2009 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
PICA-002 - S5775-002 Benefit Details |
$1.00 | $250 | No Gap Coverage | No | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 25% | tbd Browse Formulary | ||
Community CCRx Basic - S5803-210 Benefit Details |
$1.30 | $295 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 45% | 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 | ||||||
Medi-Max - S0043-009 Benefit Details |
$12.20 | $295 | No Gap Coverage | No | Generic: $5.00 Brand: $25.00 Non-Preferred Brand: $45.00 Specialty: 25% | tbd Browse Formulary | ||
SilverScript Value - S5601-070 Benefit Details |
$15.40 | $295 | No Gap Coverage | No | Generic: $8.00 Preferred Brand: $23.25 Non-Preferred Brand: $60.00 Specialty: 25% | 5,320 Browse Formulary | ||
Community CCRx Choice - S5803-214 Benefit Details |
$16.30 | $0 | No Gap Coverage | 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 | ||||||
Humana PDP Standard S2874-001 - S2874-001 Benefit Details |
$18.00 | $295 | No Gap Coverage | No | Preferred Generic: 15% Preferred Brand: 25% Other - Non-Preferred (Gen/Brand): 47% | 4,828 Browse Formulary | ||
-- | ||||||||
PharmaPlus - S5840-001 Benefit Details |
$18.90 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | tbd Browse Formulary | ||
-- | ||||||||
MCS Classicare Rx Standard - S5555-003 Benefit Details |
$19.30 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | tbd 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 Enhanced S2874-002 - S2874-002 Benefit Details |
$20.60 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | 4,828 Browse Formulary | ||
-- | ||||||||
Cosvimed Care Basic D - S4877-003 Benefit Details |
$24.10 | $295 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | tbd Browse Formulary | ||
-- | ||||||||
AARP MedicareRx Saver - S5820-150 Benefit Details |
$27.00 | $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): $59.55 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 | ||||||
Community CCRx Gold - S5803-252 Benefit Details |
$31.40 | $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 - Value - S5660-137 Benefit Details |
$33.60 | $295 | No Gap Coverage | No | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
Triple-S FarmaMed - S5907-001 Benefit Details |
$34.00 | $295 | No Gap Coverage | No | Tier 1/ Nivel 1: $5.00 Tier 2/ Nivel 2: $20.00 Tier 3/ Nivel 3: $30.00 Tier 4/ Nivel 4: Greater of $30 or : 25% Tier 5/ Nivel 5: 25% | tbd Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-071 Benefit Details |
$34.80 | $50 | Many Generics | No | Value Generic: $4.00 Generic: $9.00 Value Brand: $26.00 Preferred Brand: $26.00 Non-Preferred Brand: $85.00 Specialty: 31% | 5,320 Browse Formulary | ||
Triple-S FarmaMed Plus - S5907-002 Benefit Details |
$35.00 | $0 | No Gap Coverage | No | Tier 1/ Nivel 1: $5.00 Tier 2/ Nivel 2: $35.00 Tier 3/ Nivel 3: $50.00 Tier 4/ Nivel 4: Greater of $50 or : 25% Tier 5/ Nivel 5: 25% | tbd Browse Formulary | ||
AARP MedicareRx Preferred - S5820-037 Benefit Details |
$36.10 | $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): $64.45 Tier 4 - Specialty (Generic, Brand): 33% | 5,357 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MCS Classicare Rx - S5555-001 Benefit Details |
$36.90 | $0 | No Gap Coverage | No | Generic: $3.00 Preferred Brand: $25.00 Non-Preferred Brand: $45.00 Specialty: 25% | tbd Browse Formulary | ||
PICA-001 - S5775-001 Benefit Details |
$38.00 | $0 | No Gap Coverage | No | Tier 1: $3.00 Tier 2: $25.00 Tier 3: $50.00 Tier 4: 25% | tbd Browse Formulary | ||
Medi Max Plus - S0043-010 Benefit Details |
$39.00 | $0 | No Gap Coverage | No | Generic: $3.00 Preferred Brand: $25.00 Non-Preferred Brand: $45.00 Specialty: 25% | tbd Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-346 Benefit Details |
$41.50 | $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): $90.00 Tier 4 - Specialty (Generic, Brand): 33% | 4,548 Browse Formulary | ||
SilverScript Complete - S5601-106 Benefit Details |
$44.80 | $0 | Many Generics | No | Value Generic: $2.00 Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty: 33% | 5,320 Browse Formulary | ||
Medco Medicare Prescription Plan - Choice - S5660-103 Benefit Details |
$45.10 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $35.00 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 | ||||||
PICA-003 - S5775-003 Benefit Details |
$53.20 | $0 | Many Generics | No | Tier 1: $3.00 Tier 2: $15.00 Tier 3: $30.00 Tier 4: 25% | tbd Browse Formulary | ||
PharmaPremium - S5840-002 Benefit Details |
$53.30 | $0 | All Generics | No | Generic: $5.00 Preferred Brand: $15.00 Non-Preferred Brand: $30.00 Specialty Tier Brand: 25% | tbd Browse Formulary | ||
-- | ||||||||
Triple-S FarmaMed Superior - S5907-003 Benefit Details |
$64.30 | $0 | Many Generics | No | Tier 1/ Nivel 1: $5.00 Tier 2/ Nivel 2: $30.00 Tier 3/ Nivel 3: $50.00 Tier 4/ Nivel 4: Greater of $50 or : 25% Tier 5/ Nivel 5: 25% | tbd 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 Enhanced - S5820-145 Benefit Details |
$69.80 | $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 | ||
Cosvimed Care DRmaX - S4877-002 Benefit Details |
$74.90 | $0 | All Generics | No | Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Brand: $30.00 Brand Specialty: $40.00 | tbd Browse Formulary | ||
-- | ||||||||
Medco Medicare Prescription Plan - Access - S5660-205 Benefit Details |
$79.40 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
|