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) - S5768-088 Benefit Details |
$16.70 | $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 | ||
Community CCRx Basic (PDP) - S5803-075 Benefit Details |
$20.60 | $310 | No Gap Coverage | Yes | 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 | ||||||
PrescribaRx Bronze (PDP) - S5597-240 Benefit Details |
$24.30 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
Humana Value S5884-104 (PDP) - S5884-104 Benefit Details |
$26.70 | $150 | No Gap Coverage | No | Preferred Generic: $5.00 Non-Preferred Generics/Preferred Brand: $35.00 Non-Preferred Brand: 36% | 3,041 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-091 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: $82.75 Tier 4 Specialty: 25% | 3,614 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) - S5617-215 Benefit Details |
$28.10 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $90.00 Tier 4: 25% | 3,458 Browse Formulary | ||
AdvantraRx Value (PDP) - S5670-033 Benefit Details |
$29.20 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 65% Specialty - Generic and Brand: 30% | 2,811 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-108 Benefit Details |
$29.90 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 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 | ||||||
AmeriHealth Advantage (PDP) - S2770-001 Benefit Details |
$30.10 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 3,793 Browse Formulary | ||
BravoRx (PDP) - S5998-005 Benefit Details |
$30.70 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
Fox Value Plan (PDP) - S5557-036 Sanctioned Plan |
$30.90 | $310 | No Gap Coverage | Yes | Tier 1: 0% Tier 2: 50% Tier 3: 40% 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 | ||||||
Health Net Orange Option 1 (PDP) - S5678-018 Benefit Details |
$30.90 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $39.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
SilverScript Value (PDP) - S5601-012 Benefit Details |
$31.60 | $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 | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-072 Benefit Details |
$31.70 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.00 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 | ||||||
PrescribaRx Gold (PDP) - S5597-038 Benefit Details |
$32.10 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 2,852 Browse Formulary | ||
HealthSpring Prescription Drug Plan -Reg 6 (PDP) - S5932-006 Benefit Details |
$32.50 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-112 Benefit Details |
$32.80 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Silver (PDP) - S7694-006 Benefit Details |
$33.00 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
CIGNA Medicare Rx Plan Two (PDP) - S5617-030 Benefit Details |
$33.60 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $39.00 Tier 4: $82.00 Tier 5: 25% | 3,510 Browse Formulary | ||
MedicareRx Rewards Plus (PDP) - S5960-144 Benefit Details |
$33.90 | $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 | ||||||
Community CCRx Choice (PDP) - S5803-143 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 | ||
Aetna Medicare Rx Plus (PDP) - S5810-210 Sanctioned Plan |
$36.70 | $0 | No Gap Coverage | No | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $35.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
WellCare Classic (PDP) - S5967-143 Benefit Details |
$37.30 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $34.00 Tier 3: $70.00 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 | ||||||
AARP MedicareRx Preferred (PDP) - S5820-005 Benefit Details |
$37.40 | $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: $90.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
WellCare Signature (PDP) - S5967-040 Benefit Details |
$38.30 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | tbd Browse Formulary | ||
Medco Medicare Prescription Plan - Choice (PDP) - S5660-005 Benefit Details |
$38.90 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $39.00 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 | ||||||
First Health Part D-Premier (PDP) - S5768-009 Benefit Details |
$40.00 | $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 | ||
AdvantraRx Premier (PDP) - S5670-034 Benefit Details |
$41.00 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 19% Non-Preferred Generic and Non-Preferred Brand: 52% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
Humana Enhanced S5884-005 (PDP) - S5884-005 Benefit Details |
$41.20 | $0 | No Gap Coverage | No | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $75.00 Specialty: 33% | 4,024 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) - S5755-044 Benefit Details |
$41.90 | $170 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
Sterling Rx (PDP) - S4802-003 Benefit Details |
$45.20 | $310 | No Gap Coverage | No | Generic: $10.00 Brand: $29.00 Specialty: 25% | 2,858 Browse Formulary | ||
SilverScript CVS Caremark Plus (PDP) - S5601-013 Benefit Details |
$45.40 | $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 | ||||||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-009 Benefit Details |
$46.10 | $0 | No Gap Coverage | No | Generic: $9.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 33% | 3,179 Browse Formulary | ||
SecureRx - Option 4 (PDP) - S8067-004 Benefit Details |
$47.30 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,613 Browse Formulary | ||
Advantage Freedom Plan by RxAmerica (PDP) - S5644-051 Benefit Details |
$49.00 | $0 | No Gap Coverage | No | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45% | 2,626 Browse Formulary | ||
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) - S5810-040 Sanctioned Plan |
$49.00 | $310 | No Gap Coverage | No | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $25.00 Tier 3 - Preferred Brand: $26.00 Tier 4 - Non-Preferred Brand: $68.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
SecureRx - Option 3 (PDP) - S8067-001 Benefit Details |
$49.00 | $0 | No Gap Coverage | No | Generic Drugs: $9.00 Formulary Brand Drugs: $45.00 Specialty Drugs: 33% | 2,613 Browse Formulary | ||
Geisinger Gold Rx 1 (PDP) - S4248-001 Benefit Details |
$50.40 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% | 1,984 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
BlueRx Plus (PDP) - S5593-002 Benefit Details |
$51.30 | $0 | No Gap Coverage | No | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 4,843 Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-017 Benefit Details |
$51.70 | $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 | ||
UPMC for Life (PDP) - S3389-005 Benefit Details |
$52.30 | $0 | No Gap Coverage | No | Tier 1 - Generic: $5.00 Tier 2 - Preferred Brand: $32.00 Tier 3 - Non-Preferred Brand: $80.00 Tier 4 - Specialty: 33% | 3,369 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) - S7694-040 Benefit Details |
$54.80 | $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 | ||
BlueRx Value (PDP) - S5593-004 Benefit Details |
$56.20 | $310 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $33.00 Non Preferred Brand: $63.00 Specialty Tier: 25% | 4,843 Browse Formulary | ||
CIGNA Medicare Rx Plan Three (PDP) - S5617-176 Benefit Details |
$57.40 | $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 | ||||||
AdvantraRx Premier Plus (PDP) - S5670-036 Benefit Details |
$61.20 | $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 | ||
AmeriHealth Rx Option I (PDP) - S2321-001 Benefit Details |
$65.50 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 3,980 Browse Formulary | ||
AmeriHealth Rx Option II (PDP) - S2321-002 Benefit Details |
$66.70 | $100 | Many Generics | No | Preferred Generic: $7.00 Non-Preferred Generic: $15.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty: 30% | 3,980 Browse Formulary | ||
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) - S5601-077 Benefit Details |
$66.90 | $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 | ||
Medco Medicare Prescription Plan - Access (PDP) - S5660-176 Benefit Details |
$73.80 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 3,061 Browse Formulary | ||
Community CCRx Gold (PDP) - S5803-223 Benefit Details |
$77.30 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 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 | ||||||
AARP MedicareRx Enhanced (PDP) - S5921-093 Benefit Details |
$81.10 | $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) - S5810-176 Sanctioned Plan |
$83.70 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $7.00 Tier 2 - Non-Preferred Generic: $33.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $86.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
BlueRx Complete (PDP) - S5593-003 Benefit Details |
$93.90 | $0 | Many Generics | No | Generic: $7.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | 4,843 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Complete S5884-034 (PDP) - S5884-034 Benefit Details |
$100.10 | $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 | ||
SecureRx - Option 1 (PDP) - S8067-003 Benefit Details |
$110.70 | $0 | Many Generics | No | Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $85.00 Specialty Drugs: 33% | 4,541 Browse Formulary | ||
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