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) - S5884-166 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 | ||
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WellCare Classic (PDP) - S5967-157 Benefit Details ![]() ![]() ![]() ![]() |
$17.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 2,986 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 | ||||||
Humana Preferred Rx Plan (PDP) - S5884-142 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 | ||
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AARP MedicareRx Saver Plus (PDP) - S5921-365 Benefit Details ![]() ![]() ![]() ![]() |
$23.30 | $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 | ||
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Cigna Medicare Rx Secure (PDP) - S5617-226 Benefit Details ![]() ![]() ![]() ![]() |
$27.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty Tier: 25% | 3,575 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 | ||||||
Windsor Rx (PDP) - S2505-005 Benefit Details ![]() ![]() ![]() ![]() |
$29.00 | $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 | ||
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Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-054 Benefit Details ![]() ![]() ![]() ![]() |
$29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $1.00 | 3,136 Browse Formulary | ||
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SmartD Rx Saver (PDP) - S0064-020 Sanctioned Plan ![]() ![]() ![]() ![]() |
$29.40 | $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 | ||||||
Symphonix Rite Aid Value Rx (PDP) - S0522-024 Benefit Details ![]() ![]() ![]() ![]() |
$29.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $10.00 Preferred Brand: $30.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
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HealthMarkets Value Rx (PDP) - S0128-021 Benefit Details ![]() ![]() ![]() ![]() |
$29.80 | $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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United American - Select (PDP) - S5755-091 Benefit Details ![]() ![]() ![]() ![]() |
$29.90 | $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 | ||
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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 | ||||||
Cigna-HealthSpring Rx -Reg 20 (PDP) - S5932-019 Benefit Details ![]() ![]() ![]() ![]() |
$30.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | On Formulary: 25% | 3,079 Browse Formulary | ||
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SilverScript Basic (PDP) - S5601-040 Benefit Details ![]() ![]() ![]() ![]() |
$30.40 | $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 | ||
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EnvisionRxPlus Silver (PDP) - S7694-020 Benefit Details ![]() ![]() ![]() ![]() |
$32.40 | $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 | ||
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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 | ||||||
SilverScript Choice (PDP) - S5601-129 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 | ||
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MedicareRx Rewards Standard (PDP) - S5960-126 Benefit Details ![]() ![]() ![]() ![]() |
$40.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: $38.00 Non-Preferred Brand: $87.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,578 Browse Formulary | ||
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AARP MedicareRx Preferred (PDP) - S5820-019 Benefit Details ![]() ![]() ![]() ![]() |
$41.10 | $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 | ||
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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 | ||||||
Express Scripts Medicare - Value (PDP) - S5660-122 Benefit Details ![]() ![]() ![]() ![]() |
$41.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 25% | 3,359 Browse Formulary | ||
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Transamerica MedicareRx Classic (PDP) - S9579-019 Benefit Details ![]() ![]() ![]() ![]() |
$46.10 | $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 | ||
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First Health Part D Value Plus (PDP) - S5768-143 Benefit Details ![]() ![]() ![]() ![]() |
$46.70 | $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 | ||
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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 | ||||||
Humana Enhanced (PDP) - S5884-078 Benefit Details ![]() ![]() ![]() ![]() |
$53.90 | $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 | ||
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WellCare Extra (PDP) - S5967-191 Benefit Details ![]() ![]() ![]() ![]() |
$54.80 | $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: $60.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
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Transamerica MedicareRx Choice (PDP) - S9579-052 Benefit Details ![]() ![]() ![]() ![]() |
$56.20 | $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 | ||
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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 | ||||||
First Health Part D Essentials (PDP) - S5768-158 Benefit Details ![]() ![]() ![]() ![]() |
$58.80 | $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 | ||
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Cigna Medicare Rx Secure-Xtra (PDP) - S5617-265 Benefit Details ![]() ![]() ![]() ![]() |
$68.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $84.00 Specialty Tier: 33% | 3,781 Browse Formulary | ||
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SmartD Rx Plus (PDP) - S0064-055 Sanctioned Plan ![]() ![]() ![]() ![]() |
$68.70 | $0 | Call Plan for details | No | 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 | ||||||
United American - Enhanced (PDP) - S5755-023 Benefit Details ![]() ![]() ![]() ![]() |
$69.70 | $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 | ||
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Express Scripts Medicare - Choice (PDP) - S5660-190 Benefit Details ![]() ![]() ![]() ![]() |
$79.50 | $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 | ||
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AARP MedicareRx Enhanced (PDP) - S5921-323 Benefit Details ![]() ![]() ![]() ![]() |
$97.20 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $50.00 Specialty Tier: 33% | 5,084 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 | ||||||
First Health Part D Premier Plus (PDP) - S5670-108 Benefit Details ![]() ![]() ![]() ![]() |
$107.00 | $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 | ||
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SilverScript Plus (PDP) - S5601-041 Benefit Details ![]() ![]() ![]() ![]() |
$115.80 | $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 | ||
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Cigna Medicare Rx Secure-Max (PDP) - S5617-234 Benefit Details ![]() ![]() ![]() ![]() |
$126.20 | $0 | Many Generics, Some Brands |
No | Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $22.00 Non-Preferred Brand: $71.00 Specialty Tier: 33% | 3,925 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 | ||||||
Aetna Medicare Rx Premier (PDP) - S5810-190 Benefit Details ![]() ![]() ![]() ![]() |
$127.90 | $0 | Few Generics | No | Generic: $5.00 Preferred Brand: 25% Non-Preferred Brand: 44% Specialty Tier: 33% Select Care Drugs: $1.00 | 3,255 Browse Formulary | ||
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