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-Premier - S5768-008 Benefit Details |
$26.10 | $0 | No Gap Coverage | Yes | Preferred Generic: $5.00 Preferred Brand: $29.00 Non-Preferred Generic/Non-Preferred Brand: $58.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
EnvisionRxPlus Silver - S7694-005 Benefit Details |
$26.50 | $295 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $4.00 Tier 2 Non Preferred Generics: $33.00 Tier 3 Preferred Brand: $23.00 Tier 4 NonPreferred Brand: $75.00 Tier 5 Specialty Drugs: 25% | 2,654 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 Saver - S5921-237 Benefit Details |
$27.00 | $295 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $5.00 Tier 2 - Generic and Preferred Brand: $22.00 Tier 3 - Other Non Preferred (Generic, Brand): $65.45 Tier 4 - Specialty (Generic, Brand): 25% | 4,548 Browse Formulary | ||
SilverScript Value - S5601-010 Benefit Details |
$27.20 | $295 | No Gap Coverage | Yes | Generic: $8.00 Preferred Brand: $42.00 Non-Preferred Brand: $98.00 Specialty: 25% | 5,320 Browse Formulary | ||
Health Net Orange Option 1 - S5678-016 Benefit Details |
$28.80 | $295 | No Gap Coverage | Yes | Preferred Generic: $2.00 Preferred Brand: $45.00 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 | ||||||
WellCare Classic - S5967-142 Sanctioned Plan |
$29.40 | $295 | No Gap Coverage | Yes | Tier 1: $0.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 25% | 2,718 Browse Formulary | ||
Medco Medicare Prescription Plan - Value - S5660-107 Benefit Details |
$29.80 | $295 | No Gap Coverage | Yes | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
Prescriba Rx Bronze - S5597-239 Benefit Details |
$29.80 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,223 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
HealthSpring Prescription Drug Plan -Reg 5 - S5932-034 Benefit Details |
$30.10 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
MedicareRx Rewards Standard - S5960-111 Sanctioned Plan |
$30.10 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5.: 25% | 41 Browse Formulary | ||
Community CCRx Basic - S5803-074 Benefit Details |
$30.40 | $295 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 25% Non-Preferred Brand: 55% | 3,285 Browse Formulary | ||
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