2010 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 |
Total Formulary Drugs | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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First Health Part D-Secure (PDP) - S5768-085 Benefit Details |
$10.80 | $175 | No Gap Coverage | No | Preferred Generic: $3.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 40% Specialty - Generic and Brand: 28% | 2,791 Browse Formulary | ||
AARP MedicareRx Saver (PDP) - S5921-181 Benefit Details |
$29.00 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $25.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $80.25 Tier 4 Specialty: 25% | 3,614 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Essentials (PDP) - S5810-036 Sanctioned Plan |
$29.20 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic: $4.00 Tier 2 - Non-Preferred Generic: $29.00 Tier 3 - Preferred Brand: $30.00 Tier 4 - Non-Preferred Brand: $72.00 Tier 5 Specialty: 25% | 3,448 Browse Formulary | ||
First Health Part D-Premier (PDP) - S5768-038 Benefit Details |
$30.20 | $150 | No Gap Coverage | Yes | Preferred Generic: $8.00 Preferred Brand: 10% Non-Preferred Generic/Non-Preferred Brand: 43% Specialty - Generic and Brand: 29% | 3,031 Browse Formulary | ||
Humana Value S5884-102 (PDP) - S5884-102 Benefit Details |
$30.70 | $150 | No Gap Coverage | No | Preferred Generic: $5.00 Non-Preferred Generics/Preferred Brand: $35.00 Non-Preferred Brand: 35% | 3,041 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic (PDP) - S5967-139 Benefit Details |
$30.80 | $310 | No Gap Coverage | tbd | Tier 1: $4.00 Tier 2: $39.00 Tier 3: $80.00 Tier 4: 25% | tbd Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5597-237 Benefit Details |
$31.00 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-008 Benefit Details |
$33.10 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $31.00 Tier 3: $77.00 Tier 4: 25% | 3,458 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
HealthSpring Prescription Drug Plan -Reg 2 (PDP) - S5932-003 Benefit Details |
$33.30 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,035 Browse Formulary | ||
Medco Medicare Prescription Plan - Value (PDP) - S5660-105 Benefit Details |
$33.70 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,061 Browse Formulary | ||
BravoRx (PDP) - S5998-015 Benefit Details |
$34.10 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Basic (PDP) - S5803-071 Benefit Details |
$34.40 | $310 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 50% | 2,887 Browse Formulary | ||
Health Net Orange Option 1 (PDP) - S5678-004 Benefit Details |
$34.40 | $310 | No Gap Coverage | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $42.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,650 Browse Formulary | ||
SilverScript Value (PDP) - S5601-004 Benefit Details |
$34.40 | $310 | No Gap Coverage | Yes | Generic Tier: $8.00 Preferred Brand Tier: $26.50 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Advantage Star Plan by RxAmerica (PDP) - S5644-068 Benefit Details |
$34.50 | $310 | No Gap Coverage | Yes | Preferred Generic: $4.75 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
AdvantraRx Value (PDP) - S5674-008 Benefit Details |
$34.70 | $100 | No Gap Coverage | No | Preferred Generic: $6.00 Preferred Brand: 20% Non-Preferred Generic and Non-Preferred Brand: 64% Specialty - Generic and Brand: 30% | 2,811 Browse Formulary | ||
MedicareRx Rewards Standard (PDP) - S5960-108 Benefit Details |
$35.40 | $310 | No Gap Coverage | No | Tier 1 Preferred Generic Drugs: $7.00 Tier 2 Preferred Brand Certain Generic Drugs: 25% Tier 3 Non-Specialty Injectable Drugs: 25% Tier 4 Specialty Drugs: 25% | 3,251 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Plus (PDP) - S5810-206 Sanctioned Plan |
$35.70 | $0 | No Gap Coverage | No | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $34.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
EnvisionRxPlus Silver (PDP) - S7694-002 Benefit Details |
$36.30 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
CIGNA Medicare Rx Plan Two (PDP) - S5617-010 Benefit Details |
$37.00 | $100 | No Gap Coverage | No | Tier 1: $0.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: $91.00 Tier 5: 25% | 3,510 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UA Medicare Part D Rx Covg - Silver Plan (PDP) - S5755-041 Benefit Details |
$38.30 | $175 | No Gap Coverage | No | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 25% | 3,092 Browse Formulary | ||
Community CCRx Choice (PDP) - S5803-139 Benefit Details |
$39.50 | $150 | No Gap Coverage | No | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 29% | 2,887 Browse Formulary | ||
WellCare Signature (PDP) - S5967-036 Benefit Details |
$39.60 | $0 | No Gap Coverage | tbd | Tier 1: $0.00 Tier 2: $42.00 Tier 3: $85.00 Tier 4: 33% | tbd Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Preferred (PDP) - S5820-002 Benefit Details |
$40.80 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $43.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $94.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
PrescribaRx Gold (PDP) - S5597-035 Benefit Details |
$40.90 | $150 | No Gap Coverage | No | Generic: $6.00 Brand: $43.00 Specialty: 29% | 2,852 Browse Formulary | ||
Humana Enhanced S5884-002 (PDP) - S5884-002 Benefit Details |
