2010 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 (PDP) - S5768-113 Benefit Details |
$18.70 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 50% Specialty - Generic and Brand: 28% | 2,791 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 31 (PDP) - S5932-030 Benefit Details |
$33.00 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UnitedHealthcare MedicareRx (PDP) - S5917-007 Benefit Details |
$33.90 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $25.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $80.00 Tier 4 Specialty: 25% | 3,212 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-265 Benefit Details |
$34.90 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
AdvantraRx Value (PDP) - S5674-050 Benefit Details |
$36.80 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 18% Non-Preferred Generic and Non-Preferred Brand: 64% Specialty - Generic and Brand: 30% | 2,811 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 (PDP) - S5660-133 Benefit Details |
$38.40 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-153 Benefit Details |
$38.50 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $33.00 Tier 3: $92.00 Tier 4: 25% | 3,458 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-100 Benefit Details |
$40.10 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 50% | 2,887 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SilverScript Value (PDP) - S5601-062 Benefit Details |
$40.30 | $310 | No Gap Coverage | Yes | Generic Tier: $8.00 Preferred Brand Tier: $25.25 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
BravoRx (PDP) - S5998-034 Benefit Details |
$40.50 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
PrescribaRx Gold (PDP) - S5597-063 Benefit Details |
$40.50 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 2,852 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 (PDP) - S5678-064 Benefit Details |
$40.80 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $42.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-137 Benefit Details |
$41.10 | $310 | No Gap Coverage | No | Tier 1 Preferred Generic Drugs: $6.50 Tier 2 Preferred Brand Certain Generic Drugs: 25% Tier 3 Non-Specialty Injectable Drugs: 25% Tier 4 Specialty Drugs: 25% | 3,251 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-118 Benefit Details |
$41.70 | $150 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: 12% Non-Preferred Generic/Non-Preferred Brand: 44% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus (PDP) - S5960-160 Benefit Details |
$41.80 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Drugs: $7.00 Tier 2 Preferred Brand Certain Generic Drugs: $43.00 Tier 3 Non-Preferred Brand Certain Generic Drugs: $85.00 Tier 4 Non-Specialty Injectable Drugs: 33% Tier 5 Specialty Drugs: 33% | 3,318 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-031 Benefit Details |
$42.20 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
Aetna Medicare Rx Costco Plus Plan (PDP) - S5810-235 Sanctioned Plan |
$42.50 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic: $2.00 Tier 2 - Non-Preferred Generic: $27.00 Tier 3 - Preferred Brand: $32.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 Specialty: 33% | 3,448 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Standard S5884-089 (PDP) - S5884-089 Benefit Details |
$42.60 | $310 | No Gap Coverage | No | Preferred Generic: 15% Non-Preferred Generics/Preferred Brand: 25% Non-Preferred Brand: 43% | 4,008 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-031 Benefit Details |
$42.80 | $310 | No Gap Coverage | No | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $25.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $83.00 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
CIGNA Medicare Rx Plan Two (PDP) - S5617-155 Benefit Details |
$42.90 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $37.00 Tier 4: $86.00 Tier 5: 25% | 3,510 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Enhanced S5884-029 (PDP) - S5884-029 Benefit Details |
$43.80 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $75.00 Specialty: 33% | 4,024 Browse Formulary | ||
WellCare Classic (PDP) - S5967-168 Benefit Details |
$44.50 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $37.00 Tier 3: $75.00 Tier 4: 25% | tbd Browse Formulary | ||
SilverScript CVS Caremark Plus (PDP) - S5601-063 Benefit Details |
$45.00 | $50 | No Gap Coverage | No | Value Generic Tier: $2.50 Generic Tier: $7.50 Value Brand Tier: $25.00 Preferred Brand Tier: $30.00 Non-Preferred Brand Tier: $90.00 Specialty Tier: 31% | 3,201 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier (PDP) - S5674-051 Benefit Details |
$45.30 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 17% Non-Preferred Generic and Non-Preferred Brand: 54% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-030 Benefit Details |
