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 - S5768-085 Benefit Details ![]() |
$19.40 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: $20.00 Non-Preferred Generic/Non-Preferred Brand: $50.00 Specialty-Generic and Brand: 28% | 3,128 Browse Formulary | ||
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AdvantraRx Value - S5674-008 Benefit Details ![]() |
$25.30 | $0 | No Gap Coverage | No | Preferred Generic: $9.00 Preferred Brand: $25.00 Non-Preferred Generic/Non-Preferred Brand: $55.00 Specialty-Generic and Brand: 33% | 3,149 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Saver - S5921-181 Benefit Details ![]() |
$26.30 | $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): $63.55 Tier 4 - Specialty (Generic, Brand): 25% | 4,548 Browse Formulary | ||
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Medco Medicare Prescription Plan - Value - S5660-105 Benefit Details ![]() |
$28.20 | $295 | No Gap Coverage | Yes | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
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SilverScript Value - S5601-004 Benefit Details ![]() |
$28.30 | $295 | No Gap Coverage | Yes | Generic: $8.00 Preferred Brand: $39.25 Non-Preferred Brand: $98.00 Specialty: 25% | 5,320 Browse Formulary | ||
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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 - S5768-038 Benefit Details ![]() |
$28.40 | $0 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: $27.00 Non-Preferred Generic/Non-Preferred Brand: $53.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
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HealthSpring Prescription Drug Plan -Reg 2 - S5932-003 Benefit Details ![]() |
$29.10 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
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Advantage Star Plan by RxAmerica - S5644-068 Benefit Details ![]() |
$30.00 | $295 | No Gap Coverage | Yes | Preferred Generic: $5.50 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,922 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
BravoRx - S5998-015 Benefit Details ![]() |
$30.20 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,438 Browse Formulary | ||
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MedicareRx Rewards Standard - S5960-108 Sanctioned Plan ![]() |
$30.40 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5.: 25% | 41 Browse Formulary | ||
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Prescriba Rx Bronze - S5597-237 Benefit Details ![]() |
$30.40 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,223 Browse Formulary | ||
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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 - S5617-008 Benefit Details ![]() |
$30.60 | $295 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $33.00 Tier 3: $86.00 Tier 4: 25% | 4,053 Browse Formulary | ||
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EnvisionRxPlus Silver - S7694-002 Benefit Details ![]() |
$31.00 | $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 | ||
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Health Net Orange Option 1 - S5678-004 Benefit Details ![]() |
$31.70 | $295 | No Gap Coverage | Yes | Preferred Generic: $2.00 Preferred Brand: $44.00 Non-Preferred Brand: $90.00 Injectable: 25% Specialty: 25% | 4,743 Browse Formulary | ||
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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 - S5810-036 Benefit Details ![]() |
$31.80 | $195 | No Gap Coverage | No | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $27.00 Tier 4 - Non-Preferred Brand: $67.00 Tier 5 - Specialty: 25% | 5,374 Browse Formulary | ||
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WellCare Classic - S5967-139 Sanctioned Plan ![]() |
$31.90 | $295 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $41.00 Tier 3: $92.00 Tier 4: 25% | 2,718 Browse Formulary | ||
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Community CCRx Basic - S5803-071 Benefit Details ![]() |
$32.10 | $295 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 45% | 3,285 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-036 Sanctioned Plan ![]() |
$35.70 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $39.00 Tier 3: $79.00 Tier 4: 33% | 2,718 Browse Formulary | ||
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UA Medicare Part D Rx Covg - Silver Plan - S5755-041 Benefit Details ![]() |
$36.90 | $180 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 25% | 3,499 Browse Formulary | ||
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Sterling Rx - S4802-023 Benefit Details ![]() |
$37.00 | $295 | No Gap Coverage | No | Generic: $7.00 Preferred Brand: $25.00 Non-Preferred Brand: $57.00 Specialty: 25% | 5,234 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred - S5820-002 Benefit Details ![]() |
$38.50 | $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): $94.20 Tier 4 - Specialty (Generic, Brand): 33% | 5,357 Browse Formulary | ||
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Prescriba Rx Gold - S5597-035 Benefit Details ![]() |
$39.20 | $0 | No Gap Coverage | No | Generic: $6.00 Brand: $44.00 Specialty: 33% | 3,223 Browse Formulary | ||
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Humana PDP Enhanced S5884-002 - S5884-002 Benefit Details ![]() |
$39.30 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | 4,828 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-182 Benefit Details ![]() |
