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) - S5884-143 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 | ||
Community CCRx Basic (PDP) - S5803-091 Benefit Details |
$25.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic and Preferred Brand: $2.00 Non-Preferred Generic/Preferred Brand: 31% Non-Preferred Generic/ Non-Preferred Brand: 62% Specialty Tier: 25% | 2,846 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Advantage Star Plan by RxAmerica (PDP) - S5644-079 Benefit Details |
$25.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $5.50 Preferred Brand: 25% Non-Preferred Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,830 Browse Formulary | ||
BravoRx (PDP) - S5998-039 Benefit Details |
$26.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,848 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-050 Sanctioned Plan |
$27.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $35.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,546 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
HealthSpring Prescription Drug Plan-Reg 22 (PDP) - S5932-021 Benefit Details |
$27.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Generic: 25% Tier 2 Brand: 25% | 2,920 Browse Formulary | ||
WellCare Classic (PDP) - S5967-159 Benefit Details |
$28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Generic and Preferred Brand: $45.00 Generic and Non-Preferred Brand: $93.00 Specialty Tier: 25% | 2,463 Browse Formulary | ||
CVS Caremark Value (PDP) - S5601-044 Benefit Details |
$28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.00 Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,830 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Essentials (PDP) - S5810-056 Benefit Details |
$29.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $5.00 Tier 2: $19.00 Tier 3: $25.00 Tier 4: $70.00 Tier 5: 25% | 3,180 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-022 Benefit Details |
$29.20 | $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 | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-108 Benefit Details |
$29.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic/Preferred Brand: $3.00 Non-Preferred Generic/Preferred Brand: $28.00 Non-Preferred Generic/Non-Preferred Brand: $75.00 Specialty Tier: 25% | 3,323 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
First Health Part D Premier (PDP) - S5768-045 Benefit Details |
$30.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $9.00 Preferred Brand: 15% Non-Preferred Generic/Non-Preferred Brand: 38% Specialty Tier: 29% | 3,128 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-021 Benefit Details |
$39.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $71.00 Tier 4 Specialty: 33% | 3,685 Browse Formulary | ||
Sterling Rx (PDP) - S4802-013 Benefit Details |
$40.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $4.00 Tier 2: $22.00 Tier 3: $37.00 Tier 4: 25% | 2,855 Browse Formulary | ||
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) - S5960-128 Benefit Details |
$40.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic Drugs: $4.00 Tier 2 Non-Preferred Generic Drugs: $7.00 Tier 3 Preferred Brand Drugs: $39.00 Tier 4 Injectable Drugs : 25% Tier 5 Specialty Tier Drugs : 25% | 2,924 Browse Formulary | ||
Blue MedicareRx Value (PDP) - S5715-005 Benefit Details |
$42.10 | $125 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: $10.00 Tier 2: $42.00 Tier 3: $92.00 Tier 4: 29% | 2,695 Browse Formulary | ||
Humana Enhanced (PDP) - S5884-020 Benefit Details |
$44.20 | $0 | Few Generics | No | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $39.00 Non-Preferred Brand: $73.00 Specialty Tier: 33% | 3,997 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-025 Benefit Details |
$53.30 | $80 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $10.00 Preferred Brand Name: $45.00 Non-Preferred Brand Name: $95.00 Specialty: 31% | 3,221 Browse Formulary | ||
