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 Value S5884-115 (PDP) - S5884-115 Benefit Details |
$11.20 | $150 | No Gap Coverage | No | Preferred Generic: $5.00 Non-Preferred Generics/Preferred Brand: $35.00 Non-Preferred Brand: 32% | 3,041 Browse Formulary | ||
First Health Part D-Secure (PDP) - S5768-115 Benefit Details |
$17.80 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 52% 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 | ||||||
AARP MedicareRx Saver (PDP) - S5921-041 Benefit Details |
$20.50 | $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: $86.00 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
AdvantraRx Value (PDP) - S5674-062 Benefit Details |
$22.60 | $100 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 61% Specialty - Generic and Brand: 30% | 2,811 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-067 Sanctioned Plan |
$23.60 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $2.00 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 | ||||||
HealthSpring Prescription Drug Plan-Reg 33 (PDP) - S5932-032 Benefit Details |
$24.00 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-085 Benefit Details |
$25.20 | $310 | No Gap Coverage | Yes | Preferred Generic: $3.25 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
SilverScript Value (PDP) - S5601-066 Benefit Details |
$25.40 | $310 | No Gap Coverage | Yes | Generic Tier: $7.00 Preferred Brand Tier: $19.00 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 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) - S5674-063 Benefit Details |
$25.50 | $0 | No Gap Coverage | Yes | Preferred Generic: $12.00 Preferred Brand: 18% Non-Preferred Generic and Non-Preferred Brand: 60% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
Fox Value Plan (PDP) - S5557-031 Sanctioned Plan |
$25.60 | $310 | No Gap Coverage | Yes | Tier 1: 0% Tier 2: 50% Tier 3: 39% Tier 4: 60% Tier 5: 25% | 2,826 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-067 Benefit Details |
$26.00 | $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 | ||
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) - S5810-237 Sanctioned Plan |
$26.20 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic: $2.00 Tier 2 - Non-Preferred Generic: $28.00 Tier 3 - Preferred Brand: $34.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 Specialty: 33% | 3,448 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-135 Benefit Details |
$27.30 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
WellCare Signature (PDP) - S5967-067 Benefit Details |
$30.00 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | 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 Two (PDP) - S5617-165 Benefit Details |
$30.90 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $42.00 Tier 4: $97.00 Tier 5: 25% | 3,510 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-102 Benefit Details |
$31.00 | $310 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 25% Non-Preferred Brand: 70% | 2,887 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-124 Benefit Details |
$31.00 | $150 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: 11% 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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-033 Benefit Details |
$31.60 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-066 Benefit Details |
$31.60 | $310 | No Gap Coverage | No | 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 | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-163 Benefit Details |
$33.50 | $310 | No Gap Coverage | No | Tier 1: $3.00 Tier 2: $33.00 Tier 3: $85.00 Tier 4: 25% | 3,458 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 S5884-093 (PDP) - S5884-093 Benefit Details |
$34.40 | $310 | No Gap Coverage | No | Preferred Generic: 15% Non-Preferred Generics/Preferred Brand: 25% Non-Preferred Brand: 42% | 4,008 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-139 Benefit Details |
$35.10 | $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 | ||
SilverScript CVS Caremark Plus (PDP) - S5601-067 Benefit Details |
$35.50 | $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 | ||
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) - S5820-032 Benefit Details |
$36.90 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $95.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
UA Medicare Part D Rx Covg - Silver Plan (PDP) - S5755-071 Benefit Details |
$37.40 | $215 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
Advantage Freedom Plan by RxAmerica (PDP) - S5644-065 Benefit Details |
$37.90 | $0 | No Gap Coverage | No | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45% | 2,626 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 2 (PDP) - S5678-065 Benefit Details |
$38.00 | $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 | ||
MedicareRx Rewards Plus (PDP) - S5960-161 Benefit Details |
$38.30 | $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 | ||
WellCare Classic (PDP) - S5967-170 Benefit Details |
$38.70 | $310 | No Gap Coverage | tbd | Tier 1: $5.00 Tier 2: $35.00 Tier 3: $82.00 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 | ||||||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-038 Benefit Details |
$39.10 | $0 | No Gap Coverage | No | Generic: $9.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 33% | 3,179 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-170 Benefit Details |
$40.40 | $150 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29% | 2,887 Browse Formulary | ||
Medco Medicare Prescription Plan - Choice (PDP) - S5660-033 Benefit Details |
$47.30 | $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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