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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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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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 | ||
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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