2009 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 |
Total Formulary Drugs | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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First Health Part D-Premier - S5768-117 Benefit Details |
$23.10 | $0 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: $27.00 Non-Preferred Generic/Non-Preferred Brand: $64.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 34 - S5932-033 Benefit Details |
$24.50 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SilverScript Value - S5601-068 Benefit Details |
$25.90 | $295 | No Gap Coverage | Yes | Generic: $8.00 Preferred Brand: $21.00 Non-Preferred Brand: $98.00 Specialty: 25% | 5,320 Browse Formulary | ||
WellCare Signature - S5967-068 Sanctioned Plan |
$29.40 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $39.00 Tier 3: $79.00 Tier 4: 33% | 2,718 Browse Formulary | ||
WellCare Classic - S5967-171 Sanctioned Plan |
$30.20 | $295 | No Gap Coverage | Yes | Tier 1: $0.00 Tier 2: $30.00 Tier 3: $79.00 Tier 4: 25% | 2,718 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Saver - S5921-011 Benefit Details |
$31.30 | $295 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $5.00 Tier 2 - Generic and Preferred Brand: $22.00 Tier 3 - Other Non Preferred (Generic, Brand): $51.95 Tier 4 - Specialty (Generic, Brand): 25% | 4,548 Browse Formulary | ||
First Health Part D-Secure - S5768-116 Benefit Details |
$34.20 | $175 | No Gap Coverage | No | Preferred Generic: $3.00 Preferred Brand: $20.00 Non-Preferred Generic/Non-Preferred Brand: $50.00 Specialty-Generic and Brand: 28% | 3,128 Browse Formulary | ||
Medco Medicare Prescription Plan - Value - S5660-136 Benefit Details |
$35.30 | $295 | No Gap Coverage | Yes | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Standard - S5960-140 Sanctioned Plan |
$35.40 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5.: 25% | 41 Browse Formulary | ||
Aetna Medicare Rx Essentials - S5810-068 Benefit Details |
$36.30 | $200 | No Gap Coverage | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $26.00 Tier 4 - Non-Preferred Brand: $67.00 Tier 5 - Specialty: 25% | 5,374 Browse Formulary | ||
AdvantraRx Value - S5674-068 Benefit Details |
$37.00 | $0 | No Gap Coverage | No | Preferred Generic: $9.00 Preferred Brand: $25.00 Non-Preferred Generic/Non-Preferred Brand: $53.00 Specialty-Generic and Brand: 33% | 3,149 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
BravoRx - S5998-036 Benefit Details |
$38.40 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,438 Browse Formulary | ||
CIGNA Medicare Rx Plan One - S5617-168 Benefit Details |
$38.50 | $295 | No Gap Coverage | No | Tier 1: $2.50 Tier 2: $25.00 Tier 3: $63.00 Tier 4: 25% | 4,053 Browse Formulary | ||
Advantage Star Plan by RxAmerica - S5644-201 Benefit Details |
$39.10 | $295 | No Gap Coverage | No | Preferred Generic: $5.25 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,922 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-034 Sanctioned Plan |
$39.50 | $130 | No Gap Coverage | No | Tier 1 Preferred Generic: $10.00 Tier 2 Preferred Brand: $35.50 Tier 3 Non-Preferred Brand or Generic: $85.00 Tier 4 Non-Specialty Injectable: 29% Tier 5.: 29% | 3,708 Browse Formulary | ||
CIGNA Medicare Rx Plan Two - S5617-170 Benefit Details |
$39.80 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $6.00 Tier 3: $38.00 Tier 4: $80.00 Tier 5: 33% | 4,053 Browse Formulary | ||
Health Net Orange Option 1 - S5678-068 Benefit Details |
$40.90 | $295 | No Gap Coverage | No | Preferred Generic: $2.00 Preferred Brand: $44.00 Non-Preferred Brand: $90.00 Injectable: 25% Specialty: 25% | 4,743 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Prescriba Rx Bronze - S5597-268 Benefit Details |
