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) - S5921-366 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 | ||
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Humana Walmart-Preferred Rx Plan (PDP) - S5884-108 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 | ||
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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 Choice (PDP) - S5601-130 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 | ||
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First Health Part D Value Plus (PDP) - S5768-144 Benefit Details ![]() ![]() ![]() ![]() |
$30.70 | $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 | ||
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Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-055 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: $40.00 Non-preferred brand: 47% Specialty: 25% | 3,300 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) - S5601-042 Sanctioned Plan ![]() ![]() ![]() ![]() |
$33.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 23% Non-Preferred Brand Drugs: 45% Specialty: 33% | 2,875 Browse Formulary | ||
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Windsor Rx (PDP) - S4802-012 Benefit Details ![]() ![]() ![]() ![]() |
$35.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $79.00 Specialty Tier: 25% | 2,598 Browse Formulary | ||
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SmartD Rx Saver (PDP) - S0064-021 Sanctioned Plan ![]() ![]() ![]() ![]() |
$36.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $30.00 Non-preferred Brands: $77.00 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 | ||||||
WellCare Classic (PDP) - S5967-158 Benefit Details ![]() ![]() ![]() ![]() |
$36.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $5.00 Preferred Brand: $43.00 Non-Preferred Brand: $93.00 Specialty Tier: 33% | 2,835 Browse Formulary | ||
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Reader's Digest Value Rx (PDP) - S0128-022 Benefit Details ![]() ![]() ![]() ![]() |
$37.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-preferred Generic: $2.50 Preferred Brand: $34.00 Non-preferred Brand: 27% | 3,112 Browse Formulary | ||
new | new | new | ||||||
Cigna Medicare Rx Plan One (PDP) - S5617-103 Benefit Details ![]() ![]() ![]() ![]() |
$37.50 | $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: $75.00 Specialty Tier: 25% | 3,494 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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-021 Benefit Details ![]() ![]() ![]() ![]() |
$37.80 | $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 | ||
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United American - Select (PDP) - S5755-092 Benefit Details ![]() ![]() ![]() ![]() |
$38.70 | $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: $32.00 Non-Preferred Brand Name Drugs: $95.00 Specialty Drugs: 25% | 3,131 Browse Formulary | ||
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HealthSpring Prescription Drug Plan-Reg 21 (PDP) - S5932-020 Benefit Details ![]() ![]() ![]() ![]() |
$38.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Forumlary Drugs: 25% | 3,027 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 | ||||||
First Health Part D Essentials (PDP) - S5768-159 Benefit Details ![]() ![]() ![]() ![]() |
$39.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $1.15 Preferred Brand Drugs: 20% Non-Preferred Brand Drugs: 30% | 3,055 Browse Formulary | ||
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Express Scripts Medicare - Value (PDP) - S5660-123 Benefit Details ![]() ![]() ![]() ![]() |
$39.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 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 | ||
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AARP MedicareRx Preferred (PDP) - S5820-020 Benefit Details ![]() ![]() ![]() ![]() |
$43.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generics: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 3,829 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 | ||||||
WellCare Extra (PDP) - S5967-192 Benefit Details ![]() ![]() ![]() ![]() |
$44.00 | $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 | ||
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Humana Enhanced (PDP) - S5884-019 Benefit Details ![]() ![]() ![]() ![]() |
$47.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $41.00 Non-Preferred Brand: $90.00 Specialty: 33% | 3,923 Browse Formulary | ||
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MedicareRx Rewards Standard (PDP) - S5960-127 Benefit Details ![]() ![]() ![]() ![]() |
$51.20 | $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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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
RxBLUE BASIC (PDP) - S5937-001 Benefit Details ![]() ![]() ![]() ![]() |
$51.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $6.00 Preferred Brand: $44.00 Specialty Tier: 25% | 3,102 Browse Formulary | ||
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EnvisionRxPlus Gold (PDP) - S7694-091 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 | ||
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United American - Enhanced (PDP) - S5755-024 Benefit Details ![]() ![]() ![]() ![]() |
$57.40 | $80 | 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 | ||
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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 | ||||||
SmartD Rx Plus (PDP) - S0064-056 Sanctioned Plan ![]() ![]() ![]() ![]() |
$73.40 | $0 | Some Generics | No | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $30.00 Non-preferred Brands: $77.00 Specialty: 25% | 3,178 Browse Formulary | ||
new | new | new | ||||||
SilverScript Plus (PDP) - S5601-108 Sanctioned Plan ![]() ![]() ![]() ![]() |
$99.20 | $0 | Many Generics, Some Brands |
No | Generics: $0.00 Preferred Brands: $34.00 Non-Preferred Brand Drugs: 35% Specialty: 33% | 2,875 Browse Formulary | ||
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AARP MedicareRx Enhanced (PDP) - S5921-333 Benefit Details ![]() ![]() ![]() ![]() |
$99.90 | $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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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) - S5670-114 Benefit Details ![]() ![]() ![]() ![]() |
$100.40 | $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: 43% Specialty Drugs: 33% | 3,173 Browse Formulary | ||
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Humana Complete (PDP) - S5884-049 Benefit Details ![]() ![]() ![]() ![]() |
$111.40 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $4.00 Preferred Brand: $37.00 Non-Preferred Brand: $70.00 Specialty: 33% | 3,937 Browse Formulary | ||
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RxBLUE PLUS (PDP) - S5937-002 Benefit Details ![]() ![]() ![]() ![]() |
$118.00 | $0 | Many Generics | No | Preferred Generic: $5.00 Preferred Brand: $35.00 Specialty Tier: 30% | 3,102 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 | ||||||
Aetna Medicare Rx Premier (PDP) - S5810-191 Benefit Details ![]() ![]() ![]() ![]() |
$118.80 | $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 | ||
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