2012 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) - S5884-116 Benefit Details ![]() ![]() ![]() ![]() |
$15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35% | 3,277 Browse Formulary | ||
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HealthSpring Prescription Drug Plan-Reg 34 (PDP) - S5932-033 Benefit Details ![]() ![]() ![]() ![]() |
$27.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% | 3,167 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 | ||||||
First Health Part D Premier (PDP) - S5768-117 Benefit Details ![]() ![]() ![]() ![]() |
$28.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: 18% Non-Preferred Brand Drugs: 34% Specialty Tier Drugs: 26% | 3,247 Browse Formulary | ||
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WellCare Classic (PDP) - S5967-171 Benefit Details ![]() ![]() ![]() ![]() |
$37.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | 2,724 Browse Formulary | ||
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EnvisionRxPlus Silver (PDP) - S7694-034 Benefit Details ![]() ![]() ![]() ![]() |
$37.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: 25% Non-Preferred Generic Drugs: 25% Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 25% Specialty Tier Drugs: 25% | 2,618 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) - S5660-136 Benefit Details ![]() ![]() ![]() ![]() |
$39.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 25% | 3,440 Browse Formulary | ||
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AARP MedicareRx Preferred (PDP) - S5820-033 Benefit Details ![]() ![]() ![]() ![]() |
$40.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $6.00 Non-Preferred Generic Drugs: $11.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
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CVS Caremark Value (PDP) - S5601-068 Benefit Details ![]() ![]() ![]() ![]() |
$46.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $2.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,044 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) - S5960-140 Benefit Details ![]() ![]() ![]() ![]() |
$46.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $80.00 Injectable Drug: 25% Specialty Tier Drugs: 25% | 3,212 Browse Formulary | ||
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CIGNA Medicare Rx Plan One (PDP) - S5617-227 Benefit Details ![]() ![]() ![]() ![]() |
$46.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $27.00 Non-Preferred Brand Drugs: $48.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
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Humana Enhanced (PDP) - S5884-094 Benefit Details ![]() ![]() ![]() ![]() |
$51.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $37.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | 4,004 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 | ||||||
Community CCRx Basic (PDP) - S5803-103 Benefit Details ![]() ![]() ![]() ![]() |
$53.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $2.00 Preferred Brand Drugs: 24% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 25% | 3,019 Browse Formulary | ||
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United American - Preferred (PDP) - S5755-039 Benefit Details ![]() ![]() ![]() ![]() |
$59.80 | $90 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $11.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 30% | 3,499 Browse Formulary | ||
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WellCare Signature (PDP) - S5967-068 Benefit Details ![]() ![]() ![]() ![]() |
$60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33% | 2,724 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 | ||||||
Health Net Orange Option 1 (PDP) - S5678-068 Benefit Details ![]() ![]() ![]() ![]() |
$63.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $95.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 4,297 Browse Formulary | ||
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Aetna Medicare Rx Essentials (PDP) - S5810-068 Benefit Details ![]() ![]() ![]() ![]() |
$70.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $13.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 25% | 3,548 Browse Formulary | ||
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Medco Medicare Prescription Plan - Choice (PDP) - S5660-204 Benefit Details ![]() ![]() ![]() ![]() |
$74.00 | $150 | Many Generics | No | Preferred Generic Drugs: $6.00 Non-Preferred Generic Drugs: $12.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 26% | 3,512 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 | ||||||
Health Net Value Orange Option 2 (PDP) - S5678-067 Benefit Details ![]() ![]() ![]() ![]() |
$78.40 | $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 | ||
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CVS Caremark Plus (PDP) - S5601-069 Benefit Details ![]() ![]() ![]() ![]() |
$82.00 | $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 | ||
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EnvisionRxPlus Gold (PDP) - S7694-104 Benefit Details ![]() ![]() ![]() ![]() |
$82.50 | $0 | Some Generics | No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: 15% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33% | 2,563 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 | ||||||
First Health Part D Premier Plus (PDP) - S5674-071 Benefit Details ![]() ![]() ![]() ![]() |
$88.10 | $0 | Some Generics, Some Brands |
No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $25.00 Preferred Brand Drugs: 33% Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 33% | 3,289 Browse Formulary | ||
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Aetna Medicare Rx Premier (PDP) - S5810-204 Benefit Details ![]() ![]() ![]() ![]() |
$89.00 | $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 | ||
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MedicareRx Rewards Plus (PDP) - S5960-162 Benefit Details ![]() ![]() ![]() ![]() |
$95.30 | $0 | Some Generics | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 33% Specialty Tier Drugs: 33% | 3,443 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 | ||||||
Community CCRx Choice (PDP) - S5803-171 Benefit Details ![]() ![]() ![]() ![]() |
$95.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 3,019 Browse Formulary | ||
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AARP MedicareRx Enhanced (PDP) - S5921-013 Benefit Details ![]() ![]() ![]() ![]() |
$98.90 | $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 | ||
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