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) - S5921-358 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) - S5884-136 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 | ||||||
WellCare Classic (PDP) - S5967-150 Benefit Details |
$25.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 2,835 Browse Formulary | ||
SilverScript Choice (PDP) - S5601-122 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 | ||
First Health Part D Value Plus (PDP) - S5768-136 Benefit Details |
$31.70 | $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 | ||
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) - S5810-047 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 | ||
EnvisionRxPlus Silver (PDP) - S7694-070 Benefit Details |
$34.60 | $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 | ||
SmartD Rx Saver (PDP) - S0064-013 Sanctioned Plan |
$34.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $33.00 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 | ||||||
SilverScript Basic (PDP) - S5601-026 Sanctioned Plan |
$34.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 24% Non-Preferred Brand Drugs: 45% Specialty: 33% | 2,875 Browse Formulary | ||
Cigna Medicare Rx Plan One (PDP) - S5617-221 Benefit Details |
$35.20 | $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: $33.00 Non-Preferred Brand Drugs: $83.00 Specialty Tier: 25% | 3,494 Browse Formulary | ||
United American - Select (PDP) - S5755-084 Benefit Details |
$35.30 | $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: $38.00 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 | ||||||
Advantage Plus - Meridian (PDP) - S3618-001 Benefit Details |
$36.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | cost-sharing data not available. | tbd Browse Formulary | ||
new | new | new | ||||||
First Health Part D Premier (PDP) - S5768-016 Benefit Details |
$36.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic Drugs: $3.00 Preferred Brand Drugs: 25% Non-Preferred Brand Drugs: 46% | 3,113 Browse Formulary | ||
Reader's Digest Value Rx (PDP) - S0128-014 Benefit Details |
$36.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-preferred Generic: $2.50 Preferred Brand: $36.00 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 | ||||||
HealthSpring Prescription Drug Plan-Reg 13 (PDP) - S5932-012 Benefit Details |
$36.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Forumlary Drugs: 25% | 3,027 Browse Formulary | ||
AARP MedicareRx Preferred (PDP) - S5820-012 Benefit Details |
$38.20 | $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 | ||
Humana Enhanced (PDP) - S5884-071 Benefit Details |
$41.80 | $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 | ||
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 - Value (PDP) - S5660-115 Benefit Details |
$42.80 | $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: 48% Specialty Tier Drugs: 25% | 3,381 Browse Formulary | ||
United American - Enhanced (PDP) - S5755-016 Benefit Details |
$47.80 | $130 | 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 | ||
Alliance Medicare RX (PDP) - S3440-001 Benefit Details |
$49.00 | $175 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Brand: 28% Specialty Tier: 28% | 3,343 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Prescription Blue Option A (PDP) - S5584-001 Benefit Details |
$54.30 | $125 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $4.00 Non-Preferred Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,883 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-119 Benefit Details |
$56.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: $85.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,838 Browse Formulary | ||
Alliance Medicare RX (PDP) - S3440-004 Benefit Details |
$67.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: 33% Specialty Tier: 33% | 3,343 Browse Formulary | ||
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