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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BlueRx Plus (PDP) - S5593-002 Benefit Details |
$58.70 | $150 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 29% | 5,201 Browse Formulary | ||
BlueRx Complete (PDP) - S5593-003 Benefit Details |
$114.40 | $0 | Many Generics | No | Generic Drugs: $7.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 5,201 Browse Formulary | ||
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