2007 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) Gap Coverage |
$0 Prem. with Full LIS? |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
Members In This State | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Humana PDP Standard S5884-073 - S5884-073 Benefit Details |
$17.70 | $265 | None | Yes | cost-sharing data not available. | 126,672 | ||
WellCare Classic - S5967-152 Benefit Details |
$19.90 | $265 | None | Yes | cost-sharing data not available. | 1,122 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue MedicareRx Value - S5596-017 Benefit Details |
$23.00 | $250 | None | Yes | cost-sharing data not available. | 28,184 | ||
MedicareRx Rewards Value - S5960-015 Benefit Details |
$23.10 | $265 | None | Yes | cost-sharing data not available. | 13,226 | ||
AARP MedicareRx Plan - Saver - S5921-061 Benefit Details |
$23.40 | $265 | None | Yes | cost-sharing data not available. | 2,583 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Prescription Pathway Gold Plan Reg 15 - S5597-047 Benefit Details |
$25.10 | $0 | None | cost-sharing data not available. | 4,088 | |||
Humana PDP Enhanced S5884-013 - S5884-013 Benefit Details |
$25.30 | $0 | None | cost-sharing data not available. | 40,434 | |||
Health Net Orange Option 1 - S5678-036 Benefit Details |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 1,442 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5674-026 Benefit Details |
$26.40 | $0 | None | cost-sharing data not available. | 6,217 | |||
Prescription Pathway Bronze Plan Reg 15 - S5597-080 Benefit Details |
$27.20 | $265 | None | Yes | cost-sharing data not available. | 21,210 | ||
HealthSpring Prescription Drug Plan-Reg 15 - S5932-014 Benefit Details |
$27.60 | $265 | None | Yes | cost-sharing data not available. | 1,864 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Premier - S5768-018 Benefit Details |
$27.80 | $0 | None | Yes | cost-sharing data not available. | 24,370 | ||
Health Net Orange Option 2 - S5678-035 Benefit Details |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 1,346 | ||
Blue MedicareRx Plus - S5596-018 Benefit Details |
$28.20 | $0 | None | cost-sharing data not available. | 25,846 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Value Plan - S5617-073 Benefit Details |
$28.70 | $265 | None | Yes | cost-sharing data not available. | 7,666 | ||
WellCare Signature - S5967-049 Benefit Details |
$28.90 | $0 | None | Yes | cost-sharing data not available. | 34,806 | ||
Advantage Star Plan by RxAmerica - S5644-190 Benefit Details |
$29.30 | $265 | None | Yes | cost-sharing data not available. | 1,847 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Essentials - S5810-049 Benefit Details |
$29.30 | $190 | None | Yes | cost-sharing data not available. | 2,632 | ||
SilverScript - S5601-030 Benefit Details |
$31.80 | $265 | None | Yes | cost-sharing data not available. | 19,779 | ||
AARP MedicareRx Plan - S5820-014 Benefit Details |
$31.90 | $0 | None | Yes | cost-sharing data not available. | 157,327 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community Care Rx BASIC - S5803-084 Benefit Details |
$32.00 | $265 | None | Yes | cost-sharing data not available. | 74,129 | ||
AmeriHealth Advantage Rx Option I - S5783-007 Benefit Details |
$33.70 | $265 | None | cost-sharing data not available. | ||||
Advantage Freedom Plan by RxAmerica - S5644-176 Benefit Details |
$34.00 | $265 | None | cost-sharing data not available. | 57 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-062 Benefit Details |
$34.10 | $0 | None | cost-sharing data not available. | 24,774 | |||
NMHC Medicare PDP Gold - S8841-015 Benefit Details |
$34.50 | $0 | None | cost-sharing data not available. | 32 | |||
SierraRx Basic - S5917-018 Benefit Details |
$35.30 | $265 | None | cost-sharing data not available. | 34 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx - S4802-009 Benefit Details |
