Medicare Part D Plan Name |
Monthly |
Initial |
Total Annual Cost* |
Number of Drugs on Formulary |
Cost-Sharing of Lipitor® |
Cost-Sharing of Plavix® |
Cost-Sharing of Nexium® |
$15.00 |
$325 |
$5,251 |
Not on Formulary ($140) |
Not on Formulary ($224) |
$25 - $35 ** |
||
$18.50 |
$325 |
$7,180 |
Not on Formulary ($139) |
Not on Formulary ($223) |
Not on Formulary ($217) |
||
$29.10 |
$0 |
$7,333 |
Not on Formulary ($140) |
Not on Formulary ($224) |
Not on Formulary ($218) |
||
$33.00 |
$325 |
$3,886 |
Not on Formulary ($139) |
Medicare Part D Plan Name |
Monthly |
Initial |
Total Annual Cost* |
Number of Drugs on Formulary |
Cost-Sharing of Atorvastatin |
Cost-Sharing of Clopidogrel |
Cost-Sharing of Nexium® |
$31.10 |
$0 |
$793 |
$0 - $7 ** |
$0 - $7 ** |
$35-$45 ** |
||
$15.00 |
$325 |
$990 |
$2 - $5 ** |
$2 - $5 ** |
$25-$35 ** |
||
$31.80 |
$325 |
$1,128 |