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 |
||||||
Blue MedicareRx Premier (PDP) - S5596-019 Benefit Details |
$117.10 | $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 Drug: 33% Specialty Tier Drugs: 33% | 4,669 Browse Formulary | ||
Humana Complete (PDP) - S5884-043 Benefit Details |
$110.10 | $0 | Many Generics, Some Brands | No | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 4,004 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 Plus (PDP) - S5674-029 Benefit Details |
$101.90 | $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: 41% Specialty Tier Drugs: 33% | 3,289 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-063 Benefit Details |
$91.80 | $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 | ||
CVS Caremark Plus (PDP) - S5601-031 Benefit Details |
$85.50 | $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 | ||
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) - S5810-185 Benefit Details |
$84.90 | $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 | ||
-- | ||||||||
Health Net Value Orange Option 2 (PDP) - S5678-035 Benefit Details |
$80.30 | $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 | ||
Community CCRx Choice (PDP) - S5803-152 Benefit Details |
$79.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 3,019 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Plus (PDP) - S5596-018 Benefit Details |
$70.90 | $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 Drug: 33% Specialty Tier Drugs: 33% | 3,443 Browse Formulary | ||
Medco Medicare Prescription Plan - Choice (PDP) - S5660-185 Benefit Details |
$70.90 | $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 | ||
WellCare Signature (PDP) - S5967-049 Benefit Details |
$68.60 | $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: $90.00 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) - S7694-085 Benefit Details |
$68.10 | $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 | ||
CIGNA Medicare Rx Plan Two (PDP) - S5617-185 Benefit Details |
$67.40 | $0 | Few Generics | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33% | 3,754 Browse Formulary | ||
United American - Preferred (PDP) - S5755-018 Benefit Details |
$55.30 | $80 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $9.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 31% | 3,499 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) - S5820-014 Benefit Details |
$42.40 | $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: $40.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
Blue MedicareRx Standard (PDP) - S5596-017 Benefit Details |
$42.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 25% Specialty Tier Drugs: 25% | 3,212 Browse Formulary | ||
Humana Enhanced (PDP) - S5884-073 Benefit Details |
$40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 4,004 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 15 (PDP) - S5932-014 Benefit Details |
$37.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% | 3,167 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-036 Benefit Details |
$37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $85.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 4,297 Browse Formulary | ||
WellCare Classic (PDP) - S5967-152 Benefit Details |
$37.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 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 | ||||||
BravoRx (PDP) - S5998-021 Benefit Details |
$36.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,121 Browse Formulary | ||
CVS Caremark Value (PDP) - S5601-030 Benefit Details |
$35.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,044 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-117 Benefit Details |
$35.20 | $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 | ||
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) - S5755-086 Benefit Details |
$35.10 | $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 | ||
Community CCRx Basic (PDP) - S5803-084 Benefit Details |
$33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 46% Specialty Tier Drugs: 25% | 3,019 Browse Formulary | ||
First Health Part D Premier (PDP) - S5768-018 Benefit Details |
$33.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 21% Non-Preferred Brand Drugs: 36% Specialty Tier Drugs: 26% | 3,247 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 Silver (PDP) - S7694-015 Benefit Details |
$33.30 | $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 | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-222 Benefit Details |
$31.10 | $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: $35.00 Non-Preferred Brand Drugs: $79.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-049 Benefit Details |
$26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic drugs: $3.00 Non-preferred generic drugs: $10.00 Preferred brand name drugs: $29.00 Non-preferred brand name drugs: 41% Specialty drugs: 25% | 3,548 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 Value Plus (PDP) - S5768-138 Benefit Details |
$25.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 39% Specialty Tier Drugs: 33% | 3,220 Browse Formulary | ||
Humana Walmart-Preferred Rx Plan (PDP) - S5884-138 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 | ||
|