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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WellCare Extra (PDP) - S5967-196 Benefit Details ![]() ![]() ![]() ![]() |
$44.10 | $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 | ||
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EnvisionRxPlus Gold (PDP) - S7694-095 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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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) - S0064-060 Sanctioned Plan ![]() ![]() ![]() ![]() |
$73.60 | $0 | Some Generics | No | Preferred Generics: $0.00 Non-preferred Generics: $15.00 Preferred Brands: $30.00 Non-preferred Brands: $80.00 Specialty: 25% | 3,178 Browse Formulary | ||
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Cigna Medicare Rx Plan Two (PDP) - S5617-195 Benefit Details ![]() ![]() ![]() ![]() |
$80.60 | $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 | ||
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AARP MedicareRx Enhanced (PDP) - S5921-249 Benefit Details ![]() ![]() ![]() ![]() |
$92.30 | $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) - S5674-035 Benefit Details ![]() ![]() ![]() ![]() |
$99.50 | $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: 41% Specialty Drugs: 33% | 3,173 Browse Formulary | ||
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Aetna Medicare Rx Premier (PDP) - S5810-195 Benefit Details ![]() ![]() ![]() ![]() |
$100.20 | $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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Express Scripts Medicare - Choice (PDP) - S5660-195 Benefit Details ![]() ![]() ![]() ![]() |
$102.70 | $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 | ||
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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 Plus (PDP) - S5601-051 Sanctioned Plan ![]() ![]() ![]() ![]() |
$106.90 | $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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![]() Benefit Details ![]() ![]() ![]() ![]() |
$107.00 | $0 | All Generics | No | Preferred Generic: $4.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: 48% | 2,905 Browse Formulary | ||
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Humana Complete (PDP) - S5884-053 Benefit Details ![]() ![]() ![]() ![]() |
$110.20 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $4.00 Preferred Brand: $39.00 Non-Preferred Brand: $72.00 Specialty: 33% | 3,937 Browse Formulary | ||
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