2014 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
Humana Walmart Rx Plan (PDP) - S5884-173 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:
![]() | |||||
Humana Preferred Rx Plan (PDP) - S5884-111 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:
![]() | |||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic (PDP) - S5967-164 Benefit Details ![]() ![]() ![]() ![]() |
$24.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $16.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
SilverScript Basic (PDP) - S5601-054 Benefit Details ![]() ![]() ![]() ![]() |
$25.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 44% Specialty Tier: 25% | 3,073 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
AARP MedicareRx Saver Plus (PDP) - S5921-372 Benefit Details ![]() ![]() ![]() ![]() |
$26.40 | $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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-027 Benefit Details ![]() ![]() ![]() ![]() |
$26.50 | $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) - S0064-027 Sanctioned Plan ![]() ![]() ![]() ![]() |
$30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | cost-sharing data not available. | tbd Browse Formulary | ||
-- | -- | -- | ||||||
Symphonix Rite Aid Value Rx (PDP) - S0522-028 Benefit Details ![]() ![]() ![]() ![]() |
$32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $10.00 Preferred Brand: $29.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
new | new | new | 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 MedicareRx Standard (PDP) - S5596-059 Benefit Details ![]() ![]() ![]() ![]() |
$33.20 | $310 | 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: $88.00 Injectable Drugs: $95.00 Specialty Tier: 25% | 2,578 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
SilverScript Choice (PDP) - S5601-136 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 | ||
![]() |
![]() |
![]() |
||||||
HealthMarkets Value Rx (PDP) - S0128-028 Benefit Details ![]() ![]() ![]() ![]() |
$37.20 | $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 | ||
![]() |
-- | -- | 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-HealthSpring Rx -Reg 27 (PDP) - S5932-026 Benefit Details ![]() ![]() ![]() ![]() |
$45.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | On Formulary: 25% | 3,079 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Cigna Medicare Rx Secure (PDP) - S5617-133 Benefit Details ![]() ![]() ![]() ![]() |
$46.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $9.00 Preferred Brand: $36.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,575 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
Transamerica MedicareRx Classic (PDP) - S9579-026 Benefit Details ![]() ![]() ![]() ![]() |
$46.90 | $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 | ||
![]() |
![]() |
![]() |
||||||
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) - S5755-098 Benefit Details ![]() ![]() ![]() ![]() |
$47.50 | $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:
![]() | |||||
Humana Enhanced (PDP) - S5884-085 Benefit Details ![]() ![]() ![]() ![]() |
$51.30 | $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:
![]() | |||||
AARP MedicareRx Preferred (PDP) - S5820-026 Benefit Details ![]() ![]() ![]() ![]() |
$53.80 | $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:
![]() | |||||
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) - S9579-059 Benefit Details ![]() ![]() ![]() ![]() |
$56.80 | $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) - S5967-198 Benefit Details ![]() ![]() ![]() ![]() |
$56.90 | $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: $75.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
First Health Part D Value Plus (PDP) - S5768-150 Benefit Details ![]() ![]() ![]() ![]() |
$58.40 | $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:
![]() | |||||
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) - S5768-119 Benefit Details ![]() ![]() ![]() ![]() |
$58.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Preferred Brand: 15% Non-Preferred Brand: 42% | 3,105 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
Aetna Medicare Rx Essentials (PDP) - S5810-061 Benefit Details ![]() ![]() ![]() ![]() |
$60.20 | $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 | ||
![]() |
![]() |
![]() |
||||||
Express Scripts Medicare - Value (PDP) - S5660-129 Benefit Details ![]() ![]() ![]() ![]() |
$60.60 | $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 | ||
![]() |
![]() |
![]() |
||||||
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) - S5617-272 Benefit Details ![]() ![]() ![]() ![]() |
$62.20 | $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) - S0064-062 Sanctioned Plan ![]() ![]() ![]() ![]() |
$68.80 | $0 | Call Plan for details | No | cost-sharing data not available. | tbd Browse Formulary | ||
-- | -- | -- | ||||||
Blue MedicareRx Plus (PDP) - S5596-060 Benefit Details ![]() ![]() ![]() ![]() |
$69.60 | $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:
![]() | |||||
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) - S5755-030 Benefit Details ![]() ![]() ![]() ![]() |
$71.20 | $110 | 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:
![]() | |||||
Express Scripts Medicare - Choice (PDP) - S5660-197 Benefit Details ![]() ![]() ![]() ![]() |
$89.60 | $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:
![]() | |||||
Blue MedicareRx Premier (PDP) - S5596-061 Benefit Details ![]() ![]() ![]() ![]() |
$114.20 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $1.00 Non-Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Injectable Drugs: $95.00 Specialty Tier: 33% | 3,717 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) - S5670-138 Benefit Details ![]() ![]() ![]() ![]() |
$123.90 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $1.00 Non-Preferred Generic: $25.00 Preferred Brand: 25% Non-Preferred Brand: 41% Specialty Tier: 33% | 3,238 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
AARP MedicareRx Enhanced (PDP) - S5921-223 Benefit Details ![]() ![]() ![]() ![]() |
$127.50 | $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:
![]() | |||||
Cigna Medicare Rx Secure-Max (PDP) - S5617-239 Benefit Details ![]() ![]() ![]() ![]() |
$127.50 | $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) - S5810-197 Benefit Details ![]() ![]() ![]() ![]() |
$132.70 | $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 | ||
![]() |
![]() |
![]() |
||||||
SilverScript Plus (PDP) - S5601-055 Benefit Details ![]() ![]() ![]() ![]() |
$134.20 | $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 | ||
![]() |
![]() |
![]() |
|