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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PICA Alante (PDP) - S5775-002 Benefit Details |
$1.50 | $199 | No Gap Coverage | No | Nivel 1/ Genéricos: $3.00 Nivel 2/ Preferidos: $30.00 Nivel 3/ No Preferidos: $60.00 Nivel 4/ Especializados: 27% | 3,487 Browse Formulary | ||
MediMax One (PDP) - S0043-009 Benefit Details |
$5.60 | $310 | No Gap Coverage | No | Generic: $5.00 Brand: $24.00 Non-Preferred Brand: $45.00 Specialty: 25% | 2,633 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) - S5601-070 Benefit Details |
$7.90 | $310 | No Gap Coverage | No | Generic Tier: $7.00 Preferred Brand Tier: $15.00 Non-Preferred Brand Tier: $70.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
PharmaPlus (PDP) - S5840-001 Benefit Details |
$10.60 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,487 Browse Formulary | ||
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Royal (PDP) - S2873-001 Benefit Details |
$11.50 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 2,882 Browse Formulary | ||
new | new | new | ||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CVS Caremark Plus (PDP) - S5601-071 Benefit Details |
$17.50 | $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 | ||
Community CCRx Basic (PDP) - S5803-210 Benefit Details |
$18.40 | $310 | No Gap Coverage | No | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 55% | 2,887 Browse Formulary | ||
Humana Standard S2874-001 (PDP) - S2874-001 Benefit Details |
$21.70 | $310 | No Gap Coverage | No | Preferred Generic: 15% Non-Preferred Generics/Preferred Brand: 25% Non-Preferred Brand: 42% | 4,008 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Enhanced S2874-002 (PDP) - S2874-002 Benefit Details |
$24.30 | $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 | ||
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MCS Classicare Rx Standard (PDP) - S5555-003 Benefit Details |
$27.80 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,048 Browse Formulary | ||
Royal Deluxe (PDP) - S2873-002 Benefit Details |
$29.30 | $0 | No Gap Coverage | No | Generics: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $50.00 Specialty: 33% | 2,882 Browse Formulary | ||
new | new | new | ||||||
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) - S5820-150 Benefit Details |
$29.60 | $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: $81.50 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-214 Benefit Details |
$33.30 | $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 - Value (PDP) - S5660-137 Benefit Details |
$37.00 | $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 | ||||||
AARP MedicareRx Preferred (PDP) - S5820-037 Benefit Details |
$38.70 | $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: $52.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
MediMax Plus (PDP) - S0043-010 Benefit Details |
$38.70 | $0 | No Gap Coverage | No | Generic: $3.00 Brand: $25.00 Non-Preferred Brand: $45.00 Specialty: 25% | 2,633 Browse Formulary | ||
CVS Caremark Complete (PDP) - S5601-106 Benefit Details |
$39.40 | $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: tbd | 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 | ||||||
PICA Primero (PDP) - S5775-001 Benefit Details |
$40.00 | $99 | No Gap Coverage | No | Nivel 1/ Genéricos: $3.00 Nivel 2/ Preferidos: $25.00 Nivel 3/ No Preferidos: $50.00 Nivel 4/ Especializados: 30% | 3,487 Browse Formulary | ||
MCS Classicare Rx (PDP) - S5555-001 Benefit Details |
$43.30 | $0 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $50.00 Specialty: 25% | 3,048 Browse Formulary | ||
MediMax Elite (PDP) - S0043-013 Benefit Details |
$43.40 | $0 | Some Generics | No | Generic: $3.00 Brand: $25.00 Non-Preferred Brand: $45.00 Specialty: 25% | 4,790 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Royal Supreme (PDP) - S2873-003 Benefit Details |
$50.30 | $0 | Many Generics | No | Generics: $1.00 Preferred Brand: $20.00 Non-Preferred Brand: $40.00 Specialty: 33% | 2,882 Browse Formulary | ||
new | new | new | ||||||
PharmaPremium (PDP) - S5840-002 Benefit Details |
$50.60 | $0 | All Generics | No | 1: $5.00 2: $15.00 3: $30.00 4: 25% | 3,487 Browse Formulary | ||
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PICA Más (PDP) - S5775-003 Benefit Details |
$52.50 | $299 | All Generics | No | Nivel 1/ Genéricos: $3.00 Nivel 2/ Preferidos: $25.00 Nivel 3/ No Preferidos: $50.00 Nivel 4/ Especializados: 25% | 3,487 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) - S5660-103 Benefit Details |
$53.40 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: 75% Specialty: 30% | 3,061 Browse Formulary | ||
Triple-S FarmaMed (PDP) - S5907-001 Benefit Details |
$54.40 | $310 | No Gap Coverage | No | Tier 1 / Nivel 1: $6.00 Tier 2 / Nivel 2: $21.00 Tier 3 / Nivel 3: $30.00 Tier 4 / Nivel 4: Greater of $30 or 25%: -200% Tier 5 / Nivel 5: 25% | 3,129 Browse Formulary | ||
Triple-S FarmaMed Plus (PDP) - S5907-002 Benefit Details |
$56.20 | $0 | No Gap Coverage | No | Tier 1 / Nivel 1: $5.00 Tier 2 / Nivel 2: $35.00 Tier 3 / Nivel 3: $50.00 Tier 4 / Nivel 4: Greater of $50 or 25%: -200% Tier 5 / Nivel 5: 25% | 3,129 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) - S5803-252 Benefit Details |
$68.90 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,887 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5820-145 Benefit Details |
$74.40 | $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 | ||
Medco Medicare Prescription Plan - Access (PDP) - S5660-205 Benefit Details |
$83.00 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 3,061 Browse Formulary | ||
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