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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Aetna Medicare Rx Premier - S5810-193 Benefit Details |
$102.90 | $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 | ||
Humana PDP Complete S5884-051 - S5884-051 Benefit Details |
$100.70 | $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 | ||||||
SilverScript Complete - S5601-094 Benefit Details |
$85.80 | $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 | ||
Medicare Blue Rx Enhanced - S5566-003 Benefit Details |
$77.00 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $34.00 Brand: $60.00 Specialty: 30% | 3,061 Browse Formulary | ||
Prescriba Rx Platinum - S5597-220 Benefit Details |
$76.10 | $0 | All Generics | No | Generic: $6.00 Brand: $44.00 Specialty: 33% | 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 | ||||||
Medco Medicare Prescription Plan - Access - S5660-193 Benefit Details |
$75.00 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
CIGNA Medicare Rx Plan Three - S5617-193 Benefit Details |
$74.70 | $0 | Some Generics | No | Tier 1: $6.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33% | 4,386 Browse Formulary | ||
Community CCRx Gold - S5803-240 Benefit Details |
$73.90 | $0 | All Generics | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 3,287 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-024 Benefit Details |
$73.80 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,469 Browse Formulary | ||
AARP MedicareRx Enhanced - S5921-235 Benefit Details |
$73.60 | $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 | ||
SilverScript Plus - S5601-047 Benefit Details |
$62.70 | $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 Plus - S5810-159 Benefit Details |
$59.50 | $0 | Some Generics | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $10.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $77.00 Tier 5 - Specialty: 33% | 5,374 Browse Formulary | ||
Community CCRx Choice - S5803-160 Benefit Details |
$58.70 | $0 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 3,287 Browse Formulary | ||
AdvantraRx Premier Plus - S5670-126 Benefit Details |
$56.60 | $0 | Many Generics | No | Preferred Generic: $5.00 Preferred Brand: $33.00 Non-Preferred Generic/Non-Preferred Brand: $75.00 Specialty-Generic and Brand: 33% | 3,399 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Advantage Freedom Plan by RxAmerica - S5644-183 Benefit Details |
$53.00 | $0 | No Gap Coverage | No | Preferred Generic: $4.25 Preferred Brand: 35% Specialty: 33% Non-Preferred: 45% | 2,922 Browse Formulary | ||
EnvisionRxPlus Gold - S7694-057 Benefit Details |
$50.70 | $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 | ||
UA Medicare Part D Prescription Drug Cov - S5755-026 Benefit Details |
$47.30 | $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 | ||||||
Prescriba Rx Gold - S5597-055 Benefit Details |
$45.80 | $0 | No Gap Coverage | No | Generic: $6.00 Brand: $44.00 Specialty: 33% | 3,223 Browse Formulary | ||
CIGNA Medicare Rx Plan Two - S5617-115 Benefit Details |
$44.60 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $6.00 Tier 3: $38.00 Tier 4: $85.00 Tier 5: 33% | 4,053 Browse Formulary | ||
UnitedHealth Rx Basic - S5921-202 Benefit Details |
$44.40 | $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): $91.00 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 | ||||||
UA Medicare Part D Rx Covg - Silver Plan - S5755-061 Benefit Details |
$43.40 | $130 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 25% | 3,499 Browse Formulary | ||
Health Net Value Orange Option 2 - S5678-051 Benefit Details |
$43.20 | $0 | No Gap Coverage | No | Preferred Generic: $0.00 Preferred Brand: $39.00 Non-Preferred Brand: $75.00 Injectable: 33% Specialty: 33% | 4,743 Browse Formulary | ||
Humana PDP Enhanced S5884-021 - S5884-021 Benefit Details |
$40.70 | $0 | No Gap Coverage | 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 | ||||||
AARP MedicareRx Preferred - S5820-022 Benefit Details |
$40.50 | $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): $74.55 Tier 4 - Specialty (Generic, Brand): 33% | 5,357 Browse Formulary | ||
AdvantraRx Premier - S5670-124 Benefit Details |
$40.50 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: $26.00 Non-Preferred Generic/Non-Preferred Brand: $72.00 Specialty-Generic and Brand: 33% | 3,399 Browse Formulary | ||
Humana PDP Standard S5884-081 - S5884-081 Benefit Details |
$38.50 | $295 | No Gap Coverage | No | Preferred Generic: 15% Preferred Brand: 25% Other - Non-Preferred (Gen/Brand): 48% | 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 | ||||||
