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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WellCare Classic (PDP) - S5967-142 Benefit Details |
$21.90 | $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 Choice (PDP) - S5601-114 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 | ||
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) - S5768-128 Benefit Details |
$39.00 | $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) - S5820-004 Benefit Details |
$39.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $3.00 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: | ||||||||
Express Scripts Medicare - Choice (PDP) - S5660-208 Benefit Details |
$49.60 | $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: | ||||||||
Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Extra (PDP) - S5967-177 Benefit Details |
$50.40 | $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: | ||||||||
Transamerica MedicareRx Choice (PDP) - S9579-037 Benefit Details |
$51.10 | $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 | ||
Humana Enhanced (PDP) - S5884-004 Benefit Details |
$51.80 | $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: | ||||||||
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) - S5617-250 Benefit Details |
$56.30 | $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) - S0064-040 Sanctioned Plan |
$61.40 | $0 | Call Plan for details | No | cost-sharing data not available. | tbd Browse Formulary | ||
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First Health Part D Premier Plus (PDP) - S5670-030 Benefit Details |
$95.90 | $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) - S5921-239 Benefit Details |
$97.30 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $55.00 Specialty Tier: 33% | 5,084 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Cigna Medicare Rx Secure-Max (PDP) - S5617-231 Benefit Details |
$109.00 | $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: | ||||||||
SilverScript Plus (PDP) - S5601-011 Benefit Details |
$117.70 | $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 | ||
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) - S5810-175 Benefit Details |
$121.40 | $0 | Few Generics | No | Generic: $4.00 Preferred Brand: 25% Non-Preferred Brand: 44% Specialty Tier: 33% Select Care Drugs: $1.00 | 3,255 Browse Formulary | ||
First State Complete (PDP) - S5593-008 Benefit Details |
$130.80 | $0 | Many Generics | No | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% : tbd | 5,423 Browse Formulary | ||
BlueRx Enhanced (PDP) - S5766-003 Benefit Details |
$170.50 | $0 | Many Generics | No | Preferred Generic: $3.00 Non-Preferred Generic: $10.00 Preferred Brand: 15% Non-Preferred Brand: 30% Specialty Tier: 33% | 5,367 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: |
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