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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Windsor Rx (PDP) - S2505-005 Benefit Details |
$19.90 | $310 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $5.00 Tier 2 - Preferred Brand: 20% Tier 3 - Specialty: 25% Tier 4 - NonPreferred Brand/NonPreferred Generic: 50% | 2,629 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-054 Sanctioned Plan |
$21.20 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $1.00 Tier 2 - Non-Preferred Generic: $23.00 Tier 3 - Preferred Brand: $24.00 Tier 4 - Non-Preferred Brand: $68.00 Tier 5 Specialty: 25% | 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 | ||||||
PrescribaRx Bronze (PDP) - S5597-254 Benefit Details |
$24.80 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-046 Benefit Details |
$25.80 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $37.00 Tier 3 Non-Preferred: $97.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
Aetna Medicare Rx Plus (PDP) - S5810-224 Sanctioned Plan |
$26.90 | $0 | No Gap Coverage | No | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $38.00 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 | ||||||
MedicareRx Rewards Plus (PDP) - S5960-152 Benefit Details |
$27.80 | $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 | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-226 Benefit Details |
$28.10 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $31.00 Tier 3: $74.00 Tier 4: 25% | 3,458 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-126 Benefit Details |
$28.30 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic Drugs: $6.00 Tier 2 Preferred Brand Certain Generic Drugs: 25% Tier 3 Non-Specialty Injectable Drugs: 25% Tier 4 Specialty Drugs: 25% | 3,251 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 Basic (PDP) - S5803-089 Benefit Details |
$28.40 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 55% | 2,887 Browse Formulary | ||
First Health Part D-Secure (PDP) - S5768-102 Benefit Details |
$28.90 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 56% Specialty - Generic and Brand: 28% | 2,791 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-321 Benefit Details |
$30.20 | $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: $71.75 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
PrescribaRx Gold (PDP) - S5597-052 Benefit Details |
$30.70 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 2,852 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 20 (PDP) - S5932-019 Benefit Details |
$31.30 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
WellCare Classic (PDP) - S5967-157 Benefit Details |
$31.40 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $33.00 Tier 3: $66.00 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 | ||||||
First Health Part D-Premier (PDP) - S5768-120 Benefit Details |
$33.40 | $150 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: 11% Non-Preferred Generic/Non-Preferred Brand: 46% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-122 Benefit Details |
$33.50 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
BravoRx (PDP) - S5998-025 Benefit Details |
$33.90 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 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 Two (PDP) - S5617-100 Benefit Details |
$34.10 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $38.00 Tier 4: $83.00 Tier 5: 25% | 3,510 Browse Formulary | ||
Fox Value Plan (PDP) - S5557-046 Sanctioned Plan |
$34.80 | $310 | No Gap Coverage | No | Tier 1: 0% Tier 2: 50% Tier 3: 40% Tier 4: 60% Tier 5: 25% | 2,826 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-020 Benefit Details |
$35.20 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
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) - S5644-195 Benefit Details |
$35.40 | $310 | No Gap Coverage | No | Preferred Generic: $3.50 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
SilverScript Value (PDP) - S5601-040 Benefit Details |
$35.40 | $310 | No Gap Coverage | No | Generic Tier: $7.00 Preferred Brand Tier: $17.75 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
AdvantraRx Value (PDP) - S5670-105 Benefit Details |
$37.60 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 20% 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 - Choice (PDP) - S5660-020 Benefit Details |
$37.80 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: 75% Specialty: 30% | 3,061 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-019 Benefit Details |
$42.00 | $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: $62.75 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-157 Benefit Details |
$42.30 | $150 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29% | 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 | ||||||
WellCare Signature (PDP) - S5967-054 Benefit Details |
$43.50 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | tbd Browse Formulary | ||
Humana Standard S5884-078 (PDP) - S5884-078 Benefit Details |
$44.10 | $310 | No Gap Coverage | No | Preferred Generic: 15% Non-Preferred Generics/Preferred Brand: 25% Non-Preferred Brand: 43% | 4,008 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-054 Benefit Details |
$44.40 | $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 | ||||||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-023 Benefit Details |
$46.80 | $0 | No Gap Coverage | No | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33% | 3,179 Browse Formulary | ||
Humana Enhanced S5884-018 (PDP) - S5884-018 Benefit Details |
$48.20 | $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 | ||
AdvantraRx Premier (PDP) - S5670-106 Benefit Details |
$49.20 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 16% Non-Preferred Generic and Non-Preferred Brand: 53% Specialty - Generic and Brand: 33% | 3,036 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) - S5644-181 Benefit Details |
$49.30 | $0 | No Gap Coverage | No | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45% | 2,626 Browse Formulary | ||
SilverScript CVS Caremark Plus (PDP) - S5601-041 Benefit Details |
$50.50 | $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 | ||
UA Medicare Part D Rx Covg - Silver Plan (PDP) - S5755-058 Benefit Details |
$52.20 | $130 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 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 Value Orange Option 2 (PDP) - S5678-045 Benefit Details |
$54.80 | $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 | ||
AdvantraRx Premier Plus (PDP) - S5670-108 Benefit Details |
$65.40 | $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 | ||
CIGNA Medicare Rx Plan Three (PDP) - S5617-190 Benefit Details |
$65.50 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx (PDP) - S4802-029 Benefit Details |
$66.80 | $310 | No Gap Coverage | No | Generic: $9.00 Brand: $27.00 Specialty: 25% | 2,858 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-323 Benefit Details |
$75.50 | $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 | ||
Community CCRx Gold (PDP) - S5803-237 Benefit Details |
$75.60 | $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 | ||||||
SilverScript CVS Caremark Complete (PDP) - S5601-091 Benefit Details |
$76.30 | $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 | ||
Medco Medicare Prescription Plan - Access (PDP) - S5660-190 Benefit Details |
$77.70 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 3,061 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-190 Sanctioned Plan |
$90.30 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $6.00 Tier 2 - Non-Preferred Generic: $33.00 Tier 3 - Preferred Brand: $34.00 Tier 4 - Non-Preferred Brand: $81.00 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 Complete S5884-048 (PDP) - S5884-048 Benefit Details |
$99.60 | $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 | ||
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