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-Secure - S5768-093 Benefit Details |
$16.70 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: $20.00 Non-Preferred Generic/Non-Preferred Brand: $48.00 Specialty-Generic and Brand: 28% | 3,128 Browse Formulary | ||
Fox Value Plan - S5557-025 Benefit Details |
$16.80 | $295 | No Gap Coverage | Yes | Tier 1: $0.00 Tier 2: $27.00 Tier 3: $34.00 Tier 4: $75.00 Tier 5: 25% | 3,074 Browse Formulary | ||
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