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 | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Citrus Part D FL. - S8465-001 Benefit Details |
$20.80 | $295 | No Gap Coverage | Yes | Preferred Generics: $0.00 Tier 2 - Generics: $5.00 Tier 3 - Preferred Brands: $25.00 Tier 4 - Brands: $70.00 Tier 5 - Specialty: 25% | 3,033 Browse Formulary | ||
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Prescriba Rx Bronze - S5597-245 Benefit Details |
$20.90 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,223 Browse Formulary | ||
MedicareRx Rewards Standard - S5960-117 Sanctioned Plan |
$21.30 | $295 | No Gap Coverage | Yes | 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 | ||||||
Advantage Star Plan by RxAmerica - S5644-188 Benefit Details |
$21.50 | $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 - S5768-041 Benefit Details |
$22.90 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: $25.00 Non-Preferred Generic/Non-Preferred Brand: $51.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
AdvantraRx Value - S5674-020 Benefit Details |
$23.00 | $0 | No Gap Coverage | No | Preferred Generic: $8.00 Preferred Brand: $24.00 Non-Preferred Generic/Non-Preferred Brand: $56.00 Specialty-Generic and Brand: 33% | 3,149 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
BravoRx - S5998-007 Benefit Details |
$23.60 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,438 Browse Formulary | ||
WellCare Classic - S5967-148 Sanctioned Plan |
$24.00 | $295 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $33.00 Tier 3: $78.00 Tier 4: 25% | 2,718 Browse Formulary | ||
MedicareRx Rewards Value - S5960-011 Sanctioned Plan |
$25.10 | $130 | No Gap Coverage | No | Tier 1 Preferred Generic: $9.00 Tier 2 Preferred Brand: $41.00 Tier 3 Non-Preferred Brand or Generic: $85.00 Tier 4 Non-Specialty Injectable: 29% Tier 5.: 29% | 3,708 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-045 Sanctioned Plan |
$26.20 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $39.00 Tier 3: $79.00 Tier 4: 33% | 2,718 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 11 - S5932-011 Benefit Details |
$27.60 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
Health Net Orange Option 1 - S5678-028 Benefit Details |
$29.70 | $295 | No Gap Coverage | No | Preferred Generic: $2.00 Preferred Brand: $43.00 Non-Preferred Brand: $90.00 Injectable: 25% Specialty: 25% | 4,743 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Silver - S7694-011 Benefit Details |
$30.80 | $295 | No Gap Coverage | No | Tier 1 Preferred Generic: $4.00 Tier 2 Non Preferred Generics: $30.00 Tier 3 Preferred Brand: $20.00 Tier 4 NonPreferred Brand: $75.00 Tier 5 Specialty Drugs: 25% | 2,654 Browse Formulary | ||
AARP MedicareRx Saver - S5921-141 Benefit Details |
$31.60 | $295 | No Gap Coverage | No | Tier 1 - Preferred Generic: $5.00 Tier 2 - Generic and Preferred Brand: $22.00 Tier 3 - Other Non Preferred (Generic, Brand): $54.30 Tier 4 - Specialty (Generic, Brand): 25% | 4,548 Browse Formulary | ||
Medco Medicare Prescription Plan - Value - S5660-113 Benefit Details |
$32.40 | $295 | No Gap Coverage | No | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred - S5820-010 Benefit Details |
$32.50 | $0 | No Gap Coverage | No | Tier 1-Preferred Generic: $7.00 Tier 2 - Generic and Preferred Brand: $38.00 Tier 3 - Other Non Preferred (Generic, Brand): $74.80 Tier 4 - Specialty (Generic, Brand): 33% | 5,357 Browse Formulary | ||
Advantage Freedom Plan by RxAmerica - S5644-174 Benefit Details |
$32.50 | $0 | No Gap Coverage | No | Preferred Generic: $5.00 Preferred Brand: 35% Specialty: 33% Non-Preferred: 45% | 2,922 Browse Formulary | ||
BlueMedicare Rx-Option 3 - S5904-003 Benefit Details |
