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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Humana Complete S5884-060 (PDP) Benefit Details ![]() |
$105.50 | $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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Aetna Medicare Rx Premier (PDP) Sanctioned Plan ![]() |
$98.00 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $7.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $35.00 Tier 4 - Non-Preferred Brand: $84.00 Tier 5 - Specialty: 33% | 3,448 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 | ||||||
SilverScript CVS Caremark Complete (PDP) Benefit Details ![]() |
$90.70 | $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 | ||
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Community CCRx Gold (PDP) Benefit Details ![]() |
$87.80 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,887 Browse Formulary | ||
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AARP MedicareRx Enhanced (PDP) Benefit Details ![]() |
$86.20 | $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 | ||
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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 | ||||||
Blue Cross MedicareRx Gold (PDP) Benefit Details ![]() |
$78.50 | $0 | Many Generics | 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% | 4,623 Browse Formulary | ||
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Medco Medicare Prescription Plan - Access (PDP) Benefit Details ![]() |
$77.50 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 3,061 Browse Formulary | ||
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CIGNA Medicare Rx Plan Three (PDP) Benefit Details ![]() |
$73.20 | $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 | ||
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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 | ||||||
EnvisionRxPlus Gold (PDP) Benefit Details ![]() |
$72.00 | $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 | ||
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SilverScript CVS Caremark Plus (PDP) Benefit Details ![]() |
$66.30 | $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 | ||
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Health Net Orange Option 2 (PDP) Benefit Details ![]() |
$64.60 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic : $5.00 Tier 2 Preferred Brand : $35.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 4,876 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 | ||||||
AdvantraRx Premier Plus (PDP) Benefit Details ![]() |
$62.80 | $0 | Many Generics | No | Preferred Generic: $5.00 Generics: $25.00 Preferred Brand: 19% Non-Preferred Brand: 75% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
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Community CCRx Basic (PDP) Benefit Details ![]() |
$53.30 | $310 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 25% Non-Preferred Brand: 75% | 2,887 Browse Formulary | ||
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CIGNA Medicare Rx Plan One (PDP) Benefit Details ![]() |
$51.70 | $310 | No Gap Coverage | No | Tier 1: $3.00 Tier 2: $31.00 Tier 3: $75.00 Tier 4: 25% | 3,458 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 | ||||||
Blue Shield Medicare Rx Enhanced Plan (PDP) Benefit Details ![]() |
$51.00 | $0 | No Gap Coverage | No | Formulary Generic: $9.00 Formulary Brand: $35.00 Non-Preferred Brand: $75.00 Injectables: 33% Formulary Specialty (Unique High Cost Drugs): 33% | 3,558 Browse Formulary | ||
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SilverScript Value (PDP) Benefit Details ![]() |
$50.80 | $310 | No Gap Coverage | No | Generic Tier: $8.00 Preferred Brand Tier: $26.00 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
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Medco Medicare Prescription Plan - Choice (PDP) Benefit Details ![]() |
$50.30 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 30% | 3,061 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 Freedom Plan by RxAmerica (PDP) Benefit Details ![]() |
$49.40 | $0 | No Gap Coverage | No | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45% | 2,626 Browse Formulary | ||
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Aetna Medicare Rx Essentials (PDP) Sanctioned Plan ![]() |
$47.80 | $310 | No Gap Coverage | No | 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 | ||
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AdvantraRx Premier (PDP) Benefit Details ![]() |
$47.20 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 17% Non-Preferred Generic and Non-Preferred Brand: 55% Specialty - Generic and Brand: 33% | 3,036 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 | ||||||
Blue Shield Medicare Rx Plan (PDP) Benefit Details ![]() |
$46.40 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 3,558 Browse Formulary | ||
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UA Medicare Part D Rx Covg - Silver Plan (PDP) Benefit Details ![]() |
$46.00 | $195 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
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UA Medicare Part D Prescription Drug Cov (PDP) Benefit Details ![]() |
$45.90 | $0 | No Gap Coverage | No | Generic: $10.00 Preferred Brand: $39.00 Non-Preferred Brand: $78.00 Specialty: 33% | 3,179 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 | ||||||
PrescribaRx Bronze (PDP) Benefit Details ![]() |
$45.10 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
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Community CCRx Choice (PDP) Benefit Details ![]() |
$44.00 | $150 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29% | 2,887 Browse Formulary | ||
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CIGNA Medicare Rx Plan Two (PDP) Benefit Details ![]() |
$43.90 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $38.00 Tier 4: $80.00 Tier 5: 25% | 3,510 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 | ||||||
Aetna Medicare Rx Costco Plus Plan (PDP) Sanctioned Plan ![]() |
$43.20 | $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 | ||
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Blue Cross MedicareRx Plus (PDP) Benefit Details ![]() |
$42.10 | $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 | ||
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Medco Medicare Prescription Plan - Value (PDP) Benefit Details ![]() |
$42.00 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 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 | ||||||
AdvantraRx Value (PDP) Benefit Details ![]() |
$41.10 | $100 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 64% Specialty - Generic and Brand: 30% | 2,811 Browse Formulary | ||
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Humana Enhanced S5884-030 (PDP) Benefit Details ![]() |
$40.40 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $44.00 Non-Preferred Brand: $75.00 Specialty: 33% | 4,024 Browse Formulary | ||
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PrescribaRx Gold (PDP) Benefit Details ![]() |
$40.30 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 2,852 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 | ||||||
Sterling Rx (PDP) Benefit Details ![]() |
$37.90 | $310 | No Gap Coverage | No | Generic: $9.00 Brand: $32.00 Specialty: 25% | 2,858 Browse Formulary | ||
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AARP MedicareRx Preferred (PDP) Benefit Details ![]() |
$37.60 | $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: $76.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
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AARP MedicareRx Saver (PDP) Benefit Details ![]() |
$37.30 | $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: $80.25 Tier 4 Specialty: 25% | 3,614 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 | ||||||
HealthSpring Prescription Drug Plan-Reg 32 (PDP) Benefit Details ![]() |
$34.40 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
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WellCare Signature (PDP) Benefit Details ![]() |
$33.10 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | tbd Browse Formulary | ||
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EnvisionRxPlus Silver (PDP) Benefit Details ![]() |
$30.90 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 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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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 | ||||||
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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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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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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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic (PDP) Benefit Details ![]() |
$24.30 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $35.00 Tier 3: $76.00 Tier 4: 25% | tbd Browse Formulary | ||
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Humana Value S5884-114 (PDP) Benefit Details ![]() |
$24.00 | $150 | No Gap Coverage | No | Preferred Generic: $5.00 Non-Preferred Generics/Preferred Brand: $35.00 Non-Preferred Brand: 36% | 3,041 Browse Formulary | ||
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First Health Part D-Secure (PDP) Benefit Details ![]() |
$17.60 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 58% Specialty - Generic and Brand: 28% | 2,791 Browse Formulary | ||
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