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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Health Net Orange Option 1 - S5678-062 Benefit Details |
$12.10 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,035 | ||
First Health Part D-Secure - S5768-111 Benefit Details |
$14.20 | $175 | No Gap Coverage | 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 | ||||||
MedicareRx Rewards Standard - S5960-135 Benefit Details |
$15.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
First Health Part D-Premier - S5768-031 Benefit Details |
$17.00 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 1,809 | ||
Blue MedicareRx Value - S5596-029 Benefit Details |
$17.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 3,284 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-166 Benefit Details |
$17.50 | $250 | No Gap Coverage | Yes | cost-sharing data not available. | 802 | ||
MedicareRx Rewards Value - S5960-029 Benefit Details |
$17.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,503 | ||
Advantage Star Plan by RxAmerica - S5644-082 Benefit Details |
$18.70 | $275 | No Gap Coverage | No | cost-sharing data not available. | 65 | ||
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 29 - S5932-028 Benefit Details |
$18.90 | $275 | No Gap Coverage | No | cost-sharing data not available. | < 10 | ||
Humana PDP Enhanced S5884-027 - S5884-027 Benefit Details |
$18.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 5,599 | ||
UnitedHealth Rx Value - S5820-132 Benefit Details |
$19.40 | $275 | No Gap Coverage | No | cost-sharing data not available. | 604 | ||
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 29 - S5597-094 Benefit Details |
$20.10 | $275 | No Gap Coverage | No | cost-sharing data not available. | 99 | ||
SilverScript - S5601-058 Benefit Details |
$20.10 | $275 | No Gap Coverage | No | cost-sharing data not available. | 102 | ||
AdvantraRx Value - S5670-147 Benefit Details |
$20.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 439 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-063 Benefit Details |
$21.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 6,827 | ||
AARP MedicareRx Saver - S5921-265 Benefit Details |
$21.40 | $275 | No Gap Coverage | No | cost-sharing data not available. | 6,528 | ||
SierraRx Basic - S5917-030 Benefit Details |
$21.70 | $275 | No Gap Coverage | No | cost-sharing data not available. | 3,413 | ||
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 - S5660-131 Benefit Details |
$22.70 | $275 | No Gap Coverage | No | cost-sharing data not available. | |||
SierraRx - S5917-005 Benefit Details |
$22.80 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,428 | ||
Health Net Orange Option 2 - S5678-061 Benefit Details |
$24.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 62 | ||
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 - S5644-061 Benefit Details |
$25.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 274 | ||
Aetna Medicare Rx Essentials - S5810-063 Benefit Details |
$26.60 | $275 | No Gap Coverage | No | cost-sharing data not available. | 84 | ||
AARP MedicareRx Preferred - S5820-028 Benefit Details |
$27.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 12,749 | ||
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 One - S5617-143 Benefit Details |
$28.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 344 | ||
Humana PDP Standard S5884-087 - S5884-087 Benefit Details |
$28.90 | $275 | No Gap Coverage | No | cost-sharing data not available. | 11,853 | ||
Sterling Rx - S4802-019 Benefit Details |
$29.40 | $275 | No Gap Coverage | No | cost-sharing data not available. | 30 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Basic - S5803-098 Benefit Details |
$30.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 536 | ||
Prescription Pathway Gold Plan Reg 29 - S5597-061 Benefit Details |
$31.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 235 | ||
Community CCRx Choice - S5803-166 Benefit Details |
$32.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 136 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5670-148 Benefit Details |
$34.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 841 | ||
SilverScript Plus - S5601-059 Benefit Details |
$35.50 | $0 | All Generics | No | cost-sharing data not available. | 43 | ||
Community CCRx Gold - S5803-246 Benefit Details |
$35.70 | $0 | All Generics | No | cost-sharing data not available. | 101 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Plus - S5596-030 Benefit Details |
$35.80 | $0 | No Gap Coverage | No | cost-sharing data not available. | 851 | ||
CIGNA Medicare Rx Plan Two - S5617-145 Benefit Details |
$36.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 311 | ||
Medco Medicare Prescription Plan - Choice - S5660-029 Benefit Details |
$37.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 352 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Advantage Allegiance Plan by RxAmerica - S5644-314 Benefit Details |
$40.40 | $0 | All Preferred Generics | No | cost-sharing data not available. | |||
SilverScript Complete - S5601-100 Benefit Details |
$41.20 | $0 | All Generics | No | cost-sharing data not available. | 22 | ||
First Health Part D-Select - S5768-076 Benefit Details |
$42.20 | $0 | All Preferred Generics | No | cost-sharing data not available. | 34 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-266 Benefit Details |
$42.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,431 | ||
Aetna Medicare Rx Plus - S5810-165 Benefit Details |
$43.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 124 | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-067 Benefit Details |
$43.50 | $120 | No Gap Coverage | No | cost-sharing data not available. | 16 | ||
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 - S5755-032 Benefit Details |
$45.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,365 | ||
AdvantraRx Premier Plus - S5670-150 Benefit Details |
$46.80 | $0 | All Preferred Generics | No | cost-sharing data not available. | 1,028 | ||
EnvisionRxPlus Standard - S7694-029 Benefit Details |
$63.00 | $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 | ||||||
Prescription Pathway Platinum Plan Reg 29 - S5597-226 Benefit Details |
$63.00 | $0 | All Generics | No | cost-sharing data not available. | 91 | ||
AARP MedicareRx Enhanced - S5921-273 Benefit Details |
$63.30 | $0 | All Preferred Generics | No | cost-sharing data not available. | 815 | ||
Blue MedicareRx Premier - S5596-031 Benefit Details |
$65.70 | $0 | Some Generics | No | cost-sharing data not available. | 1,038 | ||
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 - Access - S5660-199 Benefit Details |
$70.60 | $0 | All Generics | No | cost-sharing data not available. | |||
Sterling Rx Plus - S4802-062 Benefit Details |
$72.90 | $100 | All Generics | No | cost-sharing data not available. | 35 | ||
CIGNA Medicare Rx Plan Three - S5617-199 Benefit Details |
$79.40 | $0 | Some Generics | No | cost-sharing data not available. | 129 | ||
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 - S5810-199 Benefit Details |
$82.50 | $0 | All Generics | No | cost-sharing data not available. | 315 | ||
Humana PDP Complete S5884-057 - S5884-057 Benefit Details |
$91.90 | $0 | All Preferred Generics | No | cost-sharing data not available. | 1,237 | ||
EnvisionRxPlus Gold - S7694-063 Benefit Details |
$99.50 | $0 | All Preferred Generics | No | cost-sharing data not available. | 112 | ||
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