WellCare Signature - S5967-057 Sanctioned Plan |
$38.20 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $39.00 Tier 3: $79.00 Tier 4: 33% | 2,718 Browse Formulary | ||
Medicare Blue Rx Basic - S5566-001 Benefit Details |
$38.10 | $295 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $27.00 Brand: $57.00 Specialty: 25% | 3,061 Browse Formulary | ||
Sterling Rx - S4802-014 Benefit Details |
$37.60 | $295 | No Gap Coverage | No | Generic: $7.00 Preferred Brand: $25.00 Non-Preferred Brand: $58.00 Specialty: 25% | 5,234 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Choice - S5660-023 Benefit Details |
$36.50 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
CIGNA Medicare Rx Plan One - S5617-113 Benefit Details |
$35.20 | $295 | No Gap Coverage | No | Tier 1: $2.50 Tier 2: $30.00 Tier 3: $80.00 Tier 4: 25% | 4,053 Browse Formulary | ||
Medicare Blue Rx Basic Plus - S5566-002 Benefit Details |
$34.70 | $0 | No Gap Coverage | No | Generic: $8.00 Preferred Brand: $43.00 Brand: $73.00 Specialty: 30% | 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 | ||||||
EnvisionRxPlus Silver - S7694-023 Benefit Details |
$34.50 | $295 | No Gap Coverage | No | Tier 1 Preferred Generic: $4.00 Tier 2 Non Preferred Generics: $31.00 Tier 3 Preferred Brand: $21.00 Tier 4 NonPreferred Brand: $75.00 Tier 5 Specialty Drugs: 25% | 2,654 Browse Formulary | ||
BravoRx - S5998-027 Benefit Details |
$34.30 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | tbd Browse Formulary | ||
AARP MedicareRx Saver - S5921-201 Benefit Details |
$30.90 | $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): $58.60 Tier 4 - Specialty (Generic, Brand): 25% | 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 | ||||||
Health Net Orange Option 1 - S5678-052 Benefit Details |
$30.70 | $295 | No Gap Coverage | No | Preferred Generic: $2.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Injectable: 25% Specialty: 25% | 4,743 Browse Formulary | ||
MedicareRx Rewards Value - S5960-023 Sanctioned Plan |
$30.70 | $130 | No Gap Coverage | No | Tier 1 Preferred Generic: $10.00 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 | ||
WellCare Classic - S5967-160 Sanctioned Plan |
$30.10 | $295 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $34.00 Tier 3: $86.00 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 | ||||||
Aetna Medicare Rx Essentials - S5810-057 Benefit Details |
$29.80 | $215 | No Gap Coverage | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $15.00 Tier 3 - Preferred Brand: $27.00 Tier 4 - Non-Preferred Brand: $68.00 Tier 5 - Specialty: 25% | 5,374 Browse Formulary | ||
Medco Medicare Prescription Plan - Value - S5660-125 Benefit Details |
$29.30 | $295 | No Gap Coverage | Yes | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
Community CCRx Basic - S5803-092 Benefit Details |
$28.20 | $295 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 50% | 3,285 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 - S5644-197 Benefit Details |
$26.80 | $295 | No Gap Coverage | Yes | Preferred Generic: $5.50 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,922 Browse Formulary | ||
MedicareRx Rewards Standard - S5960-129 Sanctioned Plan |
$26.50 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5.: 25% | 41 Browse Formulary | ||
Prescriba Rx Bronze - S5597-257 Benefit Details |
$26.30 | $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 | ||||||
First Health Part D-Premier - S5768-046 Benefit Details |
$26.00 | $0 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Generic/Non-Preferred Brand: $60.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 23 - S5932-022 Benefit Details |
$26.00 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
SilverScript Value - S5601-046 Benefit Details |
$25.90 | $295 | No Gap Coverage | Yes | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $98.00 Specialty: 25% | 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 | ||||||
AdvantraRx Value - S5670-123 Benefit Details |
$24.70 | $0 | No Gap Coverage | No | Preferred Generic: $8.00 Preferred Brand: $24.00 Non-Preferred Generic/Non-Preferred Brand: $55.00 Specialty-Generic and Brand: 33% | 3,149 Browse Formulary | ||
First Health Part D-Secure - S5768-105 Benefit Details |
$16.80 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: $20.00 Non-Preferred Generic/Non-Preferred Brand: $46.00 Specialty-Generic and Brand: 28% | 3,128 Browse Formulary | ||
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