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) - S5884-165 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) - S5967-156 Benefit Details |
$14.20 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $13.00 Preferred Brand: $39.00 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 | ||||||
Humana Preferred Rx Plan (PDP) - S5884-141 Benefit Details |
$22.80 | $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: | ||||||||
AARP MedicareRx Saver Plus (PDP) - S5921-364 Benefit Details |
$24.30 | $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: $35.00 Specialty Tier: 25% | 3,354 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Cigna Medicare Rx Secure (PDP) - S5617-225 Benefit Details |
$28.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $32.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | 3,575 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 | ||||||
Windsor Rx (PDP) - S2505-003 Benefit Details |
$28.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $3.00 Non-Preferred Generic: $9.00 Preferred Brand: $43.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% | 2,996 Browse Formulary | ||
Cigna-HealthSpring Rx -Reg 19 (PDP) - S5932-018 Benefit Details |
$28.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | On Formulary: 25% | 3,079 Browse Formulary | ||
Express Scripts Medicare - Value (PDP) - S5660-121 Benefit Details |
$29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 25% | 3,359 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 Basic (PDP) - S5601-038 Benefit Details |
$29.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: 21% Non-Preferred Brand: 45% Specialty Tier: 25% | 3,073 Browse Formulary | ||
Symphonix Value Rx (PDP) - S0522-038 Benefit Details |
$30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $13.00 Preferred Brand: $42.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
new | new | new | ||||||
United American - Select (PDP) - S5755-022 Benefit Details |
$30.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,384 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) - S0128-020 Benefit Details |
$31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 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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Aetna Medicare Rx Essentials (PDP) - S5810-053 Benefit Details |
$31.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $3.00 Preferred Brand: $42.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $1.00 | 3,136 Browse Formulary | ||
SmartD Rx Saver (PDP) - S0064-019 Sanctioned Plan |
$31.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | cost-sharing data not available. | tbd 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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-019 Benefit Details |
$32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $5.00 Non-Preferred Generic: 25% Preferred Brand: $45.00 Non-Preferred Brand: 45% Specialty Tier: 25% Select Care Drugs: $10.00 | 2,801 Browse Formulary | ||
SilverScript Choice (PDP) - S5601-128 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 | ||
MedicareRx Rewards Standard (PDP) - S5960-125 Benefit Details |
$37.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: $34.00 Non-Preferred Brand: $87.00 Injectable Drugs: 25% 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 | ||||||
First Health Part D Value Plus (PDP) - S5768-142 Benefit Details |
$40.70 | $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: | ||||||||
Transamerica MedicareRx Classic (PDP) - S9579-018 Benefit Details |
$42.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $8.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,182 Browse Formulary | ||
AR Blue Cross - Medi-Pak Rx Basic (PDP) - S5795-003 Benefit Details |
$43.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $4.00 Non-Preferred Generic: $15.00 Preferred Brand: 22% Non-Preferred Brand: 41% Specialty Tier: 25% | 2,990 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 Preferred (PDP) - S5820-018 Benefit Details |
$44.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 3,873 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Humana Enhanced (PDP) - S5884-077 Benefit Details |
$45.90 | $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 - Choice (PDP) - S5660-212 Benefit Details |
$49.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $9.00 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 | ||||||
First Health Part D Essentials (PDP) - S5768-043 Benefit Details |
$51.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Preferred Brand: 15% Non-Preferred Brand: 47% | 3,105 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Transamerica MedicareRx Choice (PDP) - S9579-051 Benefit Details |
$52.20 | $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 | ||
WellCare Extra (PDP) - S5967-190 Benefit Details |
$54.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | ||||||
United American - Enhanced (PDP) - S5755-106 Benefit Details |
$65.90 | $0 | 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: | ||||||||
SmartD Rx Plus (PDP) - S0064-054 Sanctioned Plan |
$66.30 | $0 | Call Plan for details | No | cost-sharing data not available. | tbd Browse Formulary | ||
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Cigna Medicare Rx Secure-Xtra (PDP) - S5617-264 Benefit Details |
$69.70 | $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: | ||||||||
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) - S5670-102 Benefit Details |
$104.60 | $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 | ||
SilverScript Plus (PDP) - S5601-107 Benefit Details |
$108.80 | $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 | ||
Cigna Medicare Rx Secure-Max (PDP) - S5617-189 Benefit Details |
$114.60 | $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: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Premier (PDP) - S5810-189 Benefit Details |
$114.70 | $0 | Few Generics | No | Generic: $6.00 Preferred Brand: 23% Non-Preferred Brand: 45% Specialty Tier: 33% Select Care Drugs: $1.00 | 3,255 Browse Formulary | ||
AR Blue Cross - Medi-Pak Rx Premier (PDP) - S5795-002 Benefit Details |
$119.20 | $0 | Many Generics | No | Preferred Generic: $3.00 Non-Preferred Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% | 3,783 Browse Formulary | ||
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