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 - S7694-038 Benefit Details |
$98.50 | $0 | All Preferred Generics | No | cost-sharing data not available. | 536 | ||
Aetna Medicare Rx Premier - S5810-174 Benefit Details |
$97.70 | $0 | All Generics | No | cost-sharing data not available. | 1,531 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-032 - S5884-032 Benefit Details |
$97.30 | $0 | All Preferred Generics | No | cost-sharing data not available. | 4,663 | ||
CIGNA Medicare Rx Plan Three - S5617-174 Benefit Details |
$87.50 | $0 | Some Generics | No | cost-sharing data not available. | 364 | ||
Horizon Medicare Blue Rx Plus - S5993-003 Benefit Details |
$80.20 | $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 | ||||||
Sterling Rx Plus - S4802-037 Benefit Details |
$74.00 | $100 | All Generics | No | cost-sharing data not available. | 72 | ||
Medco Medicare Prescription Plan - Access - S5660-174 Benefit Details |
$72.50 | $0 | All Generics | No | cost-sharing data not available. | |||
Horizon Medicare Blue Rx Enhanced - S5993-002 Benefit Details |
$71.60 | $0 | All Generics | No | cost-sharing data not available. | 34,620 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Standard - S7694-004 Benefit Details |
$69.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 32 | ||
Community CCRx Gold - S5803-221 Benefit Details |
$66.80 | $0 | All Generics | No | cost-sharing data not available. | 338 | ||
Prescription Pathway Platinum Plan Reg 4 - S5597-201 Benefit Details |
$64.10 | $0 | All Generics | No | cost-sharing data not available. | 238 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Enhanced - S5921-293 Benefit Details |
$64.00 | $0 | All Preferred Generics | No | cost-sharing data not available. | 4,021 | ||
Community CCRx Choice - S5803-141 Benefit Details |
$50.20 | $0 | No Gap Coverage | No | cost-sharing data not available. | 298 | ||
AdvantraRx Premier Plus - S5674-017 Benefit Details |
$47.80 | $0 | All Preferred Generics | No | cost-sharing data not available. | 2,621 | ||
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 - S5644-289 Benefit Details |
$44.40 | $0 | All Preferred Generics | No | cost-sharing data not available. | |||
UA Medicare Part D Prescription Drug Cov - S5755-007 Benefit Details |
$44.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,892 | ||
SilverScript Complete - S5601-075 Benefit Details |
$43.40 | $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 | ||||||
First Health Part D-Select - S5768-051 Benefit Details |
$43.20 | $0 | All Preferred Generics | No | cost-sharing data not available. | 56 | ||
Aetna Medicare Rx Plus - S5810-140 Benefit Details |
$42.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 541 | ||
UnitedHealth Rx Basic - S5921-288 Benefit Details |
$41.80 | $0 | No Gap Coverage | No | cost-sharing data not available. | 9,497 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Horizon Medicare Blue Rx Standard - S5993-001 Benefit Details |
$41.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 100,211 | ||
Medco Medicare Prescription Plan - Choice - S5660-035 Benefit Details |
$38.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,225 | ||
Health Net Orange Option 2 - S5678-011 Benefit Details |
$38.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 8,128 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-009 Benefit Details |
$37.90 | $275 | No Gap Coverage | No | cost-sharing data not available. | 10 | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-042 Benefit Details |
$37.40 | $120 | No Gap Coverage | No | cost-sharing data not available. | 11 | ||
CIGNA Medicare Rx Plan Two - S5617-020 Benefit Details |
$35.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 765 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AmeriHealth NJ Rx Option II - S4496-003 Benefit Details |
$35.30 | $0 | All Generics | No | cost-sharing data not available. | |||
AdvantraRx Premier - S5674-015 Benefit Details |
$35.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,043 | ||
Humana PDP Standard S5884-062 - S5884-062 Benefit Details |
$34.50 | $275 | No Gap Coverage | No | cost-sharing data not available. | 53,783 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-038 Benefit Details |
$32.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 18,445 | ||
AARP MedicareRx Preferred - S5820-003 Benefit Details |
$32.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 150,156 | ||
SilverScript Plus - S5601-009 Benefit Details |
$32.30 | $0 | All Generics | No | cost-sharing data not available. | 189 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Fox Grand Plan - S5557-013 Benefit Details |
$30.00 | $275 | All Preferred Generics | No | cost-sharing data not available. | |||
Sterling Rx - S4802-001 Benefit Details |
$29.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 45 | ||
AARP MedicareRx Saver - S5921-286 Benefit Details |
$29.00 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 7,337 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AmeriHealth NJ Rx Option I - S4496-001 Benefit Details |
$28.60 | $125 | No Gap Coverage | Yes | cost-sharing data not available. | < 10 | ||
Prescription Pathway Gold Plan Reg 4 - S5597-036 Benefit Details |
$28.20 | $0 | No Gap Coverage | No | cost-sharing data not available. | 468 | ||
Advantage Freedom Plan by RxAmerica - S5644-049 Benefit Details |
$28.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 409 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-004 Benefit Details |
$27.90 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 14,808 | ||
WellCare Classic - S5967-141 Benefit Details |
$27.70 | $250 | No Gap Coverage | Yes | cost-sharing data not available. | 323 | ||
First Health Part D-Premier - S5768-007 Benefit Details |
$26.80 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 22,041 | ||
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 - S5810-038 Benefit Details |
$25.50 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 826 | ||
Health Net Orange Option 1 - S5678-005 Benefit Details |
$25.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 7,109 | ||
MedicareRx Rewards Standard - S5960-110 Benefit Details |
$24.40 | $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 | ||||||
Community CCRx Basic - S5803-073 Benefit Details |
$24.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,572 | ||
Medco Medicare Prescription Plan - Value - S5660-106 Benefit Details |
$24.10 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
Fox Value Plan - S5557-023 Benefit Details |
$24.00 | $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 | ||||||
CIGNA Medicare Rx Plan One - S5617-018 Benefit Details |
$23.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,852 | ||
Humana PDP Enhanced S5884-003 - S5884-003 Benefit Details |
$23.20 | $0 | No Gap Coverage | No | cost-sharing data not available. | 24,890 | ||
UnitedHealth Rx Value - S5820-107 Benefit Details |
$23.10 | $275 | No Gap Coverage | No | cost-sharing data not available. | 1,623 | ||
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 4 - S5597-069 Benefit Details |
$22.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 14,177 | ||
Advantage Star Plan by RxAmerica - S5644-005 Benefit Details |
$22.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 477 | ||
SilverScript - S5601-008 Benefit Details |
$22.10 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 13,778 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5674-014 Benefit Details |
$21.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,030 | ||
BravoRx - S5998-003 Benefit Details |
$20.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 209 | ||
HealthSpring Prescription Drug Plan -Reg 4 - S5932-005 Benefit Details |
$19.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 422 | ||
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-Secure - S5768-086 Benefit Details |
$14.80 | $175 | No Gap Coverage | No | cost-sharing data not available. | |||
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