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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PICA Alante (PDP) - S5775-002 Benefit Details |
$0.00 | $239 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $6.00 Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $60.00 Specialty Tier Drugs: 27% | 3,445 Browse Formulary | ||
Humana Walmart-Preferred Rx Plan (PDP) - S2874-004 Benefit Details |
$4.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 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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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MediMax One (PDP) - S0043-009 Benefit Details |
$13.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $60.00 Specialty Tier Drugs: 25% | 2,728 Browse Formulary | ||
PharmaPlus (PDP) - S5840-001 Benefit Details |
$17.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,677 Browse Formulary | ||
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MCS Classicare Rx Standard (PDP) - S5555-003 Benefit Details |
$20.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,372 Browse Formulary | ||
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) - S2874-001 Benefit Details |
$23.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $28.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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