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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SierraRx Basic - S5917-029 Benefit Details |
$11.50 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,469 Browse Formulary | ||
First Health Part D-Secure - S5768-110 Benefit Details |
$13.90 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: $20.00 Non-Preferred Generic/Non-Preferred Brand: $50.00 Specialty-Generic and Brand: 28% | 3,128 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Health Net Orange Option 1 - S5678-001 Benefit Details |
$14.10 | $295 | No Gap Coverage | Yes | Preferred Generic: $2.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Injectable: 25% Specialty: 25% | 4,743 Browse Formulary | ||
SierraRx UnitedHealth Rx Value - S5917-004 Benefit Details |
$15.30 | $0 | No Gap Coverage | No | Generic: $8.00 Brand: $45.00 Specialty: 33% | 2,469 Browse Formulary | ||
MedicareRx Rewards Standard - S5960-134 Sanctioned Plan |
$18.60 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5.: 25% | 41 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-165 Sanctioned Plan |
$18.90 | $295 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $30.00 Tier 3: $75.00 Tier 4: 25% | 2,718 Browse Formulary | ||
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