$41.40 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,223 Browse Formulary | ||
Advantage Freedom Plan by RxAmerica - S5644-187 Benefit Details |
$43.60 | $0 | No Gap Coverage | No | Preferred Generic: $4.75 Preferred Brand: 35% Specialty: 33% Non-Preferred: 45% | 2,922 Browse Formulary | ||
Prescriba Rx Gold - S5597-233 Benefit Details |
$43.60 | $0 | No Gap Coverage | No | Generic: $6.00 Brand: $44.00 Specialty: 33% | 3,223 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred - S5820-033 Benefit Details |
$44.60 | $0 | No Gap Coverage | No | Tier 1-Preferred Generic: $7.00 Tier 2 - Generic and Preferred Brand: $38.00 Tier 3 - Other Non Preferred (Generic, Brand): $74.00 Tier 4 - Specialty (Generic, Brand): 33% | 5,357 Browse Formulary | ||
Sterling Rx - S4802-032 Benefit Details |
$45.00 | $295 | No Gap Coverage | No | Generic: $7.00 Preferred Brand: $25.00 Non-Preferred Brand: $57.00 Specialty: 25% | 5,234 Browse Formulary | ||
Health Net Value Orange Option 2 - S5678-067 Benefit Details |
$45.60 | $0 | No Gap Coverage | No | Preferred Generic: $0.00 Preferred Brand: $39.00 Non-Preferred Brand: $75.00 Injectable: 33% Specialty: 33% | 4,743 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-094 - S5884-094 Benefit Details |
$46.00 | $295 | No Gap Coverage | No | Preferred Generic: 15% Preferred Brand: 25% Other - Non-Preferred (Gen/Brand): 47% | 4,828 Browse Formulary | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-072 Benefit Details |
$48.60 | $120 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 25% | 3,499 Browse Formulary | ||
Humana PDP Enhanced S5884-097 - S5884-097 Benefit Details |
$49.20 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | 4,828 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Basic - S5803-103 Benefit Details |
$49.30 | $295 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 60% | 3,285 Browse Formulary | ||
UA Medicare Part D Prescription Drug Cov - S5755-039 Benefit Details |
$50.30 | $0 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $31.00 Non-Preferred Brand: $62.00 Specialty: 33% | 3,607 Browse Formulary | ||
UnitedHealth Rx Basic - S5921-012 Benefit Details |
$54.00 | $0 | No Gap Coverage | No | Tier 1-Preferred Generic: $7.00 Tier 2 - Generic and Preferred Brand: $35.00 Tier 3 - Other Non Preferred (Generic, Brand): $87.00 Tier 4 - Specialty (Generic, Brand): 33% | 4,548 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Choice - S5660-034 Benefit Details |
$56.30 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
AdvantraRx Premier - S5674-069 Benefit Details |
$57.60 | $0 | No Gap Coverage | No | Preferred Generic: $5.00 Preferred Brand: $25.00 Non-Preferred Generic/Non-Preferred Brand: $66.00 Specialty-Generic and Brand: 33% | 3,399 Browse Formulary | ||
EnvisionRxPlus Silver - S7694-034 Benefit Details |
$61.70 | $295 | No Gap Coverage | No | Tier 1 Preferred Generic: $4.00 Tier 2 Non Preferred Generics: $47.00 Tier 3 Preferred Brand: $37.00 Tier 4 NonPreferred Brand: $75.00 Tier 5 Specialty Drugs: 25% | 2,654 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Choice - S5803-171 Benefit Details |
$71.90 | $0 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 3,287 Browse Formulary | ||
EnvisionRxPlus Gold - S7694-068 Benefit Details |
$94.10 | $0 | No Gap Coverage | No | Tier 1 Preferred Generics: $0.00 Tier 2 NonPreferred Generic: $45.00 Tier 3 Preferred Brand: $40.00 Tier 4 NonPreferred Brand: $75.00 Tier 5 Specialty: 33% | 2,940 Browse Formulary | ||
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