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) - S5884-115 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: 30% Specialty: 25% | 3,251 Browse Formulary | ||
WellCare Classic (PDP) - S5967-170 Benefit Details |
$27.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 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 | ||||||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-067 Benefit Details |
$30.60 | $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: 44% Specialty: 25% | 3,300 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-033 Benefit Details |
$30.70 | $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 | ||
SilverScript Basic (PDP) - S5601-066 Sanctioned Plan |
$31.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 23% Non-Preferred Brand Drugs: 43% 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 | ||||||
HealthSpring Prescription Drug Plan-Reg 33 (PDP) - S5932-032 Benefit Details |
$32.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Forumlary Drugs: 25% | 3,027 Browse Formulary | ||
Reader's Digest Value Rx (PDP) - S0128-034 Benefit Details |
$32.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-preferred Generic: $2.50 Preferred Brand: $36.00 Non-preferred Brand: 27% | 3,112 Browse Formulary | ||
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SmartD Rx Saver (PDP) - S0064-033 Sanctioned Plan |
$32.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $21.00 Preferred Brands: $30.00 Non-preferred Brands: $85.00 Specialty: 25% | 3,178 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 | ||||||
First Health Part D Essentials (PDP) - S5768-163 Benefit Details |
$34.00 | $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 | ||
United American - Select (PDP) - S5755-038 Benefit Details |
$34.50 | $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: $40.00 Non-Preferred Brand Name Drugs: $95.00 Specialty Drugs: 25% | 3,131 Browse Formulary | ||
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