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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Blue Rx Plus (PDP) - S5593-002 Benefit Details |
$61.40 | $250 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $4.00 Non-Preferred Generic: $12.00 Preferred Brand: 25% Non-Preferred Brand: 48% | 4,362 Browse Formulary | ||
Blue Rx Complete (PDP) - S5593-003 Benefit Details |
$113.20 | $0 | Many Generics | No | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% : tbd | 5,246 Browse Formulary | ||
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