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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Humana Walmart-Preferred Rx Plan (PDP) - S5884-146 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 | ||
SilverScript Basic (PDP) - S5601-056 Sanctioned Plan |
$22.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 22% Non-Preferred Brand Drugs: 44% Specialty: 33% | 2,875 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) - S5967-165 Benefit Details |
$25.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $8.00 Preferred Brand: $41.00 Non-Preferred Brand: $92.00 Specialty Tier: 33% | 2,835 Browse Formulary | ||
First Health Part D Value Plus (PDP) - S5768-151 Benefit Details |
$25.90 | $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 | ||
HealthSpring Prescription Drug Plan-Reg 28 (PDP) - S5932-027 Benefit Details |
$26.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Forumlary Drugs: 25% | 3,027 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) - S5810-062 Benefit Details |
$28.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred generic: $2.00 Non-preferred generic: $5.00 Preferred brand: $40.00 Non-preferred brand: 50% Specialty: 25% | 3,300 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-028 Benefit Details |
$28.70 | $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 | ||
Reader's Digest Value Rx (PDP) - S0128-029 Benefit Details |
$29.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-preferred Generic: $2.50 Preferred Brand: $33.00 Non-preferred Brand: 27% | 3,112 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 | ||||||
SilverScript Choice (PDP) - S5601-137 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 | ||
SmartD Rx Saver (PDP) - S0064-028 Sanctioned Plan |
$29.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $32.00 Non-preferred Brands: $79.00 Specialty: 25% | 3,178 Browse Formulary | ||
new | new | new | ||||||
United American - Select (PDP) - S5755-099 Benefit Details |
$29.90 | $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: $31.00 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 Essentials (PDP) - S5768-162 Benefit Details |
$30.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $1.15 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 29% | 3,055 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-027 Benefit Details |
$32.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generics: $4.00 Non-Preferred Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 3,829 Browse Formulary | ||
Blue MedicareRx (PDP) - S6506-001 Benefit Details |
$32.70 | $150 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $3.00 Non-Preferred Generic: $8.00 Preferred Brand: $39.00 Non-Preferred Brand: 46% | 2,905 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 Enhanced (PDP) - S5884-086 Benefit Details |
$37.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $43.00 Non-Preferred Brand: $90.00 Specialty: 33% | 3,923 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-134 Benefit Details |
$39.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $85.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,838 Browse Formulary | ||
WellCare Extra (PDP) - S5967-199 Benefit Details |
$39.10 | $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 | ||
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) - S5617-138 Benefit Details |
$42.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $72.00 Specialty Tier: 25% | 3,494 Browse Formulary | ||
Express Scripts Medicare - Value (PDP) - S5660-130 Benefit Details |
$51.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $7.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 25% | 3,381 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-098 Benefit Details |
$54.00 | $150 | Some Generics | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $25.00 Non-Preferred Brand: 30% Specialty Tier: 29% | 2,747 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 - Enhanced (PDP) - S5755-031 Benefit Details |
$55.90 | $110 | 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 | ||
SmartD Rx Plus (PDP) - S0064-063 Sanctioned Plan |
$65.80 | $0 | Some Generics | No | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $32.00 Non-preferred Brands: $79.00 Specialty: 25% | 3,178 Browse Formulary | ||
new | new | new | ||||||
Cigna Medicare Rx Plan Two (PDP) - S5617-198 Benefit Details |
$81.10 | $0 | Few Generics | No | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $10.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier: 33% | 3,657 Browse Formulary | ||
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) - S5660-198 Benefit Details |
$86.20 | $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 | ||
MedicareRx Rewards Plus (PDP) - S5960-158 Benefit Details |
$89.90 | $0 | Few Generics | No | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Injectable Drugs: 33% Specialty Tier: 33% | 3,107 Browse Formulary | ||
SilverScript Plus (PDP) - S5601-057 Sanctioned Plan |
$90.40 | $0 | Many Generics, Some Brands |
No | Generics: $0.00 Preferred Brands: $34.00 Non-Preferred Brand Drugs: 35% Specialty: 33% | 2,875 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 Plus (PDP) - S5670-144 Benefit Details |
$90.80 | $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: 42% Specialty Drugs: 33% | 3,173 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-198 Benefit Details |
$92.90 | $0 | Many Generics, Some Brands |
No | Preferred generic: $5.00 Non-preferred generic: $33.00 Preferred brand: $45.00 Non-preferred brand: tbd Specialty: 25% | 3,364 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-233 Benefit Details |
$99.70 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: $76.00 Specialty Tier: 33% | 4,971 Browse Formulary | ||
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