2013 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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WellCare Extra (PDP) - S5967-178 Benefit Details |
$49.10 | $0 | Many Generics | No | Preferred Generic: $0.00 Non-Preferred Generic: 25% Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 33% | 2,835 Browse Formulary | ||
SecureAdvantage Rx - Option II (PDP) - S9014-004 Benefit Details |
$64.10 | $0 | Many Generics | No | Preferred Generic: $3.00 Non-Preferred Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 3,381 Browse Formulary | ||
new | new | new | ||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Express Scripts Medicare - Choice (PDP) - S5660-176 Benefit Details |
$95.40 | $200 | Many Generics | No | Generic Drugs: $8.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $95.00 Specialty Tier Drugs: 28% | 3,408 Browse Formulary | ||
Blue Rx Complete (PDP) - S5593-003 Benefit Details |
$113.20 | $0 | Many Generics | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% : tbd | 5,246 Browse Formulary | ||
AmeriHealth Rx Option II (PDP) - S2321-002 Benefit Details |
$120.70 | $0 | Many Generics | No | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty Tier: 25% | 5,233 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SecureRx - Option 1 (PDP) - S8067-003 Benefit Details |
$121.80 | $0 | Many Generics | No | Preferred Generic: $5.00 Non-Preferred Generic: $20.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 4,995 Browse Formulary | ||
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