2011 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) Additional 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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Humana Walmart-Preferred Rx Plan (PDP) - S5884-108 Benefit Details ![]() ![]() ![]() ![]() |
$14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $2.00 Generic: $5.00 Non-Preferred Generic/Preferred Brand: 20% Non-Preferred Brand: 35% | 3,488 Browse Formulary | ||
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Advantage Star Plan by RxAmerica (PDP) - S5644-196 Benefit Details ![]() ![]() ![]() ![]() |
$28.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $4.75 Preferred Brand: 25% Non-Preferred Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,830 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CVS Caremark Value (PDP) - S5601-042 Benefit Details ![]() ![]() ![]() ![]() |
$29.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.00 Preferred Brand Drugs: $35.75 Non-Preferred Generic and Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,830 Browse Formulary | ||
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Community CCRx Basic (PDP) - S5803-090 Benefit Details ![]() ![]() ![]() ![]() |
$29.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic and Preferred Brand: $2.00 Non-Preferred Generic/Preferred Brand: 30% Non-Preferred Generic/ Non-Preferred Brand: 60% Specialty Tier: 25% | 2,846 Browse Formulary | ||
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Health Net Orange Option 1 (PDP) - S5678-048 Sanctioned Plan ![]() ![]() ![]() ![]() |
$32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $33.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,546 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Standard (PDP) - S5960-127 Benefit Details ![]() ![]() ![]() ![]() |
$33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic Drugs: $4.00 Tier 2 Non-Preferred Generic Drugs: $7.00 Tier 3 Preferred Brand Drugs: $36.00 Tier 4 Injectable Drugs : 25% Tier 5 Specialty Tier Drugs : 25% | 2,924 Browse Formulary | ||
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EnvisionRxPlus Silver (PDP) - S7694-021 Benefit Details ![]() ![]() ![]() ![]() |
$33.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generics: 25% Tier 2 Non-Preferred Generics: 25% Tier 3 Preferred Brand: 25% Tier 4 Non-Preferred Brand: 25% Tier 5 Specialty Drugs: 25% | 2,388 Browse Formulary | ||
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WellCare Classic (PDP) - S5967-158 Benefit Details ![]() ![]() ![]() ![]() |
$33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Generic and Preferred Brand: $40.00 Generic and Non-Preferred Brand: $79.00 Specialty Tier: 25% | 2,463 Browse Formulary | ||
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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Value (PDP) - S5660-123 Benefit Details ![]() ![]() ![]() ![]() |
$34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: 25% Preferred Brands: 25% Non-Preferred Brands: 25% Specialty Drugs: 25% | 3,141 Browse Formulary | ||
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HealthSpring Prescription Drug Plan-Reg 21 (PDP) - S5932-020 Benefit Details ![]() ![]() ![]() ![]() |
$34.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Generic: 25% Tier 2 Brand: 25% | 2,920 Browse Formulary | ||
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