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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First Health Part D-Secure - S5768-096 Benefit Details |
$16.60 | $175 | No Gap Coverage | No | cost-sharing data not available. | |||
SilverScript - S5601-028 Benefit Details |
$19.60 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 22,424 | ||
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 14 - S5932-013 Benefit Details |
$20.70 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 987 | ||
Paramount Basic Prescription Drug Plan - S5588-001 Benefit Details |
$21.30 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 247 | ||
Advantage Star Plan by RxAmerica - S5644-189 Benefit Details |
$22.30 | $275 | No Gap Coverage | Yes | 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 | ||||||
BravoRx - S5998-011 Benefit Details |
$22.60 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 967 | ||
AdvantraRx Value - S5670-075 Benefit Details |
$23.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 22,564 | ||
MedicareRx Rewards Standard - S5960-120 Benefit Details |
$23.00 | $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 | ||||||
Prescription Pathway Bronze Plan Reg 14 - S5597-079 Benefit Details |
$23.70 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,774 | ||
UnitedHealth Rx Value - S5820-117 Benefit Details |
$23.80 | $275 | No Gap Coverage | No | cost-sharing data not available. | 2,651 | ||
Community CCRx Basic - S5803-083 Benefit Details |
$24.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 33,454 | ||
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 - S5660-116 Benefit Details |
$25.70 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
CIGNA Medicare Rx Plan One - S5617-068 Benefit Details |
$25.90 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 3,163 | ||
Blue MedicareRx Value - S5596-013 Benefit Details |
$26.00 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 20,350 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-014 Benefit Details |
$26.50 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 12,556 | ||
Health Net Orange Option 1 - S5678-034 Benefit Details |
$26.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,368 | ||
Humana PDP Enhanced S5884-012 - S5884-012 Benefit Details |
$27.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 36,465 | ||
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-Premier - S5768-017 Benefit Details |
$27.30 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 5,902 | ||
WellCare Classic - S5967-151 Benefit Details |
$27.30 | $250 | No Gap Coverage | Yes | cost-sharing data not available. | 653 | ||
Advantage Freedom Plan by RxAmerica - S5644-175 Benefit Details |
$27.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 17 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Health Net Value Orange Option 2 - S5678-033 Benefit Details |
$28.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 240 | ||
Prescription Pathway Gold Plan Reg 14 - S5597-046 Benefit Details |
$28.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,972 | ||
AARP MedicareRx Saver - S5921-051 Benefit Details |
$30.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 34,839 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-048 Benefit Details |
$30.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 40,162 | ||
Sterling Rx - S4802-026 Benefit Details |
$31.60 | $275 | No Gap Coverage | No | cost-sharing data not available. | 45 | ||
Humana PDP Standard S5884-072 - S5884-072 Benefit Details |
$33.60 | $275 | No Gap Coverage | No | cost-sharing data not available. | 75,258 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred - S5820-013 Benefit Details |
$33.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 144,592 | ||
UPMC for Life Prescription Drug Plan - S8201-001 Benefit Details |
$34.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | < 10 | ||
Medco Medicare Prescription Plan - Choice - S5660-014 Benefit Details |
$35.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 4,562 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Advantage Plan Standard Rx - S3230-001 Benefit Details |
$35.10 | $275 | No Gap Coverage | No | cost-sharing data not available. | 64 | ||
AdvantraRx Premier - S5670-076 Benefit Details |
$37.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 8,576 | ||
Blue MedicareRx Plus - S5596-014 Benefit Details |
$37.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 10,663 | ||
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 - S5617-070 Benefit Details |
$38.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,274 | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-052 Benefit Details |
$38.80 | $130 | No Gap Coverage | No | cost-sharing data not available. | 54 | ||
Aetna Medicare Rx Essentials - S5810-048 Benefit Details |
$39.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 1,979 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-017 Benefit Details |
$39.50 | $275 | No Gap Coverage | No | cost-sharing data not available. | 24 | ||
Paramount Enhanced Prescription Drug Plan - S5588-002 Benefit Details |
$40.10 | $0 | All Generics | No | cost-sharing data not available. | 147 | ||
Advantage Allegiance Plan by RxAmerica - S5644-299 Benefit Details |
$42.20 | $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 | ||||||
Aetna Medicare Rx Plus - S5810-150 Benefit Details |
$42.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,474 | ||
SilverScript Plus - S5601-029 Benefit Details |
$42.60 | $0 | All Generics | No | cost-sharing data not available. | 386 | ||
UnitedHealth Rx Basic - S5921-052 Benefit Details |
$43.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 7,905 | ||
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 - S5755-017 Benefit Details |
$43.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 7,591 | ||
Community CCRx Choice - S5803-151 Benefit Details |
$44.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,112 | ||
First Health Part D-Select - S5768-061 Benefit Details |
$45.40 | $0 | All Preferred Generics | No | cost-sharing data not available. | 173 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Gold - S5803-231 Benefit Details |
$46.20 | $0 | All Generics | No | cost-sharing data not available. | 1,088 | ||
Advantage Plan Premium Rx - S3230-002 Benefit Details |
$47.30 | $0 | All Generics | No | cost-sharing data not available. | 49 | ||
SilverScript Complete - S5601-085 Benefit Details |
$48.50 | $0 | All Generics | No | cost-sharing data not available. | 195 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5670-078 Benefit Details |
$50.70 | $0 | All Preferred Generics | No | cost-sharing data not available. | 8,638 | ||
CIGNA Medicare Rx Plan Three - S5617-184 Benefit Details |
$60.40 | $0 | Some Generics | No | cost-sharing data not available. | 594 | ||
Prescription Pathway Platinum Plan Reg 14 - S5597-211 Benefit Details |
$60.50 | $0 | All Generics | No | cost-sharing data not available. | 617 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Standard - S7694-014 Benefit Details |
$61.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 74 | ||
AARP MedicareRx Enhanced - S5921-053 Benefit Details |
$62.90 | $0 | All Preferred Generics | No | cost-sharing data not available. | 4,273 | ||
Medco Medicare Prescription Plan - Access - S5660-184 Benefit Details |
$64.10 | $0 | All 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 | ||||||
Blue MedicareRx Premier - S5596-015 Benefit Details |
$71.00 | $0 | Some Generics | No | cost-sharing data not available. | 11,031 | ||
Aetna Medicare Rx Premier - S5810-184 Benefit Details |
$77.60 | $0 | All Generics | No | cost-sharing data not available. | 4,712 | ||
Sterling Rx Plus - S4802-047 Benefit Details |
$79.90 | $100 | All Generics | No | cost-sharing data not available. | 88 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-042 - S5884-042 Benefit Details |
$90.40 | $0 | All Preferred Generics | No | cost-sharing data not available. | 9,008 | ||
EnvisionRxPlus Gold - S7694-048 Benefit Details |
$98.00 | $0 | All Preferred Generics | No | cost-sharing data not available. | 955 | ||
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