$43.00 | $0 | No Gap Coverage | No | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty: 33% | 4,024 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
UA Medicare Part D Prescription Drug Cov (PDP) - S5755-006 Benefit Details |
$43.70 | $0 | No Gap Coverage | No | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33% | 3,179 Browse Formulary | ||
AdvantraRx Premier (PDP) - S5674-009 Benefit Details |
$47.30 | $0 | No Gap Coverage | No | Preferred Generic: $12.00 Preferred Brand: 16% Non-Preferred Generic and Non-Preferred Brand: 51% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
Blue MedicareRx Value (PDP) - S2893-014 Benefit Details |
$47.70 | $310 | No Gap Coverage | No | Tier 1: $8.00 Tier 2: $25.00 Tier 3: $65.00 Tier 4: 25% | 2,882 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SilverScript CVS Caremark Plus (PDP) - S5601-005 Benefit Details |
$49.10 | $50 | No Gap Coverage | No | Value Generic Tier: $2.50 Generic Tier: $7.50 Value Brand Tier: $25.00 Preferred Brand Tier: $30.00 Non-Preferred Brand Tier: $90.00 Specialty Tier: 31% | 3,201 Browse Formulary | ||
Advantage Freedom Plan by RxAmerica (PDP) - S5644-047 Benefit Details |
$50.10 | $0 | No Gap Coverage | No | Value Generic: $2.50 Generic: $5.00 Preferred Brand: 33% Specialty: 33% Non-Preferred: 45% | 2,626 Browse Formulary | ||
Tufts Health Plan Medicare Preferred PDP Enhanced (PDP) - S0655-002 Benefit Details |
$50.60 | $0 | No Gap Coverage | No | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $65.00 Tier 4: 33% | 3,405 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Choice (PDP) - S5660-003 Benefit Details |
$50.80 | $100 | No Gap Coverage | No | Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: 75% Specialty: 30% | 3,061 Browse Formulary | ||
Blue MedicareRx Value Plus (PDP) - S2893-001 Benefit Details |
$53.10 | $0 | No Gap Coverage | No | Tier 1: $8.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 2,882 Browse Formulary | ||
SilverScript CVS Caremark Complete (PDP) - S5601-073 Benefit Details |
$59.30 | $0 | Many Generics | No | Value Generic Tier: $2.50 Generic Tier: $7.50 Preferred Brand Tier: $39.00 Non-Preferred Brand Tier: $98.00 Specialty Tier: 33% | 3,201 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus (PDP) - S5674-011 Benefit Details |
$61.00 | $0 | Many Generics | No | Preferred Generic: $5.00 Generics: $25.00 Preferred Brand: 18% Non-Preferred Brand: 75% Specialty - Generic and Brand: 33% | 3,036 Browse Formulary | ||
EnvisionRxPlus Gold (PDP) - S7694-036 Benefit Details |
$63.40 | $150 | No Gap Coverage | No | Tier 1 Preferred Generic: $4.00 Tier 2 NonPreferred Generics: $30.00 Tier 3 Preferred Brand: $25.00 Tier 4 NonPreferred Brand: 25% Tier 5 Specialty: 25% | 2,336 Browse Formulary | ||
Tufts Health Plan Medicare Preferred PDP Standard (PDP) - S0655-001 Benefit Details |
$63.80 | $310 | No Gap Coverage | No | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,405 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Health Net Orange Option 2 (PDP) - S5678-010 Benefit Details |
$64.50 | $0 | No Gap Coverage | No | Tier 1 Preferred Generic : $5.00 Tier 2 Preferred Brand : $35.00 Tier 3 Non-Preferred: $95.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 4,876 Browse Formulary | ||
CIGNA Medicare Rx Plan Three (PDP) - S5617-172 Benefit Details |
$66.40 | $0 | Many Generics, Few Brands |
No | Tier 1: $6.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33% | 3,848 Browse Formulary | ||
Medco Medicare Prescription Plan - Access (PDP) - S5660-173 Benefit Details |
$74.80 | $0 | Many Generics | No | Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: 75% Specialty: 33% | 3,061 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx (PDP) - S4802-023 Benefit Details |
$77.70 | $310 | No Gap Coverage | No | Generic: $9.00 Brand: $30.00 Specialty: 25% | 2,858 Browse Formulary | ||
Community CCRx Gold (PDP) - S5803-219 Benefit Details |
$82.80 | $0 | All Generics | No | Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,887 Browse Formulary | ||
AARP MedicareRx Enhanced (PDP) - S5921-183 Benefit Details |
$86.50 | $0 | Many Generics | No | Tier 1 Preferred Generic Brand: $7.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $90.00 Tier 4 Specialty: 33% | 4,916 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Tufts Health Plan Medicare Preferred PDP Premier (PDP) - S0655-003 Benefit Details |
$89.60 | $0 | Many Generics | No | Tier 1: $8.00 Tier 2: $25.00 Tier 3: $60.00 Tier 4: 33% | 3,405 Browse Formulary | ||
Aetna Medicare Rx Premier (PDP) - S5810-172 Sanctioned Plan |
$91.90 | $0 | Many Generics | No | Tier 1 - Preferred Generic: $7.00 Tier 2 - Non-Preferred Generic: $37.00 Tier 3 - Preferred Brand: $38.00 Tier 4 - Non-Preferred Brand: $87.00 Tier 5 - Specialty: 33% | 3,448 Browse Formulary | ||
Blue MedicareRx Premier (PDP) - S2893-003 Benefit Details |
$92.70 | $0 | Many Generics | No | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 33% | 2,882 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Humana Complete S5884-031 (PDP) - S5884-031 Benefit Details |
$100.80 | $0 | Many Generics | No | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $45.00 Non-Preferred Brand: $75.00 Specialty: 33% | 4,024 Browse Formulary | ||
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