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) - S5884-156 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) - S5967-147 Benefit Details |
$18.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $11.00 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 | ||||||
AARP MedicareRx Saver Plus (PDP) - S5921-355 Benefit Details |
$19.00 | $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: | ||||||||
Humana Preferred Rx Plan (PDP) - S5884-135 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: | ||||||||
Blue MedicareRx Standard (PDP) - S5596-009 Benefit Details |
$23.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $37.00 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 | ||||||
SilverScript Basic (PDP) - S5601-020 Benefit Details |
$29.60 | $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 | ||
Cigna Medicare Rx Secure (PDP) - S5617-219 Benefit Details |
$30.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $31.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,575 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Express Scripts Medicare - Value (PDP) - S5660-112 Benefit Details |
$30.20 | $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 | ||||||
HealthMarkets Value Rx (PDP) - S0128-011 Benefit Details |
$30.80 | $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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Symphonix Rite Aid Value Rx (PDP) - S0522-014 Benefit Details |
$31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
new | new | new | Higher cost-sharing at standard network pharmacies Details: | |||||
United American - Select (PDP) - S5755-081 Benefit Details |
$31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $28.00 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 | ||||||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-044 Benefit Details |
$32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Generic: $2.00 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: | ||||||||
SmartD Rx Saver (PDP) - S0064-010 Sanctioned Plan |
$32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | cost-sharing data not available. | tbd Browse Formulary | ||
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EnvisionRxPlus Silver (PDP) - S7694-010 Benefit Details |
$33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $6.00 Non-Preferred Generic: 25% Preferred Brand: $45.00 Non-Preferred Brand: 45% Specialty Tier: 25% Select Care Drugs: $10.00 | 2,801 Browse Formulary | ||
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 10 (PDP) - S5932-010 Benefit Details |
$33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | On Formulary: 25% | 3,079 Browse Formulary | ||
SilverScript Choice (PDP) - S5601-119 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 | ||
First Health Part D Value Plus (PDP) - S5768-133 Benefit Details |
$43.10 | $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 | ||||||
Transamerica MedicareRx Classic (PDP) - S9579-009 Benefit Details |
$43.50 | $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 | ||
AARP MedicareRx Preferred (PDP) - S5820-009 Benefit Details |
$45.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $3.00 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: | ||||||||
First Health Part D Essentials (PDP) - S5768-040 Benefit Details |
$49.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Preferred Brand: 15% Non-Preferred Brand: 45% | 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 | ||||||
Humana Enhanced (PDP) - S5884-009 Benefit Details |
$50.70 | $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: | ||||||||
Transamerica MedicareRx Choice (PDP) - S9579-042 Benefit Details |
$53.40 | $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) - S5967-182 Benefit Details |
$55.40 | $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: $60.00 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 | ||||||
Cigna Medicare Rx Secure-Xtra (PDP) - S5617-255 Benefit Details |
$64.30 | $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) - S0064-045 Sanctioned Plan |
$64.70 | $0 | Call Plan for details | No | cost-sharing data not available. | tbd Browse Formulary | ||
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United American - Enhanced (PDP) - S5755-013 Benefit Details |
$68.30 | $60 | 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 | ||||||
Blue MedicareRx Plus (PDP) - S5596-010 Benefit Details |
$72.70 | $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: | ||||||||
Express Scripts Medicare - Choice (PDP) - S5660-180 Benefit Details |
$75.80 | $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: | ||||||||
AARP MedicareRx Enhanced (PDP) - S5921-133 Benefit Details |
$98.20 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | 5,084 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) - S5670-060 Benefit Details |
$100.50 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $1.00 Non-Preferred Generic: $25.00 Preferred Brand: 25% Non-Preferred Brand: 44% Specialty Tier: 33% | 3,238 Browse Formulary | ||
Blue MedicareRx Premier (PDP) - S5596-011 Benefit Details |
$102.00 | $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: | ||||||||
Cigna Medicare Rx Secure-Max (PDP) - S5617-232 Benefit Details |
$116.50 | $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 | ||||||
SilverScript Plus (PDP) - S5601-021 Benefit Details |
$116.50 | $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) - S5810-180 Benefit Details |
$121.00 | $0 | Few Generics | No | Generic: $5.00 Preferred Brand: 25% Non-Preferred Brand: 45% Specialty Tier: 33% Select Care Drugs: $2.00 | 3,255 Browse Formulary | ||
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