$39.90 | $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 | ||
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Advantage Freedom Plan by RxAmerica - S5644-047 Benefit Details ![]() |
$40.70 | $0 | No Gap Coverage | No | Preferred Generic: $5.00 Preferred Brand: 35% Specialty: 33% Non-Preferred: 45% | 2,922 Browse Formulary | ||
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UA Medicare Part D Prescription Drug Cov - S5755-006 Benefit Details ![]() |
$41.00 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $32.00 Non-Preferred Brand: $64.00 Specialty: 33% | 3,607 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-061 - S5884-061 Benefit Details ![]() |
$41.40 | $295 | No Gap Coverage | No | Preferred Generic: 15% Preferred Brand: 25% Other - Non-Preferred (Gen/Brand): 47% | 4,828 Browse Formulary | ||
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Blue MedicareRx Value - S2893-014 Benefit Details ![]() |
$41.70 | $295 | No Gap Coverage | No | Tier 1 Preferred Generic: $8.00 Tier 2 Preferred Brand: $24.00 Tier 3 Non-Preferred Brand: $63.00 Tier 4 Specialty: 25% | 3,184 Browse Formulary | ||
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CIGNA Medicare Rx Plan Two - S5617-010 Benefit Details ![]() |
$42.80 | $0 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $6.00 Tier 3: $38.00 Tier 4: $80.00 Tier 5: 33% | 4,053 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Value Plus - S2893-001 Benefit Details ![]() |
$43.30 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic: $8.00 Tier 2 Preferred Brand: $30.00 Tier 3 Non-Preferred Brand: $65.00 Tier 4 Specialty: 33% | 3,184 Browse Formulary | ||
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AdvantraRx Premier - S5674-009 Benefit Details ![]() |
$43.60 | $0 | No Gap Coverage | No | Preferred Generic: $5.00 Preferred Brand: $27.00 Non-Preferred Generic/Non-Preferred Brand: $68.00 Specialty-Generic and Brand: 33% | 3,399 Browse Formulary | ||
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Health Net Orange Option 2 - S5678-010 Benefit Details ![]() |
$46.20 | $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 | ||
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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 - S5660-003 Benefit Details ![]() |
$46.40 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
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SilverScript Plus - S5601-005 Benefit Details ![]() |
$50.60 | $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 | ||
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Community CCRx Choice - S5803-139 Benefit Details ![]() |
$52.40 | $0 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 3,287 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5674-011 Benefit Details ![]() |
$59.20 | $0 | Many Generics | No | Preferred Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Generic/Non-Preferred Brand: $70.00 Specialty-Generic and Brand: 33% | 3,399 Browse Formulary | ||
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Aetna Medicare Rx Plus - S5810-138 Benefit Details ![]() |
$65.10 | $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: $76.00 Tier 5 - Specialty: 33% | 5,374 Browse Formulary | ||
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EnvisionRxPlus Gold - S7694-036 Benefit Details ![]() |
$68.80 | $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 | ||
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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 - S5660-173 Benefit Details ![]() |
$69.00 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: 75% Specialty: 33% | 3,607 Browse Formulary | ||
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SilverScript Complete - S5601-073 Benefit Details ![]() |
$70.10 | $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 | ||
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Prescriba Rx Platinum - S5597-200 Benefit Details ![]() |
$73.30 | $0 | All Generics | No | Generic: $6.00 Brand: $44.00 Specialty: 33% | 3,223 Browse Formulary | ||
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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 Three - S5617-172 Benefit Details ![]() |
$79.60 | $0 | Some Generics | No | Tier 1: $6.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33% | 4,386 Browse Formulary | ||
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Community CCRx Gold - S5803-219 Benefit Details ![]() |
$79.60 | $0 | All Generics | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 3,287 Browse Formulary | ||
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Blue MedicareRx Premier - S2893-003 Benefit Details ![]() |
$80.90 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $8.00 Tier 2 Preferred Brand: $24.00 Tier 3 Non-Preferred Brand: $60.00 Tier 4 Specialty: 33% | 3,184 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Enhanced - S5921-183 Benefit Details ![]() |
$81.90 | $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 | ||
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Humana PDP Complete S5884-031 - S5884-031 Benefit Details ![]() |
$96.10 | $0 | Many Generics | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | 4,828 Browse Formulary | ||
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Aetna Medicare Rx Premier - S5810-172 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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