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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Advantage Star Plan by RxAmerica - S5644-084 Benefit Details |
$19.80 | $295 | No Gap Coverage | Yes | Preferred Generic: $5.25 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,922 Browse Formulary | ||
First Health Part D-Premier - S5768-082 Benefit Details |
$21.10 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Standard - S5960-138 Sanctioned Plan |
$21.70 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5.: 25% | 41 Browse Formulary | ||
Health Net Orange Option 1 - S5678-002 Benefit Details |
$24.00 | $295 | No Gap Coverage | Yes | Preferred Generic: $2.00 Preferred Brand: $37.00 Non-Preferred Brand: $90.00 Injectable: 25% Specialty: 25% | 4,743 Browse Formulary | ||
WellCare Classic - S5967-169 Sanctioned Plan |
$24.00 | $295 | No Gap Coverage | Yes | Tier 1: $0.00 Tier 2: $36.00 Tier 3: $85.00 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 | ||||||
BravoRx - S5998-013 Benefit Details |
$24.10 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,438 Browse Formulary | ||
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