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 S5884-066 - S5884-066 Benefit Details |
$17.80 | $265 | None | Yes | cost-sharing data not available. | 67,113 | ||
WellCare Classic - S5967-145 Benefit Details |
$22.00 | $265 | None | Yes | cost-sharing data not available. | 1,176 | ||
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 - S5921-111 Benefit Details |
$24.70 | $265 | None | Yes | cost-sharing data not available. | 2,261 | ||
Prescription Pathway Gold Plan Reg 8 - S5597-040 Benefit Details |
$25.30 | $0 | None | cost-sharing data not available. | 2,988 | |||
HealthSpring Prescription Drug Plan -Reg 8 - S5932-008 Benefit Details |
$25.80 | $265 | None | Yes | cost-sharing data not available. | 2,029 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Enhanced S5884-007 - S5884-007 Benefit Details |
$26.20 | $0 | None | cost-sharing data not available. | 44,259 | |||
AdvantraRx Value - S5670-045 Benefit Details |
$26.50 | $0 | None | cost-sharing data not available. | 4,771 | |||
CIGNATURE Rx Value Plan - S5617-038 Benefit Details |
$27.10 | $265 | None | Yes | cost-sharing data not available. | 29,697 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Prescription Pathway Bronze Plan Reg 8 - S5597-073 Benefit Details |
$27.60 | $265 | None | Yes | cost-sharing data not available. | 21,768 | ||
WellCare Signature - S5967-042 Benefit Details |
$27.70 | $0 | None | Yes | cost-sharing data not available. | 30,492 | ||
First Health Premier - S5768-039 Benefit Details |
$28.00 | $0 | None | Yes | cost-sharing data not available. | 2,417 | ||
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 - S5678-022 Benefit Details |
$28.20 | $265 | None | Yes | cost-sharing data not available. | 1,185 | ||
Advantage Star Plan by RxAmerica - S5644-074 Benefit Details |
$28.60 | $265 | None | Yes | cost-sharing data not available. | 11,073 | ||
SilverScript - S5601-016 Benefit Details |
$29.90 | $265 | None | Yes | cost-sharing data not available. | 20,312 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-007 Benefit Details |
$30.00 | $0 | None | Yes | cost-sharing data not available. | 130,643 | ||
Aetna Medicare Rx Essentials - S5810-042 Benefit Details |
$30.20 | $210 | None | Yes | cost-sharing data not available. | 2,465 | ||
Health Net Orange Option 2 - S5678-021 Benefit Details |
$31.20 | $0 | None | Yes | cost-sharing data not available. | 1,296 | ||
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 Rx Covg - Silver Plan - S5755-046 Benefit Details |
$32.20 | $265 | None | cost-sharing data not available. | 101 | |||
UnitedHealth Rx Basic - S5921-112 Benefit Details |
$32.30 | $0 | None | cost-sharing data not available. | 24,314 | |||
MedicareRx Rewards Value - S5960-008 Benefit Details |
$33.10 | $265 | None | cost-sharing data not available. | 18,444 | |||
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 - S5803-077 Benefit Details |
$33.30 | $265 | None | cost-sharing data not available. | 47,141 | |||
Advantage Freedom Plan by RxAmerica - S5644-053 Benefit Details |
$33.50 | $265 | None | cost-sharing data not available. | 17,120 | |||
Sterling Rx - S4802-005 Benefit Details |
$33.60 | $100 | None | cost-sharing data not available. | 52 | |||
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 - S8841-008 Benefit Details |
$33.80 | $0 | None | cost-sharing data not available. | 60 | |||
Medco YOURx PLAN - S5660-007 Benefit Details |
$34.30 | $100 | None | cost-sharing data not available. | 5,721 | |||
CIGNATURE Rx Plus Plan - S5617-040 Benefit Details |
$36.00 | $0 | None | cost-sharing data not available. | 2,036 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus - S5960-044 Benefit Details |
$36.10 | $0 | None | cost-sharing data not available. | 1,007 | |||
AdvantraRx Premier - S5670-046 Benefit Details |
$37.80 | $0 | None | cost-sharing data not available. | 15,213 | |||
SilverScript Plus - S5601-017 Benefit Details |
$40.60 | $0 | None | cost-sharing data not available. | 196 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Standard - S7694-008 Benefit Details |
$41.50 | $265 | None | cost-sharing data not available. | 104 | |||
UA Medicare Part D Prescription Drug Cov - S5755-011 Benefit Details |
$41.80 | $0 | None | cost-sharing data not available. | 5,918 | |||
Community Care Rx CHOICE - S5803-145 Benefit Details |
$41.90 | $0 | None | cost-sharing data not available. | 4,941 | |||
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 - S5678-080 Benefit Details |
$42.90 | $0 | Generics | cost-sharing data not available. | 148 | |||
Aetna Medicare Rx Plus - S5810-144 Benefit Details |
$43.00 | $0 | None | cost-sharing data not available. | 677 | |||
First Health Select - S5768-055 Benefit Details |
$43.10 | $0 | Generics | cost-sharing data not available. | 341 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Extended - S5820-111 Benefit Details |
$44.70 | $0 | None | cost-sharing data not available. | 2,861 | |||
SilverScript Complete - S5601-079 Benefit Details |
$47.30 | $0 | Generics | cost-sharing data not available. | 209 | |||
CIGNATURE Rx Complete Plan - S5617-178 Benefit Details |
$47.40 | $0 | Generics | cost-sharing data not available. | 980 | |||
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 8 - S5597-205 Benefit Details |
$47.50 | $0 | Generics | cost-sharing data not available. | 413 | |||
WellCare Complete - S5967-076 Benefit Details |
$47.90 | $0 | Generics | cost-sharing data not available. | 1,490 | |||
BCBSNC Standard Plan - S5540-002 Benefit Details |
$49.00 | $265 | None | cost-sharing data not available. | 1,085 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - Enhanced - S5921-113 Benefit Details |
$49.10 | $0 | Generics | cost-sharing data not available. | 4,436 | |||
SAMAScript - S7950-008 Benefit Details |
$49.20 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5670-048 Benefit Details |
$51.00 | $0 | Generics | cost-sharing data not available. | 6,081 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-078 Benefit Details |
$51.00 | $0 | Generics | cost-sharing data not available. | 459 | |||
Community Care Rx GOLD - S5803-225 Benefit Details |
$51.80 | $0 | Generics | cost-sharing data not available. | 5,087 | |||
Sterling Rx Plus - S4802-041 Benefit Details |
$62.80 | $100 | Generics | cost-sharing data not available. | 97 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
BCBSNC Plus Plan - S5540-004 Benefit Details |
$65.00 | $0 | Generics | cost-sharing data not available. | 49,057 | |||
EnvisionRxPlus Gold - S7694-042 Benefit Details |
$65.50 | $0 | Generics | cost-sharing data not available. | 1,073 | |||
Aetna Medicare Rx Premier - S5810-178 Benefit Details |
$73.20 | $0 | Generics | cost-sharing data not available. | 2,112 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-036 - S5884-036 Benefit Details |
$85.90 | $0 | Generics | cost-sharing data not available. | 9,167 | |||
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