2010 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
Windsor Rx (PDP) - S2505-003 Benefit Details |
$14.20 | $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: 45% | 2,629 Browse Formulary | ||
Fox Value Plan (PDP) - S5557-006 Sanctioned Plan |
$19.30 | $310 | No Gap Coverage | Yes | Tier 1: 0% Tier 2: 50% Tier 3: 35% Tier 4: 60% Tier 5: 25% | 2,826 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) - S5768-043 Benefit Details |
$20.10 | $150 | No Gap Coverage | Yes | Preferred Generic: $8.00 Preferred Brand: 10% Non-Preferred Generic/Non-Preferred Brand: 40% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-253 Benefit Details |
$22.40 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
WellCare Classic (PDP) - S5967-156 Benefit Details |
$23.20 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $32.00 Tier 3: $63.00 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 | ||||||
CIGNA Medicare Rx Plan One (PDP) - S5617-225 Benefit Details |
$24.50 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $31.00 Tier 3: $82.00 Tier 4: 25% | 3,458 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 19 (PDP) - S5932-018 Benefit Details |
$24.50 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-053 Sanctioned Plan |
$24.80 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $28.00 Tier 3 - Preferred Brand: $29.00 Tier 4 - Non-Preferred Brand: $70.00 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 | ||||||
MedicareRx Rewards Standard (PDP) - S5960-125 Benefit Details |
$24.80 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic Drugs: $5.50 Tier 2 Preferred Brand Certain Generic Drugs: 25% Tier 3 Non-Specialty Injectable Drugs: 25% Tier 4 Specialty Drugs: 25% | 3,251 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-088 Benefit Details |
$25.60 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 65% | 2,887 Browse Formulary | ||
AR Blue Cross - Medi-Pak Rx Basic (PDP) - S5795-003 Benefit Details |
$25.90 | $200 | No Gap Coverage | Yes | Generic: $6.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | 4,824 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) - S5678-044 Benefit Details |
$26.40 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $38.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-311 Benefit Details |
$27.10 | $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: $85.00 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
Aetna Medicare Rx Plus (PDP) - S5810-223 Sanctioned Plan |
$27.20 | $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 | ||||||
UA Medicare Part D Rx Covg - Silver Plan (PDP) - S5755-057 Benefit Details |
$27.80 | $250 | No Gap Coverage | Yes | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-121 Benefit Details |
$28.40 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
MedicareRx Rewards Plus (PDP) - S5960-151 Benefit Details |
$28.60 | $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 | ||
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) - S5617-095 Benefit Details |
$29.30 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: $80.00 Tier 5: 25% | 3,510 Browse Formulary | ||
BravoRx (PDP) - S5998-024 Benefit Details |
$29.70 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-194 Benefit Details |
$30.80 | $310 | No Gap Coverage | No | Preferred Generic: $3.25 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 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) - S5601-038 Benefit Details |
$30.80 | $310 | No Gap Coverage | No | Generic Tier: $7.00 Preferred Brand Tier: $18.00 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-019 Benefit Details |
$31.50 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
First Health Part D-Secure (PDP) - S5768-101 Benefit Details |
$36.90 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 49% Specialty - Generic and Brand: 28% | 2,791 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) - S5597-051 Benefit Details |
$37.40 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 2,852 Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-043 Benefit Details |
$39.30 | $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 Value (PDP) - S5670-099 Benefit Details |
$39.70 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 61% 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 | ||||||
AARP MedicareRx Preferred (PDP) - S5820-018 Benefit Details |
$40.60 | $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: $67.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-156 Benefit Details |
$41.20 | $150 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29% | 2,887 Browse Formulary | ||
Humana Standard S5884-077 (PDP) - S5884-077 Benefit Details |
$41.20 | $310 | No Gap Coverage | No | Preferred Generic: 15% Non-Preferred Generics/Preferred Brand: 25% Non-Preferred Brand: 43% | 4,008 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) - S5967-053 Benefit Details |
$41.30 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | tbd Browse Formulary | ||
Humana Enhanced S5884-017 (PDP) - S5884-017 Benefit Details |
$41.80 | $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 | ||
Medco Medicare Prescription Plan - Choice (PDP) - S5660-019 Benefit Details |
$44.10 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $38.00 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 | ||||||
AdvantraRx Premier (PDP) - S5670-100 Benefit Details |
$44.20 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 16% Non-Preferred Generic and Non-Preferred Brand: 52% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-022 Benefit Details |
$44.50 | $0 | No Gap Coverage | No | Generic: $10.00 Preferred Brand: $39.00 Non-Preferred Brand: $78.00 Specialty: 33% | 3,179 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-053 Benefit Details |
$45.90 | $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 | ||||||
Fox Grand Plan (PDP) - S5557-011 Sanctioned Plan |
$46.40 | $0 | Some Generics | No | Tier 1: $1.00 Tier 2: $37.00 Tier 3: $41.00 Tier 4: $95.00 Tier 5: 33% | 2,857 Browse Formulary | ||
Advantage Freedom Plan by RxAmerica (PDP) - S5644-180 Benefit Details |
$47.00 | $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) - S5601-039 Benefit Details |
$52.20 | $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 | ||||||
AR Blue Cross - Medi-Pak Rx Classic (PDP) - S5795-006 Benefit Details |
$57.20 | $0 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | 4,824 Browse Formulary | ||
CIGNA Medicare Rx Plan Three (PDP) - S5617-189 Benefit Details |
$60.80 | $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 | ||
AdvantraRx Premier Plus (PDP) - S5670-102 Benefit Details |
$63.10 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx (PDP) - S4802-011 Benefit Details |
$64.60 | $310 | No Gap Coverage | No | Generic: $9.00 Brand: $29.00 Specialty: 25% | 2,858 Browse Formulary | ||
Community CCRx Gold (PDP) - S5803-236 Benefit Details |
$70.00 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,887 Browse Formulary | ||
SilverScript CVS Caremark Complete (PDP) - S5601-090 Benefit Details |
$72.00 | $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) - S5660-189 Benefit Details |
$76.90 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 3,061 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-313 Benefit Details |
$82.10 | $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 | ||
AR Blue Cross - Medi-Pak Rx Premier (PDP) - S5795-002 Benefit Details |
$86.50 | $0 | Many Generics | No | Generic: $5.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | 4,824 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) - S5810-189 Sanctioned Plan |
$89.00 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $7.00 Tier 2 - Non-Preferred Generic: $35.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $88.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
Humana Complete S5884-047 (PDP) - S5884-047 Benefit Details |
$100.80 | $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 | ||
|