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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Fox Grand Plan - S5557-011 Benefit Details |
$36.00 | $260 | Some Generics | No | Tier 1: $0.00 Tier 2: $19.00 Tier 3: $35.00 Tier 4: $75.00 Tier 5: 25% | 3,545 Browse Formulary | ||
Aetna Medicare Rx Plus - S5810-155 Benefit Details |
$60.50 | $0 | Some Generics | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $10.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $77.00 Tier 5 - Specialty: 33% | 5,374 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan Three - S5617-189 Benefit Details |
$67.50 | $0 | Some Generics | No | Tier 1: $6.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33% | 4,386 Browse Formulary | ||
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