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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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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