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 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 | ||
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 | ||
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 - 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 | ||
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 | ||
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