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) - S5884-152 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) - S5884-104 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 | ||||||
WellCare Classic (PDP) - S5967-143 Benefit Details ![]() ![]() ![]() ![]() |
$23.10 | $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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AARP MedicareRx Saver Plus (PDP) - S5921-351 Benefit Details ![]() ![]() ![]() ![]() |
$25.50 | $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 | ||
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SilverScript Basic (PDP) - S5601-012 Benefit Details ![]() ![]() ![]() ![]() |
$30.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 43% Specialty Tier: 25% | 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) - S5660-108 Benefit Details ![]() ![]() ![]() ![]() |
$32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 25% | 3,359 Browse Formulary | ||
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Cigna Medicare Rx Secure (PDP) - S5617-215 Benefit Details ![]() ![]() ![]() ![]() |
$33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $29.00 Non-Preferred Brand: $63.00 Specialty Tier: 25% | 3,575 Browse Formulary | ||
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HealthMarkets Value Rx (PDP) - S0128-007 Benefit Details ![]() ![]() ![]() ![]() |
$33.30 | $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 | ||||||
Cigna-HealthSpring Rx -Reg 6 (PDP) - S5932-006 Benefit Details ![]() ![]() ![]() ![]() |
$33.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | On Formulary: 25% | 3,079 Browse Formulary | ||
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SilverScript Choice (PDP) - S5601-115 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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United American - Select (PDP) - S5755-077 Benefit Details ![]() ![]() ![]() ![]() |
$34.20 | $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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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SecureAdvantage Rx - Option 1 (PDP) - S9014-003 Benefit Details ![]() ![]() ![]() ![]() |
$35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,266 Browse Formulary | ||
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SmartD Rx Saver (PDP) - S0064-006 Sanctioned Plan ![]() ![]() ![]() ![]() |
$35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | cost-sharing data not available. | tbd Browse Formulary | ||
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Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-040 Benefit Details ![]() ![]() ![]() ![]() |
$35.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: $37.00 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) - S7694-006 Benefit Details ![]() ![]() ![]() ![]() |
$37.30 | $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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First Health Part D Value Plus (PDP) - S5768-129 Benefit Details ![]() ![]() ![]() ![]() |
$40.20 | $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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AARP MedicareRx Preferred (PDP) - S5820-005 Benefit Details ![]() ![]() ![]() ![]() |
$41.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 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 | ||||||
Transamerica MedicareRx Classic (PDP) - S9579-005 Benefit Details ![]() ![]() ![]() ![]() |
$45.20 | $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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Humana Enhanced (PDP) - S5884-005 Benefit Details ![]() ![]() ![]() ![]() |
$46.10 | $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 | ||
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MedicareRx Rewards Standard (PDP) - S5960-112 Benefit Details ![]() ![]() ![]() ![]() |
$48.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $38.00 Non-Preferred Brand: $86.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,578 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) - S5768-009 Benefit Details ![]() ![]() ![]() ![]() |
$50.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $1.00 Preferred Brand: 15% Non-Preferred Brand: 46% | 3,105 Browse Formulary | ||
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Transamerica MedicareRx Choice (PDP) - S9579-038 Benefit Details ![]() ![]() ![]() ![]() |
$55.20 | $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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WellCare Extra (PDP) - S5967-178 Benefit Details ![]() ![]() ![]() ![]() |
$57.00 | $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: $63.00 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 | ||||||
Cigna Medicare Rx Secure-Xtra (PDP) - S5617-251 Benefit Details ![]() ![]() ![]() ![]() |
$62.90 | $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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SecureRx - Option 3 (PDP) - S8067-001 Sanctioned Plan ![]() ![]() ![]() ![]() |
$64.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $5.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Specialty Tier: 33% | 3,166 Browse Formulary | ||
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United American - Enhanced (PDP) - S5755-009 Benefit Details ![]() ![]() ![]() ![]() |
$66.90 | $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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Plan Name | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SmartD Rx Plus (PDP) - S0064-041 Sanctioned Plan ![]() ![]() ![]() ![]() |
$68.20 | $0 | Call Plan for details | No | cost-sharing data not available. | tbd Browse Formulary | ||
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SecureAdvantage Rx - Option II (PDP) - S9014-004 Benefit Details ![]() ![]() ![]() ![]() |
$72.90 | $0 | Many Generics | No | Preferred Generic: $3.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Specialty Tier: 33% | 3,266 Browse Formulary | ||
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AmeriHealth Rx Option I (PDP) - S2321-005 Benefit Details ![]() ![]() ![]() ![]() |
$73.50 | $290 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 4,034 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 | ||||||
Blue Rx Plus (PDP) - S5593-002 Benefit Details ![]() ![]() ![]() ![]() |
$74.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $0.00 Non-Preferred Generic: $11.00 Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 25% | 4,506 Browse Formulary | ||
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Express Scripts Medicare - Choice (PDP) - S5660-176 Benefit Details ![]() ![]() ![]() ![]() |
$80.50 | $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 | ||
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AARP MedicareRx Enhanced (PDP) - S5921-093 Benefit Details ![]() ![]() ![]() ![]() |
$92.10 | $0 | Some Generics, Some Brands |
No | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $24.00 Non-Preferred Brand: $75.00 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) - S5670-036 Benefit Details ![]() ![]() ![]() ![]() |
$99.60 | $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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Cigna Medicare Rx Secure-Max (PDP) - S5617-176 Benefit Details ![]() ![]() ![]() ![]() |
$116.10 | $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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SecureRx - Option 1 (PDP) - S8067-003 Sanctioned Plan ![]() ![]() ![]() ![]() |
$121.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | Preferred Generic: $4.00 Non-Preferred Generic: $15.00 Preferred Brand: $38.00 Non-Preferred Brand: $89.00 Specialty Tier: 33% | 5,144 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 Plus (PDP) - S5601-013 Benefit Details ![]() ![]() ![]() ![]() |
$124.40 | $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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Aetna Medicare Rx Premier (PDP) - S5810-176 Benefit Details ![]() ![]() ![]() ![]() |
$127.40 | $0 | Few Generics | No | Generic: $4.00 Preferred Brand: 25% Non-Preferred Brand: 43% Specialty Tier: 33% Select Care Drugs: $2.00 | 3,255 Browse Formulary | ||
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Blue Rx Complete (PDP) - S5593-003 Benefit Details ![]() ![]() ![]() ![]() |
$130.80 | $0 | Many Generics | No | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | 5,423 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 | ||||||
AmeriHealth Rx Option II (PDP) - S2321-002 Benefit Details ![]() ![]() ![]() ![]() |
$169.00 | $0 | Many Generics | No | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty Tier: 25% | 5,420 Browse Formulary | ||
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