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) - S5921-369 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) - S5884-109 Benefit Details |
$18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $1.00 Non-Preferred Generics: $5.00 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 | ||||||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-058 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: 35% Specialty: 25% | 3,300 Browse Formulary | ||
WellCare Classic (PDP) - S5967-161 Benefit Details |
$34.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $5.00 Preferred Brand: $42.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 2,835 Browse Formulary | ||
SmartD Rx Saver (PDP) - S0064-024 Sanctioned Plan |
$36.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $16.00 Preferred Brands: $30.00 Non-preferred Brands: $80.00 Specialty: 25% | 3,178 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 | ||||||
SilverScript Basic (PDP) - S5601-048 Sanctioned Plan |
$36.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 25% Non-Preferred Brand Drugs: 47% Specialty: 33% | 2,875 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-024 Benefit Details |
$36.30 | $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 | ||
Cigna Medicare Rx Plan One (PDP) - S5617-118 Benefit Details |
$37.60 | $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: $28.00 Non-Preferred Brand Drugs: $70.00 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 | ||||||
United American - Select (PDP) - S5755-095 Benefit Details |
$37.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $1.00 Non-Preferred Generic Drugs: $4.00 Preferred Brand Name Drugs: $37.00 Non-Preferred Brand Name Drugs: $95.00 Specialty Drugs: 25% | 3,131 Browse Formulary | ||
First Health Part D Essentials (PDP) - S5768-161 Benefit Details |
$37.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $1.15 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 30% | 3,055 Browse Formulary | ||
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