not available. | 40 | |||
Medco YOURx PLAN - S5660-034 Benefit Details |
$37.40 | $100 | None | cost-sharing data not available. | 203 | |||
UA Medicare Part D Rx Covg - Silver Plan - S5755-072 Benefit Details |
$37.30 | $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 | ||||||
WellCare Signature - S5967-068 Benefit Details |
$36.30 | $0 | None | cost-sharing data not available. | 780 | |||
SilverScript Plus - S5601-069 Benefit Details |
$35.60 | $0 | None | cost-sharing data not available. | 31 | |||
Community Care Rx BASIC - S5803-103 Benefit Details |
$34.30 | $265 | None | cost-sharing data not available. | 3,276 | |||
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 - S5644-187 Benefit Details |
$33.80 | $265 | None | cost-sharing data not available. | < 10 | |||
CIGNATURE Rx Plus Plan - S5617-170 Benefit Details |
$33.60 | $0 | None | cost-sharing data not available. | 63 | |||
Sterling Rx - S4802-032 Benefit Details |
$32.50 | $100 | None | Yes | 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 | ||||||
NMHC Medicare PDP Gold - S8841-034 Benefit Details |
$32.40 | $0 | None | Yes | cost-sharing data not available. | 56 | ||
MedicareRx Rewards Value - S5960-034 Benefit Details |
$32.00 | $265 | None | Yes | cost-sharing data not available. | 1,609 | ||
Health Net Orange Option 2 - S5678-067 Benefit Details |
$31.20 | $0 | None | Yes | cost-sharing data not available. | 32 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-171 Benefit Details |
$29.40 | $265 | None | Yes | cost-sharing data not available. | 1,257 | ||
Advantage Star Plan by RxAmerica - S5644-201 Benefit Details |
$28.80 | $265 | None | Yes | cost-sharing data not available. | 57 | ||
UnitedHealth Rx Basic - S5921-012 Benefit Details |
$28.50 | $0 | None | Yes | cost-sharing data not available. | 1,699 | ||
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 - S5810-068 Benefit Details |
$28.40 | $200 | None | Yes | cost-sharing data not available. | 103 | ||
Health Net Orange Option 1 - S5678-068 Benefit Details |
$28.20 | $265 | None | Yes | cost-sharing data not available. | 36 | ||
AARP MedicareRx Plan - S5820-033 Benefit Details |
$26.80 | $0 | None | Yes | cost-sharing data not available. | 7,371 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5674-068 Benefit Details |
$26.70 | $0 | None | cost-sharing data not available. | 47 | |||
SilverScript - S5601-068 Benefit Details |
$26.00 | $265 | None | Yes | cost-sharing data not available. | 1,700 | ||
CIGNATURE Rx Value Plan - S5617-168 Benefit Details |
$24.90 | $265 | None | Yes | cost-sharing data not available. | 1,902 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Enhanced S5884-097 - S5884-097 Benefit Details |
$24.60 | $0 | None | cost-sharing data not available. | 43 | |||
AARP MedicareRx Plan - Saver - S5921-011 Benefit Details |
$22.30 | $265 | None | Yes | cost-sharing data not available. | 95 | ||
HealthSpring Prescription Drug Plan-Reg 34 - S5932-033 Benefit Details |
$21.30 | $265 | None | Yes | cost-sharing data not available. | 59 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-094 - S5884-094 Benefit Details |
$11.70 | $265 | None | Yes | cost-sharing data not available. | 275 | ||
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