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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Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-048 Benefit Details |
$26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic drugs: $3.00 Non-preferred generic drugs: $21.00 Preferred brand name drugs: $35.00 Non-preferred brand name drugs: 39% Specialty drugs: 25% | 3,548 Browse Formulary | ||
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CVS Caremark Value (PDP) - S5601-028 Benefit Details |
$27.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $5.50 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,044 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CVS Caremark Plus (PDP) - S5601-029 Benefit Details |
$78.50 | $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 | ||
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