2014 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 Walmart Rx Plan (PDP) - S5884-172 Benefit Details |
$12.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 39% Specialty Tier: 25% | 3,310 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
WellCare Classic (PDP) - S5967-163 Benefit Details |
$12.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Blue Cross MedicareRx Basic (PDP) - S5715-013 Benefit Details |
$14.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $1.00 Preferred Brand: $39.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 2,362 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
SilverScript Basic (PDP) - S5601-052 Benefit Details |
$15.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 45% Specialty Tier: 25% | 3,073 Browse Formulary | ||
AARP MedicareRx Saver Plus (PDP) - S5921-371 Benefit Details |
$19.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $20.00 Non-Preferred Brand: $40.00 Specialty Tier: 25% | 3,354 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
HealthMarkets Value Rx (PDP) - S0128-027 Benefit Details |
$20.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $2.00 Preferred Brand: 25% Non-Preferred Brand: 40% Specialty Tier: 25% | 3,098 Browse Formulary | ||
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Humana Preferred Rx Plan (PDP) - S5884-110 Benefit Details |
$20.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,183 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
First Health Part D Essentials (PDP) - S5768-048 Benefit Details |
$21.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Preferred Brand: 15% Non-Preferred Brand: 40% | 3,105 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
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) - S7694-026 Benefit Details |
$21.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $10.00 Non-Preferred Generic: 25% Preferred Brand: $45.00 Non-Preferred Brand: 45% Specialty Tier: 25% Select Care Drugs: $10.00 | 2,801 Browse Formulary | ||
SmartD Rx Saver (PDP) - S0064-026 Sanctioned Plan |
$22.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | cost-sharing data not available. | tbd Browse Formulary | ||
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MedicareRx Rewards Standard (PDP) - S5960-132 Benefit Details |
$24.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: $35.00 Non-Preferred Brand: $89.00 Injectable Drugs: $95.00 Specialty Tier: 25% | 2,578 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
United American - Select (PDP) - S5755-097 Benefit Details |
$29.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $37.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,384 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Symphonix Value Rx (PDP) - S0522-043 Benefit Details |
$31.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
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Blue Cross MedicareRx Value (PDP) - S5715-003 Benefit Details |
$33.60 | $200 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $2.00 Preferred Brand: $39.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 2,990 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SilverScript Choice (PDP) - S5601-135 Benefit Details |
$33.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $0.00 Preferred Brand: $24.00 Non-Preferred Brand: 35% Specialty Tier: 33% | 3,073 Browse Formulary | ||
Cigna Medicare Rx Secure (PDP) - S5617-128 Benefit Details |
$34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $9.00 Preferred Brand: $32.00 Non-Preferred Brand: $83.00 Specialty Tier: 25% | 3,575 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Cigna-HealthSpring Rx -Reg 26 (PDP) - S5932-025 Benefit Details |
$36.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | On Formulary: 25% | 3,079 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 Value Plus (PDP) - S5768-149 Benefit Details |
$36.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $3.00 Non-Preferred Generic: $11.00 Preferred Brand: $37.00 Non-Preferred Brand: $88.00 Specialty Tier: 33% | 3,129 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
AARP MedicareRx Preferred (PDP) - S5820-025 Benefit Details |
$37.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 3,873 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Transamerica MedicareRx Classic (PDP) - S9579-025 Benefit Details |
$42.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $9.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,182 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 Enhanced (PDP) - S5884-024 Benefit Details |
$44.00 | $0 | Few Brands | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $42.00 Non-Preferred Brand: $92.00 Specialty Tier: 33% | 3,891 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Express Scripts Medicare - Value (PDP) - S5660-128 Benefit Details |
$47.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $8.00 Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 25% | 3,359 Browse Formulary | ||
WellCare Extra (PDP) - S5967-197 Benefit Details |
$51.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $0.00 Preferred Brand: $38.00 Non-Preferred Brand: $83.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Transamerica MedicareRx Choice (PDP) - S9579-058 Benefit Details |
$54.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $20.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | 3,312 Browse Formulary | ||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-060 Benefit Details |
$55.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $1.00 | 3,136 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
United American - Enhanced (PDP) - S5755-029 Benefit Details |
$57.90 | $90 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $7.00 Preferred Brand: $37.00 Non-Preferred Brand: $95.00 Specialty Tier: 30% | 5,340 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Cigna Medicare Rx Secure-Xtra (PDP) - S5617-271 Benefit Details |
$63.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $38.00 Non-Preferred Brand: $87.00 Specialty Tier: 33% | 3,781 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
SmartD Rx Plus (PDP) - S0064-061 Sanctioned Plan |
$66.70 | $0 | Call Plan for details | No | cost-sharing data not available. | tbd Browse Formulary | ||
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Express Scripts Medicare - Choice (PDP) - S5660-196 Benefit Details |
$70.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 3,435 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus (PDP) - S5960-157 Benefit Details |
$84.30 | $0 | Some Generics | No | Preferred Generic: $1.00 Non-Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Injectable Drugs: 33% Specialty Tier: 33% | 2,966 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Blue Cross MedicareRx Plus (PDP) - S5715-004 Benefit Details |
$97.40 | $0 | Many Generics, Some Brands | No | Preferred Generic: $0.00 Non-Preferred Generic: $2.00 Preferred Brand: $33.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | 2,990 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
First Health Part D Premier Plus (PDP) - S5674-041 Benefit Details |
$97.80 | $0 | Some Generics, Some Brands | No | Preferred Generic: $1.00 Non-Preferred Generic: $25.00 Preferred Brand: 25% Non-Preferred Brand: 43% Specialty Tier: 33% | 3,238 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Enhanced (PDP) - S5921-263 Benefit Details |
$99.40 | $0 | Some Generics, Some Brands | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | 5,084 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
SilverScript Plus (PDP) - S5601-053 Benefit Details |
$102.70 | $0 | Many Generics, Some Brands | No | Generic: $0.00 Preferred Brand: $17.00 Non-Preferred Brand: $41.00 Specialty Tier: 33% | 3,073 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-241 Benefit Details |
$114.20 | $0 | Few Generics | No | Generic: $6.00 Preferred Brand: 25% Non-Preferred Brand: 45% Specialty Tier: 33% Select Care Drugs: $1.00 | 3,255 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Cigna Medicare Rx Secure-Max (PDP) - S5617-238 Benefit Details |
$125.40 | $0 | Many Generics, Some Brands | No | Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $25.00 Non-Preferred Brand: $74.00 Specialty Tier: 33% | 3,925 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: |
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