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) - S5884-176 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) - S5967-167 Benefit Details ![]() ![]() ![]() ![]() |
$21.90 | $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 | ||
![]() |
![]() |
![]() |
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 Preferred Rx Plan (PDP) - S5884-113 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:
![]() | |||||
AARP MedicareRx Saver Plus (PDP) - S5921-374 Benefit Details ![]() ![]() ![]() ![]() |
$29.50 | $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:
![]() | |||||
SilverScript Basic (PDP) - S5601-060 Benefit Details ![]() ![]() ![]() ![]() |
$31.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 42% Specialty Tier: 25% | 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 | ||||||
Symphonix Rite Aid Value Rx (PDP) - S0522-030 Benefit Details ![]() ![]() ![]() ![]() |
$32.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $10.00 Preferred Brand: $36.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
new | new | new | Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
Cigna-HealthSpring Rx -Reg 30 (PDP) - S5932-029 Benefit Details ![]() ![]() ![]() ![]() |
$33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | On Formulary: 25% | 3,079 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
SilverScript Choice (PDP) - S5601-139 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 | ||||||
HealthMarkets Value Rx (PDP) - S0128-031 Benefit Details ![]() ![]() ![]() ![]() |
$33.90 | $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 | ||
![]() |
-- | -- | Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
Windsor Rx (PDP) - S4802-020 Benefit Details ![]() ![]() ![]() ![]() |
$34.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $3.00 Non-Preferred Generic: $10.00 Preferred Brand: $43.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% | 2,996 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
United American - Select (PDP) - S5755-101 Benefit Details ![]() ![]() ![]() ![]() |
$34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $33.00 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 Medicare Rx Essentials (PDP) - S5810-064 Benefit Details ![]() ![]() ![]() ![]() |
$35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $3.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $1.00 | 3,136 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
SmartD Rx Saver (PDP) - S0064-030 Sanctioned Plan ![]() ![]() ![]() ![]() |
$35.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | cost-sharing data not available. | tbd Browse Formulary | ||
-- | -- | -- | ||||||
EnvisionRxPlus Silver (PDP) - S7694-030 Benefit Details ![]() ![]() ![]() ![]() |
$35.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 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 | ||||||
Humana Enhanced (PDP) - S5884-028 Benefit Details ![]() ![]() ![]() ![]() |
$43.10 | $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 Classic (PDP) - S9579-029 Benefit Details ![]() ![]() ![]() ![]() |
$45.10 | $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 | ||
![]() |
![]() |
![]() |
||||||
First Health Part D Value Plus (PDP) - S5768-153 Benefit Details ![]() ![]() ![]() ![]() |
$47.60 | $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 | ||||||
AARP MedicareRx Preferred (PDP) - S5820-029 Benefit Details ![]() ![]() ![]() ![]() |
$47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 3,873 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
MedicareRx Rewards Standard (PDP) - S5960-136 Benefit Details ![]() ![]() ![]() ![]() |
$49.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: $37.00 Non-Preferred Brand: $90.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,578 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
Express Scripts Medicare - Choice (PDP) - S5660-215 Benefit Details ![]() ![]() ![]() ![]() |
$49.50 | $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 | ||||||
Cigna Medicare Rx Secure (PDP) - S5617-148 Benefit Details ![]() ![]() ![]() ![]() |
$50.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty Tier: 25% | 3,575 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
First Health Part D Essentials (PDP) - S5768-123 Benefit Details ![]() ![]() ![]() ![]() |
$52.70 | $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:
![]() | |||||
Transamerica MedicareRx Choice (PDP) - S9579-062 Benefit Details ![]() ![]() ![]() ![]() |
$54.30 | $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 | ||
![]() |
![]() |
![]() |
||||||
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) - S5660-132 Benefit Details ![]() ![]() ![]() ![]() |
$55.40 | $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 | ||
![]() |
![]() |
![]() |
||||||
WellCare Extra (PDP) - S5967-201 Benefit Details ![]() ![]() ![]() ![]() |
$57.70 | $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 | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
Cigna Medicare Rx Secure-Xtra (PDP) - S5617-275 Benefit Details ![]() ![]() ![]() ![]() |
$65.20 | $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:
![]() | |||||
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) - S5755-033 Benefit Details ![]() ![]() ![]() ![]() |
$67.40 | $50 | 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:
![]() | |||||
SmartD Rx Plus (PDP) - S0064-065 Sanctioned Plan ![]() ![]() ![]() ![]() |
$68.90 | $0 | Call Plan for details | No | cost-sharing data not available. | tbd Browse Formulary | ||
-- | -- | -- | ||||||
Asuris Medicare Script Basic (PDP) - S5609-001 Benefit Details ![]() ![]() ![]() ![]() |
$88.50 | $200 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 27% | 3,514 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) - S5921-023 Benefit Details ![]() ![]() ![]() ![]() |
$105.30 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $4.00 Preferred Brand: $27.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | 5,084 Browse Formulary | ||
![]() |
![]() |
![]() |
Higher cost-sharing at standard network pharmacies Details:
![]() | |||||
First Health Part D Premier Plus (PDP) - S5674-047 Benefit Details ![]() ![]() ![]() ![]() |
$107.10 | $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 | ||
![]() |
![]() |
![]() |
||||||
SilverScript Plus (PDP) - S5601-061 Benefit Details ![]() ![]() ![]() ![]() |
$123.50 | $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 | ||
![]() |
![]() |
![]() |
||||||
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-Max (PDP) - S5617-241 Benefit Details ![]() ![]() ![]() ![]() |
$125.60 | $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:
![]() | |||||
Aetna Medicare Rx Premier (PDP) - S5810-200 Benefit Details ![]() ![]() ![]() ![]() |
$133.60 | $0 | Few Generics | No | Generic: $6.00 Preferred Brand: 24% Non-Preferred Brand: 44% Specialty Tier: 33% Select Care Drugs: $1.00 | 3,255 Browse Formulary | ||
![]() |
![]() |
![]() |
||||||
Asuris Medicare Script Enhanced (PDP) - S5609-002 Benefit Details ![]() ![]() ![]() ![]() |
$143.00 | $0 | Many Generics | No | Preferred Generic: $5.00 Non-Preferred Generic: $33.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 3,514 Browse Formulary | ||
![]() |
![]() |
![]() |
|