$32.90 | $200 | No Gap Coverage | No | Tier 1 - Covered Generic: $0.00 Tier 2 - Covered Preferred Brand: $45.00 Tier 3 - Covered Brand: $90.00 Tier S - Covered Specialty: 25% | 3,061 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx - S4802-008 Benefit Details |
$33.90 | $295 | No Gap Coverage | No | Generic: $7.00 Preferred Brand: $25.00 Non-Preferred Brand: $58.00 Specialty: 25% | 5,234 Browse Formulary | ||
SilverScript Value - S5601-022 Benefit Details |
$35.10 | $295 | No Gap Coverage | No | Generic: $8.00 Preferred Brand: $38.50 Non-Preferred Brand: $98.00 Specialty: 25% | 5,320 Browse Formulary | ||
UnitedHealth Rx Basic - S5921-142 Benefit Details |
$37.00 | $0 | No Gap Coverage | No | Tier 1-Preferred Generic: $7.00 Tier 2 - Generic and Preferred Brand: $35.00 Tier 3 - Other Non Preferred (Generic, Brand): $98.00 Tier 4 - Specialty (Generic, Brand): 33% | 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 | ||||||
Community CCRx Basic - S5803-080 Benefit Details |
$37.60 | $295 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 25% Non-Preferred Brand: 50% | 3,285 Browse Formulary | ||
AdvantraRx Premier - S5674-021 Benefit Details |
$37.80 | $0 | No Gap Coverage | No | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Generic/Non-Preferred Brand: $65.00 Specialty-Generic and Brand: 33% | 3,399 Browse Formulary | ||
Fox Grand Plan - S5557-017 Benefit Details |
$38.90 | $285 | 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 | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-069 - S5884-069 Benefit Details |
$38.90 | $295 | No Gap Coverage | No | Preferred Generic: 15% Preferred Brand: 25% Other - Non-Preferred (Gen/Brand): 40% | 4,828 Browse Formulary | ||
Prescriba Rx Gold - S5597-043 Benefit Details |
$39.70 | $0 | No Gap Coverage | No | Generic: $6.00 Brand: $44.00 Specialty: 33% | 3,223 Browse Formulary | ||
CIGNA Medicare Rx Plan Two - S5617-055 Benefit Details |
$41.70 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $6.00 Tier 3: $36.00 Tier 4: $80.00 Tier 5: 33% | 4,053 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 One - S5617-053 Benefit Details |
$42.00 | $295 | No Gap Coverage | No | Tier 1: $2.50 Tier 2: $28.00 Tier 3: $71.00 Tier 4: 25% | 4,053 Browse Formulary | ||
Citrus Part D Plus FL. - S8465-002 Benefit Details |
$42.00 | $0 | Some Generics | No | Tier 1 - Preferred Generics: $0.00 Tier 2 - Generics: $5.00 Tier 3 - Preferred Brands: $30.00 Tier 4 - Brands: $65.00 Tier 5 - Specialty: 33% | 3,033 Browse Formulary | ||
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Medco Medicare Prescription Plan - Choice - S5660-010 Benefit Details |
$42.70 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UA Medicare Part D Rx Covg - Silver Plan - S5755-049 Benefit Details |
$43.00 | $125 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 25% | 3,499 Browse Formulary | ||
Humana PDP Enhanced S5884-010 - S5884-010 Benefit Details |
$43.10 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | 4,828 Browse Formulary | ||
SilverScript Plus - S5601-023 Benefit Details |
$46.40 | $50 | Many Generics | No | Value Generic: $4.00 Generic: $9.00 Value Brand: $30.00 Preferred Brand: $35.00 Non-Preferred Brand: $95.00 : tbd | 5,320 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Essentials - S5810-045 Benefit Details |
$46.60 | $200 | No Gap Coverage | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $14.00 Tier 3 - Preferred Brand: $32.00 Tier 4 - Non-Preferred Brand: $74.00 Tier 5 - Specialty: 25% | 5,374 Browse Formulary | ||
Community CCRx Choice - S5803-148 Benefit Details |
$50.00 | $0 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 3,287 Browse Formulary | ||
UA Medicare Part D Prescription Drug Cov - S5755-014 Benefit Details |
