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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EnvisionRxPlus Gold (PDP) - S7694-093 Benefit Details |
$75.10 | $0 | Some Generics | No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: 15% Preferred Brand Drugs: 15% Non-Preferred Brand Drugs: 30% Specialty Tier Drugs: 33% | 2,563 Browse Formulary | ||
MedicareRx Rewards Plus (PDP) - S5960-155 Benefit Details |
$81.40 | $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 | ||
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) - S5810-193 Benefit Details |
$83.70 | $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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Blue MedicareRx Plus (PDP) - S5715-011 Benefit Details |
$92.60 | $0 | All Generics | No | Generic Drugs: $5.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 33% | 2,956 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-235 Benefit Details |
$94.40 | $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 | ||
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) - S5670-126 Benefit Details |
$112.40 | $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 | ||
Humana Complete (PDP) - S5884-051 Benefit Details |
$114.90 | $0 | Many Generics, Some Brands | No | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $36.00 Non-Preferred Brand Drugs: $69.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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