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) - S5768-098 Benefit Details |
$16.80 | $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 | ||
AdvantraRx Value (PDP) - S5670-081 Benefit Details |
$30.60 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 19% Non-Preferred Generic and Non-Preferred Brand: 65% Specialty - Generic and Brand: 30% | 2,811 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) - S5921-071 Benefit Details |
$33.50 | $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: $85.25 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-223 Benefit Details |
$33.70 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $34.00 Tier 3: $87.00 Tier 4: 25% | 3,458 Browse Formulary | ||
PrescribaRx Gold (PDP) - S5597-048 Benefit Details |
$34.70 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 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 | ||||||
PrescribaRx Bronze (PDP) - S5597-250 Benefit Details |
$34.90 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
Aetna Medicare Rx Essentials (PDP) - S5810-050 Sanctioned Plan |
$35.40 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $3.00 Tier 2 - Non-Preferred Generic: $27.00 Tier 3 - Preferred Brand: $28.00 Tier 4 - Non-Preferred Brand: $70.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
Aetna Medicare Rx Plus (PDP) - S5810-220 Sanctioned Plan |
$35.40 | $0 | No Gap Coverage | No | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 33% | 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 | ||||||
Community CCRx Choice (PDP) - S5803-153 Benefit Details |
$36.80 | $150 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29% | 2,887 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-083 Benefit Details |
$36.90 | $150 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: 10% Non-Preferred Generic/Non-Preferred Brand: 41% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
Community CCRx Basic (PDP) - S5803-085 Benefit Details |
$37.10 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 55% | 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 | ||||||
Health Net Orange Option 1 (PDP) - S5678-038 Benefit Details |
$37.90 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $41.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 16 (PDP) - S5932-015 Benefit Details |
$38.00 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
SilverScript Value (PDP) - S5601-032 Benefit Details |
$38.00 | $310 | No Gap Coverage | Yes | Generic Tier: $8.00 Preferred Brand Tier: $21.25 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 | ||||||
BravoRx (PDP) - S5998-022 Benefit Details |
$38.20 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-191 Benefit Details |
$38.40 | $310 | No Gap Coverage | No | Preferred Generic: $4.75 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-118 Benefit Details |
$38.50 | $310 | No Gap Coverage | No | 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) - S5617-080 Benefit Details |
$38.80 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $41.00 Tier 4: $92.00 Tier 5: 25% | 3,510 Browse Formulary | ||
Humana Enhanced S5884-014 (PDP) - S5884-014 Benefit Details |
$39.40 | $0 | No Gap Coverage | No | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $75.00 Specialty: 33% | 4,024 Browse Formulary | ||
Blue MedicareRx Standard (PDP) - S5596-021 Benefit Details |
$39.70 | $310 | No Gap Coverage | No | 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% : tbd | 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) - S7694-016 Benefit Details |
$40.80 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
AdvantraRx Premier (PDP) - S5670-082 Benefit Details |
$41.60 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 17% Non-Preferred Generic and Non-Preferred Brand: 56% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
WPS MedicareRx Standard Plan (PDP) - S5753-012 Benefit Details |
$41.80 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 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 | ||||||
Medco Medicare Prescription Plan - Choice (PDP) - S5660-016 Benefit Details |
$41.90 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 30% | 3,061 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-015 Benefit Details |
$42.10 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $44.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $90.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
DeanCare Rx Value (PDP) - S5954-007 Benefit Details |
$42.60 | $0 | No Gap Coverage | No | Tier 1: $6.00 Tier 2: $34.00 Tier 3: $84.00 Tier 4: 33% | 3,552 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 Plus (PDP) - S5601-033 Benefit Details |
$43.40 | $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 | ||
WPS MedicareRx Enhanced Plan 1 (PDP) - S5753-006 Benefit Details |
$43.60 | $0 | No Gap Coverage | No | Preferred Generic: $6.00 Non-Preferred Generic: $13.00 Preferred Brand: $39.00 Non-Preferred Brand: $68.00 Specialty Brand: 33% | 3,061 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-050 Benefit Details |
$43.80 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Plus (PDP) - S5596-022 Benefit Details |
$45.90 | $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 | ||
Humana Standard S5884-074 (PDP) - S5884-074 Benefit Details |
$47.50 | $310 | No Gap Coverage | No | Preferred Generic: 15% Non-Preferred Generics/Preferred Brand: 25% Non-Preferred Brand: 44% | 4,008 Browse Formulary | ||
Advantage Freedom Plan by RxAmerica (PDP) - S5644-177 Benefit Details |
$50.00 | $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 | ||||||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-019 Benefit Details |
$50.10 | $0 | No Gap Coverage | No | Generic: $10.00 Preferred Brand: $39.00 Non-Preferred Brand: $78.00 Specialty: 33% | 3,179 Browse Formulary | ||
UA Medicare Part D Rx Covg - Silver Plan (PDP) - S5755-054 Benefit Details |
$55.00 | $245 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-037 Benefit Details |
$55.60 | $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 | ||
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) - S5670-084 Benefit Details |
$60.20 | $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 | ||
Sterling Rx (PDP) - S4802-027 Benefit Details |
$64.80 | $310 | No Gap Coverage | No | Generic: $9.00 Brand: $32.00 Specialty: 25% | 2,858 Browse Formulary | ||
CIGNA Medicare Rx Plan Three (PDP) - S5617-186 Benefit Details |
$66.40 | $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 | ||||||
SilverScript CVS Caremark Complete (PDP) - S5601-087 Benefit Details |
$67.40 | $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 | ||
DeanCare Rx Classic (PDP) - S5954-004 Benefit Details |
$68.30 | $310 | No Gap Coverage | No | Tier 1: $4.00 Tier 2: $47.00 Tier 3: 25% | 3,054 Browse Formulary | ||
Medco Medicare Prescription Plan - Access (PDP) - S5660-186 Benefit Details |
$71.20 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 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 | ||||||
WPS MedicareRx Enhanced Plan 2 (PDP) - S5753-007 Benefit Details |
$75.10 | $0 | Many Generics | No | Preferred Generic: $6.00 Non-Preferred Generic: $13.00 Preferred Brand: $39.00 Non-Preferred Brand: $68.00 Specialty Brand: 33% | 3,061 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-186 Sanctioned Plan |
$78.40 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $6.00 Tier 2 - Non-Preferred Generic: $35.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $83.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
Community CCRx Gold (PDP) - S5803-233 Benefit Details |
$81.20 | $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) - S5921-073 Benefit Details |
$82.00 | $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 | ||
Blue MedicareRx Premier (PDP) - S5596-023 Benefit Details |
$86.70 | $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 | ||
DeanCare Rx Enhanced (PDP) - S5954-005 Benefit Details |
$92.90 | $0 | Many Generics, Few Brands |
No | Tier 1: $5.00 Tier 2: $37.00 Tier 3: $72.00 Tier 4: 33% | 3,552 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 S5884-044 (PDP) - S5884-044 Benefit Details |
$99.80 | $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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