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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Humana Walmart-Preferred Rx Plan (PDP) - S5884-143 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 | ||
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EnvisionRxPlus Silver (PDP) - S7694-022 Benefit Details ![]() ![]() ![]() ![]() |
$22.90 | $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 | ||
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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 | ||||||
First Health Part D Value Plus (PDP) - S5768-145 Benefit Details ![]() ![]() ![]() ![]() |
$23.20 | $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 | ||
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Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-056 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: $33.00 Non-preferred brand name drugs: 39% Specialty drugs: 25% | 3,548 Browse Formulary | ||
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CIGNA Medicare Rx Plan One (PDP) - S5617-108 Benefit Details ![]() ![]() ![]() ![]() |
$26.70 | $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: $35.00 Non-Preferred Brand Drugs: $77.00 Specialty Tier Drugs: 25% | 3,582 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 | ||||||
Windsor Rx (PDP) - S4802-013 Benefit Details ![]() ![]() ![]() ![]() |
$28.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $6.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 25% | 2,753 Browse Formulary | ||
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CVS Caremark Value (PDP) - S5601-044 Benefit Details ![]() ![]() ![]() ![]() |
$28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $7.50 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 3,044 Browse Formulary | ||
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Community CCRx Basic (PDP) - S5803-091 Benefit Details ![]() ![]() ![]() ![]() |
$28.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic Drugs: $2.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 45% Specialty Tier Drugs: 25% | 3,019 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 | ||||||
First Health Part D Premier (PDP) - S5768-045 Benefit Details ![]() ![]() ![]() ![]() |
$29.10 | $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 | ||
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United American - Select (PDP) - S5755-093 Benefit Details ![]() ![]() ![]() ![]() |
$29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $3.00 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 | ||
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BravoRx (PDP) - S5998-039 Benefit Details ![]() ![]() ![]() ![]() |
$30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,121 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 | ||||||
WellCare Classic (PDP) - S5967-159 Benefit Details ![]() ![]() ![]() ![]() |
$30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 25% | 2,724 Browse Formulary | ||
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Health Net Orange Option 1 (PDP) - S5678-050 Benefit Details ![]() ![]() ![]() ![]() |
$31.30 | $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: $85.00 Injectable Drugs: 25% Specialty Tier Drugs: 25% | 4,297 Browse Formulary | ||
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HealthSpring Prescription Drug Plan-Reg 22 (PDP) - S5932-021 Benefit Details ![]() ![]() ![]() ![]() |
$31.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% | 3,167 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 | ||||||
Medco Medicare Prescription Plan - Value (PDP) - S5660-124 Benefit Details ![]() ![]() ![]() ![]() |
$34.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 35% Specialty Tier Drugs: 25% | 3,440 Browse Formulary | ||
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Humana Enhanced (PDP) - S5884-020 Benefit Details ![]() ![]() ![]() ![]() |
$39.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $73.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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Blue MedicareRx Value (PDP) - S5715-005 Benefit Details ![]() ![]() ![]() ![]() |
$44.10 | $125 | No additional gap coverage, only the Donut Hole Discount | No | Generic Drugs: $10.00 Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $91.00 Specialty Tier Drugs: 29% | 2,956 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 | ||||||
MedicareRx Rewards Standard (PDP) - S5960-128 Benefit Details ![]() ![]() ![]() ![]() |
$45.50 | $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: $36.00 Non-Preferred Brand Drugs: $90.00 Injectable Drug: 25% Specialty Tier Drugs: 25% | 3,212 Browse Formulary | ||
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AARP MedicareRx Preferred (PDP) - S5820-021 Benefit Details ![]() ![]() ![]() ![]() |
$45.60 | $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: $39.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 33% | 3,874 Browse Formulary | ||
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United American - Preferred (PDP) - S5755-025 Benefit Details ![]() ![]() ![]() ![]() |
$55.20 | $110 | 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 | ||
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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 | ||||||
WellCare Signature (PDP) - S5967-056 Benefit Details ![]() ![]() ![]() ![]() |
$60.30 | $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: $95.00 Specialty Tier Drugs: 33% | 2,724 Browse Formulary | ||
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EnvisionRxPlus Gold (PDP) - S7694-092 Benefit Details ![]() ![]() ![]() ![]() |
$61.20 | $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 | ||
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CIGNA Medicare Rx Plan Two (PDP) - S5617-192 Benefit Details ![]() ![]() ![]() ![]() |
$74.20 | $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 | ||
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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 | ||||||
Aetna Medicare Rx Premier (PDP) - S5810-192 Benefit Details ![]() ![]() ![]() ![]() |
$75.10 | $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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Community CCRx Choice (PDP) - S5803-159 Benefit Details ![]() ![]() ![]() ![]() |
$77.90 | $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 | ||
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CVS Caremark Plus (PDP) - S5601-045 Benefit Details ![]() ![]() ![]() ![]() |
$79.20 | $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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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Enhanced (PDP) - S5921-193 Benefit Details ![]() ![]() ![]() ![]() |
$85.40 | $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 | ||
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Health Net Orange Option 2 (PDP) - S5678-049 Benefit Details ![]() ![]() ![]() ![]() |
$86.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $75.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% | 5,170 Browse Formulary | ||
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MedicareRx Rewards Plus (PDP) - S5960-154 Benefit Details ![]() ![]() ![]() ![]() |
$89.40 | $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 | ||
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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 | ||||||
Blue MedicareRx Plus (PDP) - S5715-006 Benefit Details ![]() ![]() ![]() ![]() |
$90.80 | $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 | ||
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Medco Medicare Prescription Plan - Choice (PDP) - S5660-192 Benefit Details ![]() ![]() ![]() ![]() |
$96.00 | $150 | Many Generics | No | Preferred Generic Drugs: $6.00 Non-Preferred Generic Drugs: $12.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 26% | 3,512 Browse Formulary | ||
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First Health Part D Premier Plus (PDP) - S5670-120 Benefit Details ![]() ![]() ![]() ![]() |
$104.20 | $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 | ||
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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 | ||||||
Humana Complete (PDP) - S5884-050 Benefit Details ![]() ![]() ![]() ![]() |
$104.30 | $0 | Many Generics, Some Brands |
No | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $68.00 Specialty Tier Drugs: 33% | 4,004 Browse Formulary | ||
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