2010 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
CIGNA Medicare Rx Plan One (PDP) - S5617-218 Benefit Details |
$28.60 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $77.00 Tier 4: 25% | 3,458 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-243 Benefit Details |
$28.90 | $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 | ||||||
AARP MedicareRx Saver (PDP) - S5921-121 Benefit Details |
$30.10 | $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: $76.50 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-043 Sanctioned Plan |
$30.90 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $26.00 Tier 3 - Preferred Brand: $27.00 Tier 4 - Non-Preferred Brand: $69.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-078 Benefit Details |
$31.00 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 50% | 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 | ||||||
Windsor Rx (PDP) - S2505-007 Benefit Details |
$32.40 | $310 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $5.00 Tier 2 - Preferred Brand: 20% Tier 3 - Specialty: 25% Tier 4 - NonPreferred Brand/NonPreferred Generic: 50% | 2,629 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-024 Benefit Details |
$32.90 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $38.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-012 Benefit Details |
$33.20 | $150 | No Gap Coverage | Yes | 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 | ||||||
HealthSpring Prescription Drug Plan -Reg 9 (PDP) - S5932-009 Benefit Details |
$33.40 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
BravoRx (PDP) - S5998-018 Benefit Details |
$33.70 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-111 Benefit Details |
$34.00 | $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 | ||||||
CIGNA Medicare Rx Plan Two (PDP) - S5617-045 Benefit Details |
$34.20 | $100 | No Gap Coverage | Yes | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $37.00 Tier 4: $92.00 Tier 5: 25% | 3,510 Browse Formulary | ||
|