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) - S5884-106 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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Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-046 Benefit Details ![]() ![]() ![]() ![]() |
$26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic drugs: $3.00 Non-preferred generic drugs: $14.00 Preferred brand name drugs: $36.00 Non-preferred brand name drugs: 41% Specialty drugs: 25% | 3,548 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 | ||||||
CIGNA Medicare Rx Plan One (PDP) - S5617-220 Benefit Details ![]() ![]() ![]() ![]() |
$28.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $31.00 Non-Preferred Brand Drugs: $81.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
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Windsor Rx (PDP) - S2505-001 Benefit Details ![]() ![]() ![]() ![]() |
$29.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 25% | 2,753 Browse Formulary | ||
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Community CCRx Basic (PDP) - S5803-081 Benefit Details ![]() ![]() ![]() ![]() |
$30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 47% Specialty Tier Drugs: 25% | 3,019 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) - S5768-015 Benefit Details ![]() ![]() ![]() ![]() |
$30.50 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 39% Specialty Tier Drugs: 26% | 3,247 Browse Formulary | ||
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EnvisionRxPlus Silver (PDP) - S7694-012 Benefit Details ![]() ![]() ![]() ![]() |
$30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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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CVS Caremark Value (PDP) - S5601-024 Benefit Details ![]() ![]() ![]() ![]() |
$30.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $4.75 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 | ||||||
United American - Select (PDP) - S5755-083 Benefit Details ![]() ![]() ![]() ![]() |
$31.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,214 Browse Formulary | ||
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Medco Medicare Prescription Plan - Value (PDP) - S5660-114 Benefit Details ![]() ![]() ![]() ![]() |
$31.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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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HealthSpring Prescription Drug Plan -Reg12 (PDP) - S5932-001 Benefit Details ![]() ![]() ![]() ![]() |
$33.00 | $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 | ||||||
Health Net Orange Option 1 (PDP) - S5678-030 Benefit Details ![]() ![]() ![]() ![]() |
$33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 4,297 Browse Formulary | ||
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