2012 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
First Health Part D Value Plus (PDP) - S5768-152 Benefit Details |
$28.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 42% Specialty Tier Drugs: 33% | 3,220 Browse Formulary | ||
WellCare Classic (PDP) - S5967-166 Benefit Details |
$28.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $92.00 Specialty Tier Drugs: 33% | 2,724 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 Preferred (PDP) - S5820-028 Benefit Details |
$39.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
Humana Enhanced (PDP) - S5884-087 Benefit Details |
$41.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
WellCare Signature (PDP) - S5967-063 Benefit Details |
$64.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 2,724 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Rite Aid EnvisionRxPlus (PDP) - S7694-099 Benefit Details |
$68.60 | $0 | Some Generics | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: 20% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33% | 2,563 Browse Formulary | ||
Health Net Value Orange Option 2 (PDP) - S5678-061 Benefit Details |
$75.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $64.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% | 4,297 Browse Formulary | ||
Blue MedicareRx Plus (PDP) - S5596-063 Benefit Details |
$77.70 | $0 | Some Generics | No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% | 3,443 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CVS Caremark Plus (PDP) - S5601-059 Benefit Details |
$82.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33% | 3,226 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-166 Benefit Details |
$84.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 3,019 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-273 Benefit Details |
$91.10 | $0 | Some Generics | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $76.00 Specialty Tier Drugs: 33% | 5,030 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 Premier (PDP) - S5810-199 Benefit Details |
$93.40 | $0 | Many Generics | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $25.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | 3,548 Browse Formulary | ||
-- | ||||||||
First Health Part D Premier Plus (PDP) - S5670-150 Benefit Details |
$107.00 | $0 | Some Generics, Some Brands |
No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 33% | 3,289 Browse Formulary | ||
Blue MedicareRx Premier (PDP) - S5596-064 Benefit Details |
$126.60 | $0 | Many Generics, Some Brands |
No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% | 4,669 Browse Formulary | ||
|