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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AARP MedicareRx Saver Plus (PDP) - S5921-370 Benefit Details |
$15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $45.00 Specialty Tier: 25% | 3,282 Browse Formulary | ||
Humana Walmart-Preferred Rx Plan (PDP) - S5884-145 Benefit Details |
$18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $1.00 Non-Preferred Generics: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty: 25% | 3,251 Browse Formulary | ||
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) - S5768-148 Benefit Details |
$27.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | 3,118 Browse Formulary | ||
SilverScript Choice (PDP) - S5601-134 Sanctioned Plan |
$29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generics: $0.00 Preferred Brands: $34.00 Non-Preferred Brand Drugs: 35% Specialty: 33% | 2,875 Browse Formulary | ||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-059 Benefit Details |
$32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic: $2.00 Non-preferred generic: $5.00 Preferred brand: $45.00 Non-preferred brand: 36% Specialty: 25% | 3,300 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) - S4802-030 Benefit Details |
$33.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 25% | 2,598 Browse Formulary | ||
SilverScript Basic (PDP) - S5601-050 Sanctioned Plan |
$34.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 25% Non-Preferred Brand Drugs: 45% Specialty: 33% | 2,875 Browse Formulary | ||
Cigna Medicare Rx Plan One (PDP) - S5617-123 Benefit Details |
$35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $84.00 Specialty Tier: 25% | 3,494 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SmartD Rx Saver (PDP) - S0064-025 Sanctioned Plan |
$35.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $15.00 Preferred Brands: $30.00 Non-preferred Brands: $80.00 Specialty: 25% | 3,178 Browse Formulary | ||
new | new | new | ||||||
EnvisionRxPlus Silver (PDP) - S7694-025 Benefit Details |
$35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: 25% Non-Preferred Generic: 25% Preferred Brand: 23% Non-Preferred Brand: 28% Specialty Tier: 25% | 2,711 Browse Formulary | ||
United American - Select (PDP) - S5755-096 Benefit Details |
$37.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $4.00 Preferred Brand Name Drugs: $40.00 Non-Preferred Brand Name Drugs: $95.00 Specialty Drugs: 25% | 3,131 Browse Formulary | ||
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) - S5768-122 Benefit Details |
$37.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $1.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 45% | 3,113 Browse Formulary | ||
Reader's Digest Value Rx (PDP) - S0128-026 Benefit Details |
$37.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-preferred Generic: $2.50 Preferred Brand: $37.00 Non-preferred Brand: 27% | 3,112 Browse Formulary | ||
new | new | new | ||||||
Express Scripts Medicare - Value (PDP) - S5660-127 Benefit Details |
$38.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $6.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 25% | 3,381 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) - S5967-162 Benefit Details |
$38.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $5.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 2,835 Browse Formulary | ||
Humana Enhanced (PDP) - S5884-083 Benefit Details |
$39.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $38.00 Non-Preferred Brand: $90.00 Specialty: 33% | 3,923 Browse Formulary | ||
MedicareBlue Rx Standard (PDP) - S5743-001 Benefit Details |
$39.60 | $160 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $4.00 Non-Preferred Generic: $18.00 Preferred Brand: $40.00 Non-Preferred Brand: 48% | 2,905 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
HealthSpring Prescription Drug Plan-Reg 25 (PDP) - S5932-024 Benefit Details |
$40.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Forumlary Drugs: 25% | 3,027 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-024 Benefit Details |
$42.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generics: $3.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 3,829 Browse Formulary | ||
United American - Enhanced (PDP) - S5755-028 Benefit Details |
$62.30 | $40 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $1.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty: 29% | 3,381 Browse Formulary | ||
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) - S5960-131 Benefit Details |
$64.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $29.00 Non-Preferred Brand: $85.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,838 Browse Formulary | ||
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