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 - S5921-071 Benefit Details |
$28.70 | $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): $76.50 Tier 4 - Specialty (Generic, Brand): 25% | 4,548 Browse Formulary | ||
Community CCRx Basic - S5803-085 Benefit Details |
$31.00 | $295 | No Gap Coverage | Yes | 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 | ||||||
First Health Part D-Premier - S5768-083 Benefit Details |
$31.10 | $0 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: $27.00 Non-Preferred Generic/Non-Preferred Brand: $52.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
Prescriba Rx Bronze - S5597-250 Benefit Details |
$31.30 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,223 Browse Formulary | ||
MedicareRx Rewards Standard - S5960-122 Sanctioned Plan |
$33.10 | $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 | ||||||
Advantage Star Plan by RxAmerica - S5644-191 Benefit Details |
$33.60 | $295 | No Gap Coverage | Yes | Preferred Generic: $6.25 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,922 Browse Formulary | ||
Aetna Medicare Rx Essentials - S5810-050 Benefit Details |
$34.60 | $200 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $30.00 Tier 4 - Non-Preferred Brand: $71.00 Tier 5 - Specialty: 25% | 5,374 Browse Formulary | ||
CIGNA Medicare Rx Plan One - S5617-078 Benefit Details |
$34.80 | $295 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $33.00 Tier 3: $87.00 Tier 4: 25% | 4,053 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
BravoRx - S5998-022 Benefit Details |
$35.00 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,438 Browse Formulary | ||
Health Net Orange Option 1 - S5678-038 Benefit Details |
$35.00 | $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 | ||
SilverScript Value - S5601-032 Benefit Details |
$35.10 | $295 | No Gap Coverage | Yes | Generic: $8.00 Preferred Brand: $37.50 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 | ||||||
EnvisionRxPlus Silver - S7694-016 Benefit Details |
$36.20 | $295 | No Gap Coverage | Yes | 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 | ||
HealthSpring Prescription Drug Plan-Reg 16 - S5932-015 Benefit Details |
$36.30 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
Blue MedicareRx Value - S5596-021 Sanctioned Plan |
$36.60 | $130 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $10.00 Tier 2 Preferred Brand: $42.00 Tier 3 Non-Preferred Brand or Generic: $85.00 Tier 4 Non-Specialty Injectable: 29% Tier 5.: 29% | 3,708 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 - S5660-118 Benefit Details |
$36.60 | $295 | No Gap Coverage | Yes | Generic: 23% Preferred Brand: 23% Non-Preferred Brand: 53% Specialty: 25% | 3,499 Browse Formulary | ||
WellCare Classic - S5967-153 Sanctioned Plan |
$37.80 | $295 | No Gap Coverage | Yes | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $88.00 Tier 4: 25% | 2,718 Browse Formulary | ||
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