WellCare Signature (PDP) - S5967-056 Benefit Details |
$53.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 2,463 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-124 Benefit Details |
$55.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: 25% Preferred Brands: 25% Non-Preferred Brands: 25% Specialty Drugs: 25% | 3,141 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus (PDP) - S5960-154 Benefit Details |
$59.50 | $0 | Some Generics | No | Tier 1 Preferred Generic Drugs: $4.00 Tier 2 Non-Preferred Generic Drugs: $7.00 Tier 3 Preferred Brand Drugs: $43.00 Tier 4 Non-Preferred Brand Drugs: $85.00 Tier 5 Injectable Drugs : 33% Tier 6 Specialty Tier Drugs : 33% | 3,197 Browse Formulary | ||
Aetna Medicare Rx Plus (PDP) - S5810-226 Benefit Details |
$60.60 | $0 | Few Generics | No | Tier 1: $2.00 Tier 2: $20.00 Tier 3: $25.00 Tier 4: $60.00 Tier 5: 25% Tier 11: $2.00 | 3,180 Browse Formulary | ||
CIGNA Medicare Rx Plan Two (PDP) - S5617-192 Benefit Details |
$71.90 | $0 | Few Generics | No | Preferred Generic: $0.00 Preferred Generic/Preferred Brand: $3.00 Non-Preferred Generic/Preferred Brand: $33.00 Non-Preferred Generic/Non-Preferred Brand: $78.00 Specialty Tier: 33% | 3,453 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Gold (PDP) - S7694-056 Benefit Details |
$74.00 | $150 | Many Generics | No | Tier 1 Preferred Generics: $4.00 Tier 2 Non-Preferred Generics: 25% Tier 3 Preferred Brand: $25.00 Tier 4 Non-Preferred Brand: 25% Tier 5 Specialty Drugs: 25% | 2,416 Browse Formulary | ||
CVS Caremark Plus (PDP) - S5601-045 Benefit Details |
$79.10 | $0 | Many Generics | No | Preferred Generic Tier: $2.00 Non-Preferred Generic Tier: $5.00 Preferred Brand Tier: $35.00 Non-Preferred Generic and Non-Preferred Brand Tier: $90.00 Specialty Tier: 33% | 3,033 Browse Formulary | ||
Blue MedicareRx Plus (PDP) - S5715-006 Benefit Details |
$82.20 | $0 | All Generics | No | Tier 1: $5.00 Tier 2: $38.00 Tier 3: $75.00 Tier 4: 33% | 2,695 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Choice (PDP) - S5803-159 Benefit Details |
$82.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic and Preferred Brand: $0.00 Non-Preferred Generic/Preferred Brand: $35.00 Non-Preferred Generic/ Non-Preferred Brand: $65.00 Specialty Tier: 33% | 2,846 Browse Formulary | ||
Health Net Orange Option 2 (PDP) - S5678-049 Sanctioned Plan |
$86.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1 Preferred Generic : $2.00 Tier 2 Preferred Brand : $34.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $68.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 4,850 Browse Formulary | ||
First Health Part D Premier Plus (PDP) - S5670-120 Benefit Details |
$87.10 | $0 | Some Generics, Some Brands | No | Preferred Generic: $0.00 Generic: $25.00 Preferred Brand: 30% Non-Preferred Generic and Non-Preferred Brand: 60% Specialty Tier: 33% | 3,135 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Enhanced (PDP) - S5921-193 Benefit Details |
$89.20 | $0 | Some Generics | No | Tier 1 Preferred Generic Brand: $4.00 Tier 2 Generic Preferred Brand: $40.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Specialty: 33% | 4,829 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-192 Benefit Details |
$90.60 | $0 | Some Generics, Some Brands | No | Tier 1: $2.00 Tier 2: $20.00 Tier 3: $25.00 Tier 4: $60.00 Tier 5: 25% Tier 11: $2.00 | 3,180 Browse Formulary | ||
Humana Complete (PDP) - S5884-050 Benefit Details |
$104.20 | $0 | Many Generics, Some Brands | No | Preferred Generic: $5.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $68.00 Specialty: 33% | 3,997 Browse Formulary | ||
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 - Choice (PDP) - S5660-192 Benefit Details |
$108.20 | $250 | Many Generics | No | Generic Drugs: $6.00 Preferred Brands: $40.00 Non-preferred Brands: $95.00 Specialty Drugs: 26% | 3,215 Browse Formulary | ||
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