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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MediMax Elite (PDP) - S0043-013 Benefit Details |
$63.30 | $0 | Many Generics | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $25.00 Non-Preferred Brand: $50.00 Specialty Tier: 30% | 3,097 Browse Formulary | ||
Express Scripts Medicare - Choice (PDP) - S5660-205 Benefit Details |
$74.60 | $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 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Triple-S FarmaMed Plus (PDP) - S5907-002 Benefit Details |
$79.60 | $0 | Many Generics | No | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: 25% Specialty Tier: 25% | 3,492 Browse Formulary | ||
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