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) - S5884-139 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 | ||
AARP MedicareRx Preferred (PDP) - S5820-015 Benefit Details |
$34.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $94.00 Tier 4 Specialty: 33% | 3,685 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 Basic (PDP) - S5803-085 Benefit Details |
$35.20 | $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: 58% Specialty Tier: 25% | 2,846 Browse Formulary | ||
CVS Caremark Value (PDP) - S5601-032 Benefit Details |
$35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.00 Preferred Brand Drugs: $41.50 Non-Preferred Generic and Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,830 Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-083 Benefit Details |
$35.40 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $8.00 Preferred Brand: 17% Non-Preferred Generic/Non-Preferred Brand: 37% Specialty Tier: 29% | 3,128 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 16 (PDP) - S5932-015 Benefit Details |
$36.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Generic: 25% Tier 2 Brand: 25% | 2,920 Browse Formulary | ||
BravoRx (PDP) - S5998-022 Benefit Details |
$38.20 | $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 | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-223 Benefit Details |
$38.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic/Preferred Brand: $3.00 Non-Preferred Generic/Preferred Brand: $34.00 Non-Preferred Generic/Non-Preferred Brand: $84.00 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 | ||||||
Health Net Orange Option 1 (PDP) - S5678-038 Sanctioned Plan |
$38.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $39.00 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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