$50.00 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $32.00 Non-Preferred Brand: $64.00 Specialty: 33% | 3,607 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5674-023 Benefit Details |
$55.40 | $0 | Many Generics | No | Preferred Generic: $4.00 Preferred Brand: $29.00 Non-Preferred Generic/Non-Preferred Brand: $70.00 Specialty-Generic and Brand: 33% | 3,399 Browse Formulary | ||
Health Net Orange Option 2 - S5678-027 Benefit Details |
$56.30 | $0 | No Gap Coverage | No | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $90.00 Injectable: 33% Specialty: 33% | 5,361 Browse Formulary | ||
BlueMedicare Rx-Option 1 - S5904-001 Benefit Details |
$56.70 | $0 | No Gap Coverage | No | Tier 1 - Covered Generic: $0.00 Tier 2 - Covered Preferred Brand: $40.00 Tier 3 - Covered Brand: $83.00 Tier S - Covered Specialty: 33% | 4,040 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx - Costco Plus Plan - S5810-147 Benefit Details |
$58.60 | $0 | Some Generics | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $5.00 Tier 3 - Preferred Brand: $35.00 Tier 4 - Non-Preferred Brand: $90.00 Tier 5 - Specialty: 33% | 5,374 Browse Formulary | ||
SilverScript Complete - S5601-082 Benefit Details |
$64.20 | $0 | Many Generics | No | Value Generic: $2.50 Generic: $7.50 Preferred Brand: $39.00 Non-Preferred Brand: $98.00 Specialty: 33% | 5,320 Browse Formulary | ||
CIGNA Medicare Rx Plan Three - S5617-181 Benefit Details |
$66.20 | $0 | Some Generics | No | Tier 1: $6.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33% | 4,386 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Prescriba Rx Platinum - S5597-208 Benefit Details |
$66.80 | $0 | All Generics | No | Generic: $6.00 Brand: $44.00 Specialty: 33% | 3,223 Browse Formulary | ||
AARP MedicareRx Enhanced - S5921-143 Benefit Details |
$67.70 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $7.00 Tier 2 - Generic and Preferred Brand: $39.00 Tier 3 - Other Non Preferred (Generic, Brand): $95.00 Tier 4 - Specialty (Generic, Brand): 33% | 5,357 Browse Formulary | ||
Quality Rx - S8475-001 Benefit Details |
$69.00 | $0 | No Gap Coverage | No | Tier 1: $5.00 Tier 2: $25.00 Tier 3: $70.00 Tier 4: 40% Tier 5: 25% | 3,531 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Gold - S5803-228 Benefit Details |
$69.60 | $0 | All Generics | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 3,287 Browse Formulary | ||
Medco Medicare Prescription Plan - Access - S5660-181 Benefit Details |
$70.90 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
EnvisionRxPlus Gold - S7694-045 Benefit Details |
$73.50 | $0 | No Gap Coverage | No | Tier 1 Preferred Generics: $0.00 Tier 2 NonPreferred Generic: $45.00 Tier 3 Preferred Brand: $40.00 Tier 4 NonPreferred Brand: $75.00 Tier 5 Specialty: 33% | 2,940 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Quality Rx Plus - S8475-002 Benefit Details |
$79.90 | $0 | Many Generics, Few Brands | No | Tier 1: $5.00 Tier 2: $25.00 Tier 3: $50.00 Tier 4: $75.00 Tier 5: 33% | 3,531 Browse Formulary | ||
BlueMedicare Rx-Option 2 - S5904-002 Benefit Details |
$88.60 | $0 | Many Generics | No | Tier 1 - Covered Generic: $0.00 Tier 2 - Covered Preferred Brand: $40.00 Tier 3 - Covered Brand: $83.00 Tier S - Covered Specialty: 33% | 4,040 Browse Formulary | ||
Humana PDP Complete S5884-039 - S5884-039 Benefit Details |
$95.70 | $0 | Many Generics | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | 4,828 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Premier - S5810-181 Benefit Details |
$111.30 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $10.00 Tier 3 - Preferred Brand: $30.00 Tier 4 - Non-Preferred Brand: $65.00 Tier 5 - Specialty: 33% | 5,374 Browse Formulary | ||
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