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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AARP MedicareRx Saver - S5921-151 Benefit Details |
$24.70 | $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): $51.85 Tier 4 - Specialty (Generic, Brand): 25% | 4,548 Browse Formulary | ||
Prescriba Rx Bronze - S5597-246 Benefit Details |
$25.00 | $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 | ||||||
Health Net Orange Option 1 - S5678-030 Benefit Details |
$25.10 | $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 | ||
Community CCRx Basic - S5803-081 Benefit Details |
$26.90 | $295 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 50% | 3,285 Browse Formulary | ||
MedicareRx Rewards Standard - S5960-118 Sanctioned Plan |
$27.60 | $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 | ||||||
Medco Medicare Prescription Plan - Value - S5660-114 Benefit Details |
$27.70 | $295 | No Gap Coverage | Yes | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
SilverScript Value - S5601-024 Benefit Details |
$27.80 | $295 | No Gap Coverage | Yes | Generic: $8.00 Preferred Brand: $41.50 Non-Preferred Brand: $98.00 Specialty: 25% | 5,320 Browse Formulary | ||
First Health Part D-Premier - S5768-015 Benefit Details |
$28.00 | $0 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: $28.00 Non-Preferred Generic/Non-Preferred Brand: $52.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Windsor Rx - S2505-001 Benefit Details |
$28.20 | $175 | No Gap Coverage | Yes | Tier 1 - Preferred Generics: $10.00 Tier 2 - Preferred Brand: $25.00 Tier 3 - NonPreferred Brand, NonPreferred Generic: $50.00 Tier 4 - Speciality (Brand or Generic): 25% | 2,832 Browse Formulary | ||
CIGNA Medicare Rx Plan One - S5617-058 Benefit Details |
$29.00 | $295 | No Gap Coverage | Yes | Tier 1: $2.50 Tier 2: $30.00 Tier 3: $79.00 Tier 4: 25% | 4,053 Browse Formulary | ||
Advantage Star Plan by RxAmerica - S5644-012 Benefit Details |
$29.20 | $295 | No Gap Coverage | Yes | Preferred Generic: $4.75 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,922 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 -Reg12 - S5932-001 Benefit Details |
$29.30 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
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