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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WellCare Classic (PDP) - S5967-151 Benefit Details |
$15.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $20.00 Preferred Brand: $39.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | 2,986 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
AARP MedicareRx Saver Plus (PDP) - S5921-359 Benefit Details |
$20.50 | $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: | ||||||||
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) - S5884-137 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) - S5596-013 Benefit Details |
$24.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $39.00 Non-Preferred Brand: $88.00 Injectable Drugs: $95.00 Specialty Tier: 25% | 2,578 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Advantage-Plus Meridian (PDP) - S7230-002 Benefit Details |
$26.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $44.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,022 Browse Formulary | ||
new | new | new | ||||||
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) - S0128-015 Benefit Details |
$26.80 | $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 | ||
-- | -- | Higher cost-sharing at standard network pharmacies Details: | ||||||
Symphonix Rite Aid Value Rx (PDP) - S0522-020 Benefit Details |
$26.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $10.00 Preferred Brand: $37.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,552 Browse Formulary | ||
new | new | new | Higher cost-sharing at standard network pharmacies Details: | |||||
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-048 Benefit Details |
$27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 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: | ||||||||
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) - S5601-028 Benefit Details |
$27.70 | $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 | ||
United American - Select (PDP) - S5755-085 Benefit Details |
$29.20 | $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: $95.00 Specialty Tier: 25% | 3,384 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
SmartD Rx Saver (PDP) - S0064-014 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 | ||||||
EnvisionRxPlus Silver (PDP) - S7694-014 Benefit Details |
$30.60 | $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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