$45.50 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-034 Benefit Details |
$49.60 | $0 | No Gap Coverage | No | Generic: $9.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 33% | 3,179 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 (PDP) - S5644-063 Benefit Details |
$49.70 | $0 | No Gap Coverage | No | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45% | 2,626 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-065 Sanctioned Plan |
$50.80 | $310 | No Gap Coverage | No | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $28.00 Tier 3 - Preferred Brand: $30.00 Tier 4 - Non-Preferred Brand: $70.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-065 Benefit Details |
$50.80 | $150 | No Gap Coverage | No | Tier 1 Preferred Generic: $4.00 Tier 2 NonPreferred Generics: $30.00 Tier 3 Preferred Brand: $25.00 Tier 4 NonPreferred Brand: 25% Tier 5 Specialty: 25% | 2,336 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 Choice (PDP) - S5803-168 Benefit Details |
$51.40 | $150 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29% | 2,887 Browse Formulary | ||
WellCare Signature (PDP) - S5967-065 Benefit Details |
$51.50 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | tbd Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-063 Benefit Details |
$52.10 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic : $0.00 Tier 2 Preferred Brand : $42.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 3,650 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 (PDP) - S5644-087 Benefit Details |
$53.20 | $310 | No Gap Coverage | No | Preferred Generic: $3.50 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
Educators Rx Basic (PDP) - S5877-004 Benefit Details |
$53.50 | $310 | No Gap Coverage | No | Generic: $3.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty: $70.00 | 3,061 Browse Formulary | ||
Medco Medicare Prescription Plan - Choice (PDP) - S5660-031 Benefit Details |
$55.60 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% 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 | ||||||
Sterling Rx (PDP) - S4802-021 Benefit Details |
$56.30 | $310 | No Gap Coverage | No | Generic: $9.00 Brand: $32.00 Specialty: 25% | 2,858 Browse Formulary | ||
UA Medicare Part D Rx Covg - Silver Plan (PDP) - S5755-069 Benefit Details |
$56.50 | $125 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
Educators Rx Advantage (PDP) - S5877-007 Benefit Details |
$68.20 | $50 | No Gap Coverage | No | Generic: 20% Preferred Brand: 25% Non-Preferred Brand: 50% 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 | ||||||
CIGNA Medicare Rx Plan Three (PDP) - S5617-201 Benefit Details |
$69.90 | $0 | Many Generics, Few Brands |
No | Tier 1: $6.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33% | 3,848 Browse Formulary | ||
Regence Medicare Script (PDP) - S5916-001 Benefit Details |
$76.50 | $200 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $61.00 Miscellaneous Injectables: 27% Specialty: 27% | 4,663 Browse Formulary | ||
Community CCRx Gold (PDP) - S5803-248 Benefit Details |
$80.40 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,887 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 (PDP) - S5921-033 Benefit Details |
$82.00 | $0 | Many Generics | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $90.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
AdvantraRx Premier Plus (PDP) - S5674-053 Benefit Details |
$83.10 | $0 | Many Generics | No | Preferred Generic: $5.00 Generics: $25.00 Preferred Brand: 20% Non-Preferred Brand: 75% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
SilverScript CVS Caremark Complete (PDP) - S5601-102 Benefit Details |
$87.90 | $0 | Many Generics | No | Value Generic Tier: $2.50 Generic Tier: $7.50 Preferred Brand Tier: $39.00 Non-Preferred Brand Tier: $98.00 Specialty Tier: 33% | 3,201 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 (PDP) - S5660-201 Benefit Details |
$91.00 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 3,061 Browse Formulary | ||
Regence Medicare Script Enhanced (PDP) - S5916-002 Benefit Details |
$94.50 | $100 | Many Generics | No | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | 4,663 Browse Formulary | ||
Humana Complete S5884-059 (PDP) - S5884-059 Benefit Details |
$103.10 | $0 | Many Generics | No | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $75.00 Specialty: 33% | 4,024 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 Premier (PDP) - S5810-201 Sanctioned Plan |
$106.20 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $7.00 Tier 2 - Non-Preferred Generic: $31.00 Tier 3 - Preferred Brand: $34.00 Tier 4 - Non-Preferred Brand: $85.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
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