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) - S5884-108 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) - S5810-055 Benefit Details ![]() ![]() ![]() ![]() |
$26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic drugs: $3.00 Non-preferred generic drugs: $13.00 Preferred brand name drugs: $33.00 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 | ||||||
First Health Part D Value Plus (PDP) - S5768-144 Benefit Details ![]() ![]() ![]() ![]() |
$28.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 33% | 3,220 Browse Formulary | ||
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CVS Caremark Value (PDP) - S5601-042 Benefit Details ![]() ![]() ![]() ![]() |
$29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.25 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,044 Browse Formulary | ||
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EnvisionRxPlus Silver (PDP) - S7694-021 Benefit Details ![]() ![]() ![]() ![]() |
$31.40 | $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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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) - S5617-103 Benefit Details ![]() ![]() ![]() ![]() |
$32.00 | $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: $74.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
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Community CCRx Basic (PDP) - S5803-090 Benefit Details ![]() ![]() ![]() ![]() |
$32.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 25% | 3,019 Browse Formulary | ||
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Windsor Rx (PDP) - S4802-012 Benefit Details ![]() ![]() ![]() ![]() |
$32.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 Preferred Brand Drugs: $34.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 25% | 2,753 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 | ||||||
HealthSpring Prescription Drug Plan-Reg 21 (PDP) - S5932-020 Benefit Details ![]() ![]() ![]() ![]() |
$33.50 | $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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Health Net Orange Option 1 (PDP) - S5678-048 Benefit Details ![]() ![]() ![]() ![]() |
$34.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $83.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 4,297 Browse Formulary | ||
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Medco Medicare Prescription Plan - Value (PDP) - S5660-123 Benefit Details ![]() ![]() ![]() ![]() |
$34.80 | $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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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) - S5755-092 Benefit Details ![]() ![]() ![]() ![]() |
$35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 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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MedicareRx Rewards Standard (PDP) - S5960-127 Benefit Details ![]() ![]() ![]() ![]() |
$36.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $29.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 25% Specialty Tier Drugs: 25% | 3,212 Browse Formulary | ||
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WellCare Classic (PDP) - S5967-158 Benefit Details ![]() ![]() ![]() ![]() |
$36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $91.00 Specialty Tier Drugs: 25% | 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 | ||||||
RxBLUE BASIC (PDP) - S5937-001 Benefit Details ![]() ![]() ![]() ![]() |
$38.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $3.00 Brand Drugs: $46.00 Specialty Tier Drugs: 25% | 3,118 Browse Formulary | ||
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Humana Enhanced (PDP) - S5884-019 Benefit Details ![]() ![]() ![]() ![]() |
$43.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $36.00 Non-Preferred Brand Drugs: $78.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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AARP MedicareRx Preferred (PDP) - S5820-020 Benefit Details ![]() ![]() ![]() ![]() |
$44.20 | $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: $36.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | 3,874 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 | ||||||
BravoRx (PDP) - S5998-026 Benefit Details ![]() ![]() ![]() ![]() |
$45.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,121 Browse Formulary | ||
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First Health Part D Premier (PDP) - S5768-044 Benefit Details ![]() ![]() ![]() ![]() |
$48.30 | $250 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 21% Non-Preferred Brand Drugs: 37% Specialty Tier Drugs: 26% | 3,247 Browse Formulary | ||
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United American - Preferred (PDP) - S5755-024 Benefit Details ![]() ![]() ![]() ![]() |
$51.40 | $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 | ||
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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) - S5678-047 Benefit Details ![]() ![]() ![]() ![]() |
$64.90 | $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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WellCare Signature (PDP) - S5967-055 Benefit Details ![]() ![]() ![]() ![]() |
$65.40 | $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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Rite Aid EnvisionRxPlus (PDP) - S7694-091 Benefit Details ![]() ![]() ![]() ![]() |
$67.50 | $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 | ||
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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 Plus (PDP) - S5960-153 Benefit Details ![]() ![]() ![]() ![]() |
$70.00 | $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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Community CCRx Choice (PDP) - S5803-158 Benefit Details ![]() ![]() ![]() ![]() |
$79.40 | $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) - S5921-333 Benefit Details ![]() ![]() ![]() ![]() |
$90.40 | $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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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) - S5810-191 Benefit Details ![]() ![]() ![]() ![]() |
$91.30 | $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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RxBLUE PLUS (PDP) - S5937-002 Benefit Details ![]() ![]() ![]() ![]() |
$98.20 | $0 | Many Generics | No | Generic Drugs: $3.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 5,063 Browse Formulary | ||
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First Health Part D Premier Plus (PDP) - S5670-114 Benefit Details ![]() ![]() ![]() ![]() |
$102.10 | $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: 43% Specialty Tier Drugs: 33% | 3,289 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 | ||||||
Humana Complete (PDP) - S5884-049 Benefit Details ![]() ![]() ![]() ![]() |
$107.70 | $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 | ||
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