2008 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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EnvisionRxPlus Gold - S7694-060 Benefit Details |
$97.50 | $0 | All Preferred Generics | No | cost-sharing data not available. | 25 | ||
Humana PDP Complete S5884-054 - S5884-054 Benefit Details |
$89.00 | $0 | All Preferred Generics | No | cost-sharing data not available. | 736 | ||
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 - S5810-196 Benefit Details |
$80.30 | $0 | All Generics | No | cost-sharing data not available. | 196 | ||
Medco Medicare Prescription Plan - Access - S5660-196 Benefit Details |
$70.20 | $0 | All Generics | No | cost-sharing data not available. | |||
Sterling Rx Plus - S4802-059 Benefit Details |
$69.80 | $100 | All Generics | No | 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 | ||||||
Blue Medicare Rx - Plus - S5715-004 Benefit Details |
$66.00 | $0 | All Generics | No | cost-sharing data not available. | 1,073 | ||
EnvisionRxPlus Standard - S7694-026 Benefit Details |
$63.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | < 10 | ||
Prescription Pathway Platinum Plan Reg 26 - S5597-223 Benefit Details |
$61.60 | $0 | All Generics | No | 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 | ||||||
AARP MedicareRx Enhanced - S5921-263 Benefit Details |
$58.90 | $0 | All Preferred Generics | No | cost-sharing data not available. | 542 | ||
CIGNA Medicare Rx Plan Three - S5617-196 Benefit Details |
$51.90 | $0 | Some Generics | No | cost-sharing data not available. | 90 | ||
Presbyterian Prescription Drug Plan 2 - S5902-002 Benefit Details |
$50.50 | $0 | All Preferred Generics | No | 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 Plus - S5674-041 Benefit Details |
$44.90 | $0 | All Preferred Generics | No | cost-sharing data not available. | 670 | ||
Community CCRx Gold - S5803-243 Benefit Details |
$44.70 | $0 | All Generics | No | cost-sharing data not available. | 485 | ||
Aetna Medicare Rx Plus - S5810-162 Benefit Details |
$41.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 53 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Part D-Select - S5768-073 Benefit Details |
$40.50 | $0 | All Preferred Generics | No | cost-sharing data not available. | 13 | ||
SilverScript Complete - S5601-097 Benefit Details |
$40.00 | $0 | All Generics | No | cost-sharing data not available. | 41 | ||
Advantage Allegiance Plan by RxAmerica - S5644-311 Benefit Details |
$37.90 | $0 | All Preferred Generics | No | cost-sharing data not available. | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Choice - S5660-026 Benefit Details |
$36.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 226 | ||
UA Medicare Part D Prescription Drug Cov - S5755-029 Benefit Details |
$36.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,723 | ||
Community CCRx Choice - S5803-163 Benefit Details |
$34.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,057 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-053 Benefit Details |
$33.80 | $0 | All Generics | No | cost-sharing data not available. | 46 | ||
UnitedHealth Rx Basic - S5921-262 Benefit Details |
$33.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 490 | ||
AdvantraRx Premier - S5674-039 Benefit Details |
$32.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 536 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan Two - S5617-130 Benefit Details |
$32.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 209 | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-064 Benefit Details |
$31.40 | $150 | No Gap Coverage | No | cost-sharing data not available. | 16 | ||
Prescription Pathway Gold Plan Reg 26 - S5597-058 Benefit Details |
$30.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 144 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx - S4802-016 Benefit Details |
$28.30 | $275 | No Gap Coverage | No | cost-sharing data not available. | < 10 | ||
AARP MedicareRx Preferred - S5820-025 Benefit Details |
$26.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 14,830 | ||
Aetna Medicare Rx Essentials - S5810-060 Benefit Details |
$24.80 | $275 | No Gap Coverage | No | cost-sharing data not available. | 39 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx - S5917-002 Benefit Details |
$24.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,144 | ||
Blue Medicare Rx - Standard - S5715-008 Benefit Details |
$24.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 387 | ||
Health Net Orange Option 2 - S5678-057 Benefit Details |
$24.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 120 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-060 Benefit Details |
$24.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 3,067 | ||
Advantage Freedom Plan by RxAmerica - S5644-185 Benefit Details |
$23.80 | $0 | No Gap Coverage | No | cost-sharing data not available. | 11 | ||
SierraRx Basic - S5917-027 Benefit Details |
$23.10 | $275 | No Gap Coverage | No | 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 | ||||||
Medco Medicare Prescription Plan - Value - S5660-128 Benefit Details |
$22.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | |||
Presbyterian Prescription Drug Plan 1 - S5902-001 Benefit Details |
$21.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 6,905 | ||
First Health Part D-Premier - S5768-048 Benefit Details |
$21.20 | $0 | No Gap Coverage | No | cost-sharing data not available. | 19 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-163 Benefit Details |
$21.10 | $250 | No Gap Coverage | No | cost-sharing data not available. | 4,373 | ||
AARP MedicareRx Saver - S5921-261 Benefit Details |
$21.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 12,846 | ||
Community CCRx Basic - S5803-095 Benefit Details |
$19.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 3,162 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5674-038 Benefit Details |
$19.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 391 | ||
CIGNA Medicare Rx Plan One - S5617-128 Benefit Details |
$19.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 416 | ||
Advantage Star Plan by RxAmerica - S5644-199 Benefit Details |
$18.90 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 664 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-084 - S5884-084 Benefit Details |
$18.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 12,787 | ||
HealthSpring Prescription Drug Plan-Reg 26 - S5932-025 Benefit Details |
$18.00 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 13 | ||
Blue Medicare Rx - Value - S5715-003 Benefit Details |
$17.80 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 1,706 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Enhanced S5884-024 - S5884-024 Benefit Details |
$17.20 | $0 | No Gap Coverage | No | cost-sharing data not available. | 3,365 | ||
MedicareRx Rewards Value - S5960-026 Benefit Details |
$17.20 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 5,296 | ||
UnitedHealth Rx Value - S5820-129 Benefit Details |
$16.70 | $275 | No Gap Coverage | No | cost-sharing data not available. | 265 | ||
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 26 - S5597-091 Benefit Details |
$15.10 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 5,493 | ||
First Health Part D-Secure - S5768-108 Benefit Details |
$12.90 | $175 | No Gap Coverage | No | cost-sharing data not available. | |||
MedicareRx Rewards Standard - S5960-132 Benefit Details |
$12.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
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 - S5678-058 Benefit Details |
$12.10 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 749 | ||
SilverScript - S5601-052 Benefit Details |
$10.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 5,675 | ||
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