2012 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
Humana Walmart-Preferred Rx Plan (PDP) - S5884-134 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 | ||
![]() |
![]() |
![]() |
||||||
First Health Part D Value Plus (PDP) - S5768-132 Benefit Details ![]() ![]() ![]() ![]() |
$24.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 40% Specialty Tier Drugs: 33% | 3,220 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 CVS/pharmacy Prescription Drug Plan (PDP) - S5810-043 Benefit Details ![]() ![]() ![]() ![]() |
$26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic drugs: $3.00 Non-preferred generic drugs: $10.00 Preferred brand name drugs: $36.00 Non-preferred brand name drugs: 41% Specialty drugs: 25% | 3,548 Browse Formulary | ||
-- | ![]() |
![]() |
||||||
EnvisionRxPlus Silver (PDP) - S7694-009 Benefit Details ![]() ![]() ![]() ![]() |
$30.60 | $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 | ||
![]() |
![]() |
![]() |
||||||
Health Net Orange Option 1 (PDP) - S5678-024 Benefit Details ![]() ![]() ![]() ![]() |
$31.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $89.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 4,297 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan One (PDP) - S5617-218 Benefit Details ![]() ![]() ![]() ![]() |
$33.60 | $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: $31.00 Non-Preferred Brand Drugs: $83.00 Specialty Tier Drugs: 25% | 3,582 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
United American - Select (PDP) - S5755-080 Benefit Details ![]() ![]() ![]() ![]() |
$34.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,214 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Community CCRx Basic (PDP) - S5803-078 Benefit Details ![]() ![]() ![]() ![]() |
$34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 48% Specialty Tier Drugs: 25% | 3,019 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Windsor Rx (PDP) - S2505-007 Benefit Details ![]() ![]() ![]() ![]() |
$34.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 25% | 2,753 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
First Health Part D Premier (PDP) - S5768-012 Benefit Details ![]() ![]() ![]() ![]() |
$35.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: 21% Non-Preferred Brand Drugs: 37% Specialty Tier Drugs: 26% | 3,247 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
CVS Caremark Value (PDP) - S5601-018 Benefit Details ![]() ![]() ![]() ![]() |
$36.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 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 | ||||||
Medco Medicare Prescription Plan - Value (PDP) - S5660-111 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 | ||
![]() |
![]() |
![]() |
||||||
HealthSpring Prescription Drug Plan -Reg 9 (PDP) - S5932-009 Benefit Details ![]() ![]() ![]() ![]() |
$37.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% | 3,167 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
BravoRx (PDP) - S5998-018 Benefit Details ![]() ![]() ![]() ![]() |
$38.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,121 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic (PDP) - S5967-146 Benefit Details ![]() ![]() ![]() ![]() |
$39.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 25% | 2,724 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
MedicareRx Rewards Standard (PDP) - S5960-115 Benefit Details ![]() ![]() ![]() ![]() |
$39.90 | $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: $32.00 Non-Preferred Brand Drugs: $80.00 Injectable Drug: 25% Specialty Tier Drugs: 25% | 3,212 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
AARP MedicareRx Preferred (PDP) - S5820-008 Benefit Details ![]() ![]() ![]() ![]() |
$40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedBlue Rx (PDP) - S5953-001 Benefit Details ![]() ![]() ![]() ![]() |
$42.80 | $280 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $5.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 25% | 3,216 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Humana Enhanced (PDP) - S5884-008 Benefit Details ![]() ![]() ![]() ![]() |
$47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $73.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
United American - Preferred (PDP) - S5755-012 Benefit Details ![]() ![]() ![]() ![]() |
$52.20 | $120 | 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: 30% | 3,499 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan Two (PDP) - S5617-179 Benefit Details ![]() ![]() ![]() ![]() |
$61.60 | $0 | Few Generics | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33% | 3,754 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
WellCare Signature (PDP) - S5967-043 Benefit Details ![]() ![]() ![]() ![]() |
$63.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $20.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33% | 2,724 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Rite Aid EnvisionRxPlus (PDP) - S7694-080 Benefit Details ![]() ![]() ![]() ![]() |
$66.20 | $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 | ||
![]() |
![]() |
![]() |
||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Health Net Value Orange Option 2 (PDP) - S5678-023 Benefit Details ![]() ![]() ![]() ![]() |
$66.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $64.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% | 4,297 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
MedBlue Rx Plus (PDP) - S5953-002 Benefit Details ![]() ![]() ![]() ![]() |
$76.50 | $0 | Many Generics | No | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $33.00 Non-Preferred Brand Drugs: $74.00 Specialty Tier Drugs: 33% | 3,216 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
CVS Caremark Plus (PDP) - S5601-019 Benefit Details ![]() ![]() ![]() ![]() |
$76.70 | $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 | ||
![]() |
![]() |
![]() |
||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Choice (PDP) - S5803-146 Benefit Details ![]() ![]() ![]() ![]() |
$77.30 | $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 | ||
![]() |
![]() |
![]() |
||||||
AARP MedicareRx Enhanced (PDP) - S5921-123 Benefit Details ![]() ![]() ![]() ![]() |
$86.50 | $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 | ||
![]() |
![]() |
![]() |
||||||
MedicareRx Rewards Plus (PDP) - S5960-146 Benefit Details ![]() ![]() ![]() ![]() |
$86.70 | $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) - S5810-179 Benefit Details ![]() ![]() ![]() ![]() |
$89.00 | $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 | ||
-- | ![]() |
![]() |
||||||
First Health Part D Premier Plus (PDP) - S5670-054 Benefit Details ![]() ![]() ![]() ![]() |
$104.60 | $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) - S5884-037 Benefit Details ![]() ![]() ![]() ![]() |
$112.00 | $0 | Many Generics, Some Brands |
No | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $37.00 Non-Preferred Brand Drugs: $69.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
![]() |
![]() |
![]() |
|