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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Fox Value Plan (PDP) Sanctioned Plan ![]() |
$27.10 | $310 | No Gap Coverage | Yes | Tier 1: 0% Tier 2: 50% Tier 3: 40% Tier 4: 60% Tier 5: 25% | 2,826 Browse Formulary | ||
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First Health Part D-Premier (PDP) Benefit Details ![]() |
$27.40 | $150 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: 12% Non-Preferred Generic/Non-Preferred Brand: 42% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
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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) Benefit Details ![]() |
$27.80 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.00 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
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Blue Cross MedicareRx Standard (PDP) Benefit Details ![]() |
$28.40 | $310 | No Gap Coverage | Yes | 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 | ||
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Health Net Orange Option 1 (PDP) Benefit Details ![]() |
$28.40 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $33.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
BravoRx (PDP) Benefit Details ![]() |
$28.50 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
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