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) - S5884-177 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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Humana Preferred Rx Plan (PDP) - S5884-147 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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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) - S5921-375 Benefit Details ![]() ![]() ![]() ![]() |
$28.00 | $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 | ||
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WellCare Classic (PDP) - S5967-168 Benefit Details ![]() ![]() ![]() ![]() |
$30.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $11.00 Preferred Brand: $39.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
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SilverScript Choice (PDP) - S5601-140 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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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) - S5660-133 Benefit Details ![]() ![]() ![]() ![]() |
$36.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $2.00 Non-Preferred Generic: $8.00 Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 25% | 3,359 Browse Formulary | ||
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Cigna-HealthSpring Rx -Reg 31 (PDP) - S5932-030 Benefit Details ![]() ![]() ![]() ![]() |
$36.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | On Formulary: 25% | 3,079 Browse Formulary | ||
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HealthMarkets Value Rx (PDP) - S0128-032 Benefit Details ![]() ![]() ![]() ![]() |
$38.00 | $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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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
United American - Select (PDP) - S5755-102 Benefit Details ![]() ![]() ![]() ![]() |
$38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,384 Browse Formulary | ||
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Symphonix Rite Aid Value Rx (PDP) - S0522-032 Benefit Details ![]() ![]() ![]() ![]() |
$38.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
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Windsor Rx (PDP) - S4802-021 Benefit Details ![]() ![]() ![]() ![]() |
$38.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $3.00 Non-Preferred Generic: $11.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,996 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 | ||||||
SmartD Rx Saver (PDP) - S0064-031 Sanctioned Plan ![]() ![]() ![]() ![]() |
$39.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | cost-sharing data not available. | tbd Browse Formulary | ||
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SilverScript Basic (PDP) - S5601-062 Benefit Details ![]() ![]() ![]() ![]() |
$39.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 40% Specialty Tier: 25% | 3,073 Browse Formulary | ||
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Aetna Medicare Rx Essentials (PDP) - S5810-065 Benefit Details ![]() ![]() ![]() ![]() |
$39.30 | $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 | ||
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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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-031 Benefit Details ![]() ![]() ![]() ![]() |
$40.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $9.00 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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Cigna Medicare Rx Secure (PDP) - S5617-153 Benefit Details ![]() ![]() ![]() ![]() |
$46.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $36.00 Non-Preferred Brand: $79.00 Specialty Tier: 25% | 3,575 Browse Formulary | ||
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Humana Enhanced (PDP) - S5884-089 Benefit Details ![]() ![]() ![]() ![]() |
$47.90 | $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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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) - S9579-030 Benefit Details ![]() ![]() ![]() ![]() |
$48.10 | $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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Express Scripts Medicare - Choice (PDP) - S5660-216 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 | ||
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First Health Part D Value Plus (PDP) - S5768-154 Benefit Details ![]() ![]() ![]() ![]() |
$51.90 | $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 | ||||||
AARP MedicareRx Preferred (PDP) - S5820-030 Benefit Details ![]() ![]() ![]() ![]() |
$53.60 | $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 | ||
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WellCare Extra (PDP) - S5967-202 Benefit Details ![]() ![]() ![]() ![]() |
$56.90 | $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: $58.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
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First Health Part D Essentials (PDP) - S5768-118 Benefit Details ![]() ![]() ![]() ![]() |
$57.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Preferred Brand: 15% Non-Preferred Brand: 44% | 3,105 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 | ||||||
Transamerica MedicareRx Choice (PDP) - S9579-063 Benefit Details ![]() ![]() ![]() ![]() |
$57.60 | $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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MedicareRx Rewards Standard (PDP) - S5960-137 Benefit Details ![]() ![]() ![]() ![]() |
$58.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: $35.00 Non-Preferred Brand: $85.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,578 Browse Formulary | ||
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SmartD Rx Plus (PDP) - S0064-066 Sanctioned Plan ![]() ![]() ![]() ![]() |
$71.10 | $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) - S5755-034 Benefit Details ![]() ![]() ![]() ![]() |
$72.30 | $80 | 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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Cigna Medicare Rx Secure-Xtra (PDP) - S5617-276 Benefit Details ![]() ![]() ![]() ![]() |
$73.50 | $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 | ||
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Regence Medicare Script Basic (PDP) - S5916-001 Benefit Details ![]() ![]() ![]() ![]() |
$84.50 | $145 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $10.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 29% | 3,514 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 | ||||||
Educators Rx Basic (PDP) - S5877-004 Benefit Details ![]() ![]() ![]() ![]() |
$90.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $2.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Specialty Tier: 25% | 3,266 Browse Formulary | ||
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First Health Part D Premier Plus (PDP) - S5674-053 Benefit Details ![]() ![]() ![]() ![]() |
$108.90 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $1.00 Non-Preferred Generic: $25.00 Preferred Brand: 25% Non-Preferred Brand: 40% Specialty Tier: 33% | 3,238 Browse Formulary | ||
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AARP MedicareRx Enhanced (PDP) - S5921-033 Benefit Details ![]() ![]() ![]() ![]() |
$110.00 | $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 | ||
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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 | ||||||
Educators Rx Advantage (PDP) - S5877-007 Benefit Details ![]() ![]() ![]() ![]() |
$121.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Generic: 10% Preferred Brand: 20% Non-Preferred Brand: 40% Specialty Tier: 33% | 5,340 Browse Formulary | ||
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SilverScript Plus (PDP) - S5601-063 Benefit Details ![]() ![]() ![]() ![]() |
$128.90 | $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) - S5617-242 Benefit Details ![]() ![]() ![]() ![]() |
$131.70 | $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 | ||
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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 | ||||||
Regence Medicare Script Enhanced (PDP) - S5916-002 Benefit Details ![]() ![]() ![]() ![]() |
$132.50 | $0 | Many Generics | No | Preferred Generic: $5.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 3,514 Browse Formulary | ||
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Aetna Medicare Rx Premier (PDP) - S5810-201 Benefit Details ![]() ![]() ![]() ![]() |
$138.80 | $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 | ||
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