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 Complete (PDP) - S5884-051 Benefit Details |
$118.60 | $0 | Some Generics, Some Brands | No | Preferred Generic: $5.00 Preferred Brand: $36.00 Non-Preferred Brand: $69.00 Specialty: 33% | 3,937 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-193 Benefit Details |
$113.70 | $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 | ||
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) - S5601-109 Sanctioned Plan |
$107.30 | $0 | Many Generics, Some Brands | No | Generics: $0.00 Preferred Brands: $34.00 Non-Preferred Brand Drugs: 35% Specialty: 33% | 2,875 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-235 Benefit Details |
$104.60 | $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 | ||
First Health Part D Premier Plus (PDP) - S5670-126 Benefit Details |
$102.50 | $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: 43% Specialty Drugs: 33% | 3,173 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Plus (PDP) - S5715-011 Benefit Details |
$96.60 | $0 | All Generics | No | Preferred Generic: $3.00 Non-Preferred Generic: $10.00 Preferred Brand: $38.00 Non-Preferred Brand: $86.00 Specialty Tier: 33% | 2,905 Browse Formulary | ||
SmartD Rx Plus (PDP) - S0064-058 Sanctioned Plan |
$76.00 | $0 | Some Generics | No | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $35.00 Non-preferred Brands: $85.00 Specialty: 25% | 3,178 Browse Formulary | ||
new | new | new | ||||||
United American - Enhanced (PDP) - S5755-026 Benefit Details |
$63.40 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Standard (PDP) - S5960-129 Benefit Details |
$56.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $34.00 Non-Preferred Brand: $85.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,838 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-093 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 | ||
Blue MedicareRx Value (PDP) - S5715-010 Benefit Details |
$44.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $3.00 Non-Preferred Generic: $10.00 Preferred Brand: $38.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,905 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 Extra (PDP) - S5967-194 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 | ||
AARP MedicareRx Preferred (PDP) - S5820-022 Benefit Details |
$43.80 | $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) - S5884-021 Benefit Details |
$42.90 | $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 | ||
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 23 (PDP) - S5932-022 Benefit Details |
$36.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | Forumlary Drugs: 25% | 3,027 Browse Formulary | ||
Express Scripts Medicare - Value (PDP) - S5660-125 Benefit Details |
$36.00 | $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: 45% Specialty Tier Drugs: 25% | 3,381 Browse Formulary | ||
WellCare Classic (PDP) - S5967-160 Benefit Details |
$35.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $5.00 Preferred Brand: $42.00 Non-Preferred Brand: $94.00 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 | ||||||
Destiny Health MedSaver Part D Plan (PDP) - S2978-009 Benefit Details |
$35.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | cost-sharing data not available. | tbd Browse Formulary | ||
new | new | new | ||||||
Reader's Digest Value Rx (PDP) - S0128-024 Benefit Details |
$34.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-preferred Generic: $2.50 Preferred Brand: $35.00 Non-preferred Brand: 27% | 3,112 Browse Formulary | ||
new | new | new | ||||||
Cigna Medicare Rx Plan One (PDP) - S5617-113 Benefit Details |
$34.00 | $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: $25.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier: 25% | 3,494 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) - S5768-160 Benefit Details |
$33.80 | $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 | ||
First Health Part D Value Plus (PDP) - S5768-146 Benefit Details |
$33.80 | $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 | ||
United American - Select (PDP) - S5755-094 Benefit Details |
$33.40 | $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: $35.00 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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-023 Benefit Details |
$33.00 | $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) - S5601-046 Sanctioned Plan |
$32.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generics: $2.00 Preferred Brands: 25% Non-Preferred Brand Drugs: 46% Specialty: 33% | 2,875 Browse Formulary | ||
SmartD Rx Saver (PDP) - S0064-023 Sanctioned Plan |
$32.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generics: $0.00 Non-preferred Generics: $20.00 Preferred Brands: $35.00 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 | ||||||
Windsor Rx (PDP) - S4802-014 Benefit Details |
$31.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 25% | 2,598 Browse Formulary | ||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-057 Benefit Details |
$31.30 | $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: 40% Specialty: 25% | 3,300 Browse Formulary | ||
SilverScript Choice (PDP) - S5601-132 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 | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Walmart-Preferred Rx Plan (PDP) - S5884-144 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 | ||
AARP MedicareRx Saver Plus (PDP) - S5921-368 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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