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) 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) 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: $37.00 Non-preferred brand name drugs: 39% 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) Benefit Details ![]() ![]() ![]() ![]() |
$30.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 26% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 33% | 3,220 Browse Formulary | ||
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CIGNA Medicare Rx Plan One (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$34.10 | $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: $34.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
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CVS Caremark Value (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $8.00 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 | ||||||
EnvisionRxPlus Silver (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$36.60 | $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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Medco Medicare Prescription Plan - Value (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$36.80 | $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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Community CCRx Basic (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$37.10 | $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 | ||
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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 United American - Select (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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: 25% | 3,214 Browse Formulary | ||
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WellCare Classic (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$39.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 2,724 Browse Formulary | ||
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HealthSpring Prescription Drug Plan -Reg 3 (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$39.90 | $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 | ||||||
AARP MedicareRx Preferred (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$40.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $91.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
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BravoRx (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,121 Browse Formulary | ||
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GHI Medicare Prescription Drug Plan (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$44.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 25% | tbd 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 Enhanced (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$44.50 | $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: $74.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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MedicareRx Rewards Standard (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$44.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 25% Specialty Tier Drugs: 25% | 3,212 Browse Formulary | ||
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First Health Part D Premier (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$46.80 | $250 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 35% Specialty Tier Drugs: 26% | 3,247 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 | ||||||
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$50.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: 25% Tier 2: 25% | 3,410 Browse Formulary | ||
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First United American - Preferred (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$51.50 | $140 | 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: 29% | 3,499 Browse Formulary | ||
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Rite Aid EnvisionRxPlus (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$65.50 | $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 | ||||||
WellCare Signature (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$65.90 | $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 | ||
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CVS Caremark Plus (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$70.20 | $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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Community CCRx Choice (PDP) 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 | ||
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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 | ||||||
AARP MedicareRx Enhanced (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$89.70 | $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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MedicareRx Rewards Plus (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$94.20 | $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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Aetna Medicare Rx Premier (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$95.20 | $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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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) Benefit Details ![]() ![]() ![]() ![]() |
$99.00 | $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: 43% Specialty Tier Drugs: 33% | 3,289 Browse Formulary | ||
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Humana Complete (PDP) Benefit Details ![]() ![]() ![]() ![]() |
$107.90 | $0 | Many Generics, Some Brands |
No | Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $74.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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![]() Benefit Details ![]() ![]() ![]() ![]() |
$109.70 | $300 | Many Generics | No | Generic Drugs: $5.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 5,051 Browse Formulary | ||
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