$36.10 | $100 | None | cost-sharing data not available. | 161 | |||
Medco YOURx PLAN - S5660-015 Benefit Details |
$37.20 | $100 | None | cost-sharing data not available. | 6,248 | |||
CIGNATURE Rx Plus Plan - S5617-075 Benefit Details |
$37.70 | $0 | None | cost-sharing data not available. | 2,038 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UA Medicare Part D Rx Covg - Silver Plan - S5755-053 Benefit Details |
$38.20 | $265 | None | cost-sharing data not available. | 49 | |||
AdvantraRx Premier - S5674-027 Benefit Details |
$38.30 | $0 | None | cost-sharing data not available. | 13,668 | |||
Blue MedicareRx Premier - S5596-019 Benefit Details |
$39.60 | $0 | Generics | cost-sharing data not available. | 35,177 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community Care Rx CHOICE - S5803-152 Benefit Details |
$39.70 | $0 | None | cost-sharing data not available. | 2,803 | |||
EnvisionRxPlus Standard - S7694-015 Benefit Details |
$42.00 | $265 | None | cost-sharing data not available. | 86 | |||
Health Net Orange Option 3 - S5678-087 Benefit Details |
$43.10 | $0 | Generics | cost-sharing data not available. | 84 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-031 Benefit Details |
$43.20 | $0 | None | cost-sharing data not available. | 303 | |||
Aetna Medicare Rx Plus - S5810-151 Benefit Details |
$43.30 | $0 | None | cost-sharing data not available. | 1,093 | |||
MedicareRx Rewards Premier - S5960-085 Benefit Details |
$43.50 | $0 | Generics | cost-sharing data not available. | 4,297 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Select - S5768-062 Benefit Details |
$44.30 | $0 | Generics | cost-sharing data not available. | 275 | |||
UnitedHealth Rx Extended - S5820-118 Benefit Details |
$45.90 | $0 | None | cost-sharing data not available. | 3,213 | |||
WellCare Complete - S5967-083 Benefit Details |
$46.90 | $0 | Generics | cost-sharing data not available. | 1,513 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Prescription Pathway Platinum Plan Reg 15 - S5597-212 Benefit Details |
$47.00 | $0 | Generics | cost-sharing data not available. | 1,767 | |||
Community Care Rx GOLD - S5803-232 Benefit Details |
$48.20 | $0 | Generics | cost-sharing data not available. | 3,149 | |||
UA Medicare Part D Prescription Drug Cov - S5755-018 Benefit Details |
$48.20 | $0 | None | cost-sharing data not available. | 4,837 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Complete Plan - S5617-185 Benefit Details |
$49.30 | $0 | Generics | cost-sharing data not available. | 945 | |||
AdvantraRx Premier Plus - S5674-029 Benefit Details |
$50.70 | $0 | Generics | cost-sharing data not available. | 11,903 | |||
SilverScript Complete - S5601-086 Benefit Details |
$51.00 | $0 | Generics | cost-sharing data not available. | 343 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - Enhanced - S5921-063 Benefit Details |
$51.50 | $0 | Generics | cost-sharing data not available. | 5,051 | |||
SAMAScript - S7950-015 Benefit Details |
$53.70 | $265 | None | cost-sharing data not available. | < 10 | |||
EnvisionRxPlus Gold - S7694-049 Benefit Details |
$65.50 | $0 | Generics | cost-sharing data not available. | 924 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx Plus - S4802-048 Benefit Details |
$66.40 | $100 | Generics | cost-sharing data not available. | 211 | |||
Aetna Medicare Rx Premier - S5810-185 Benefit Details |
$73.40 | $0 | Generics | cost-sharing data not available. | 4,035 | |||
Humana PDP Complete S5884-043 - S5884-043 Benefit Details |
$86.30 | $0 | Generics | cost-sharing data not available. | 14,683 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Plus - S5917-043 Benefit Details |
$108.30 | $0 | All Formulary Drugs | cost-sharing data not available. | 3,181 | |||
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