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) - S5967-147 Benefit Details |
$18.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $11.00 Preferred Brand: $40.00 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) - S5921-355 Benefit Details |
$19.00 | $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) - S5884-135 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) - S5596-009 Benefit Details |
$23.20 | $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: $87.00 Injectable Drugs: 25% Specialty Tier: 25% | 2,578 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
SilverScript Basic (PDP) - S5601-020 Benefit Details |
$29.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $2.00 Preferred Brand: 21% Non-Preferred Brand: 45% Specialty Tier: 25% | 3,073 Browse Formulary | ||
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 (PDP) - S5617-219 Benefit Details |
$30.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $31.00 Non-Preferred Brand: $85.00 Specialty Tier: 25% | 3,575 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: | ||||||||
Express Scripts Medicare - Value (PDP) - S5660-112 Benefit Details |
$30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: 25% Non-Preferred Brand: 50% Specialty Tier: 25% | 3,359 Browse Formulary | ||
HealthMarkets Value Rx (PDP) - S0128-011 Benefit Details |
$30.80 | $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: | ||||||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
United American - Select (PDP) - S5755-081 Benefit Details |
$31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $28.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 3,384 Browse Formulary | ||
Higher cost-sharing at standard network pharmacies Details: |
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