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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First Health Part D-Secure (PDP) - S5768-108 Benefit Details |
$15.90 | $175 | No Gap Coverage | No | Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 53% Specialty - Generic and Brand: 28% | 2,791 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-132 Benefit Details |
$15.90 | $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 | ||||||
UnitedHealthcare MedicareRx (PDP) - S5917-002 Benefit Details |
$16.70 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Brand: $8.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $90.00 Tier 4 Specialty: 33% | 3,212 Browse Formulary | ||
Humana Value S5884-110 (PDP) - S5884-110 Benefit Details |
$17.00 | $150 | No Gap Coverage | No | Preferred Generic: $5.00 Non-Preferred Generics/Preferred Brand: $35.00 Non-Preferred Brand: 33% | 3,041 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-260 Benefit Details |
$17.90 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic (PDP) - S5967-163 Benefit Details |
$18.00 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $35.00 Tier 3: $69.00 Tier 4: 25% | tbd Browse Formulary | ||
Blue MedicareRx - Value (PDP) - S5715-003 Benefit Details |
$18.50 | $10 | No Gap Coverage | Yes | Generic: $12.00 Preferred Brand: $45.00 Brand: $89.00 Specialty: 32% | 2,676 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-058 Benefit Details |
$19.70 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $36.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Basic S5884-123 (PDP) - S5884-123 Benefit Details |
$20.00 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.00 Non-Preferred Generics/Preferred Brand: 29% Non-Preferred Brand: 29% | 3,041 Browse Formulary | ||
AdvantraRx Value (PDP) - S5674-038 Benefit Details |
$20.70 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 67% Specialty - Generic and Brand: 30% | 2,811 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-199 Benefit Details |
$21.10 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.75 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) - S5601-052 Benefit Details |
$21.10 | $310 | No Gap Coverage | Yes | Generic Tier: $8.00 Preferred Brand Tier: $21.00 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 26 (PDP) - S5932-025 Benefit Details |
$21.80 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-095 Benefit Details |
$22.80 | $310 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 65% | 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 | ||||||
MedicareRx Rewards Plus (PDP) - S5960-157 Benefit Details |
$24.20 | $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 | ||
BravoRx (PDP) - S5998-030 Benefit Details |
$24.30 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-128 Benefit Details |
$26.80 | $310 | No Gap Coverage | No | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $70.00 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 | ||||||
CIGNA Medicare Rx Plan Two (PDP) - S5617-130 Benefit Details |
$27.20 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: $88.00 Tier 5: 25% | 3,510 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-261 Benefit Details |
$27.40 | $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: $72.00 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-048 Benefit Details |
$28.40 | $150 | No Gap Coverage | No | Preferred Generic: $7.00 Preferred Brand: 11% Non-Preferred Generic/Non-Preferred Brand: 43% 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 | ||||||
Aetna Medicare Rx Costco Plus Plan (PDP) - S5810-230 Sanctioned Plan |
$28.80 | $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 | ||
WellCare Signature (PDP) - S5967-060 Benefit Details |
$31.20 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | tbd Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-026 Benefit Details |
$31.30 | $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 | ||||||
Medco Medicare Prescription Plan - Value (PDP) - S5660-128 Benefit Details |
$31.70 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
UA Medicare Part D Rx Covg - Silver Plan (PDP) - S5755-064 Benefit Details |
$32.80 | $180 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-025 Benefit Details |
$33.70 | $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: $77.00 Tier 4 Specialty: 33% | 4,916 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 Essentials (PDP) - S5810-060 Sanctioned Plan |
$34.10 | $310 | No Gap Coverage | No | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $26.00 Tier 3 - Preferred Brand: $27.00 Tier 4 - Non-Preferred Brand: $70.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
Humana Enhanced S5884-024 (PDP) - S5884-024 Benefit Details |
$34.10 | $0 | No Gap Coverage | No | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty: 33% | 4,024 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-163 Benefit Details |
$35.40 | $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 | ||||||
EnvisionRxPlus Gold (PDP) - S7694-060 Benefit Details |
$35.40 | $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 | ||
PrescribaRx Gold (PDP) - S5597-058 Benefit Details |
$36.50 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 2,852 Browse Formulary | ||
Blue MedicareRx - Standard (PDP) - S5715-008 Benefit Details |
$37.30 | $310 | No Gap Coverage | No | Generic: $3.00 Preferred Brand: $29.00 Brand: $79.00 Specialty: 25% | 2,676 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) - S5674-039 Benefit Details |
$37.40 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 18% Non-Preferred Generic and Non-Preferred Brand: 55% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
Health Net Orange Option 2 (PDP) - S5678-057 Benefit Details |
$39.60 | $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 | ||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-029 Benefit Details |
$39.60 | $0 | No Gap Coverage | No | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33% | 3,179 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) - S5644-185 Benefit Details |
$39.90 | $0 | No Gap Coverage | No | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45% | 2,626 Browse Formulary | ||
SilverScript CVS Caremark Plus (PDP) - S5601-053 Benefit Details |
$47.00 | $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 | ||
Sterling Rx (PDP) - S4802-016 Benefit Details |
$48.20 | $310 | No Gap Coverage | No | Generic: $10.00 Brand: $30.00 Specialty: 25% | 2,858 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) - S5660-026 Benefit Details |
$48.60 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: 75% Specialty: 30% | 3,061 Browse Formulary | ||
AdvantraRx Premier Plus (PDP) - S5674-041 Benefit Details |
$54.20 | $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) - S5617-196 Benefit Details |
$56.00 | $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 | ||||||
Community CCRx Gold (PDP) - S5803-243 Benefit Details |
$65.20 | $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) - S5601-097 Benefit Details |
$69.10 | $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 | ||
Blue MedicareRx - Plus (PDP) - S5715-004 Benefit Details |
$70.90 | $0 | Many Generics | No | Generic: $5.00 Preferred Brand: $38.00 Brand: $75.00 Specialty: 33% | 2,676 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) - S5660-196 Benefit Details |
$73.70 | $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) - S5921-263 Benefit Details |
$80.10 | $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 | ||
Aetna Medicare Rx Premier (PDP) - S5810-196 Sanctioned Plan |
$82.70 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $6.00 Tier 2 - Non-Preferred Generic: $36.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $82.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
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