2011 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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Humana Walmart-Preferred Rx Plan (PDP) - S5884-114 Benefit Details |
$14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $2.00 Generic: $5.00 Non-Preferred Generic/Preferred Brand: 20% Non-Preferred Brand: 35% | 3,488 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-084 Benefit Details |
$28.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Generic: $5.00 Preferred Brand: 25% Non-Preferred Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,830 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Health Net Orange Option 1 (PDP) - S5678-002 Sanctioned Plan |
$30.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1 Preferred Generic : $4.00 Tier 2 Preferred Brand : $34.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 3,546 Browse Formulary | ||
WellCare Classic (PDP) - S5967-169 Benefit Details |
$31.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Preferred Generic: $0.00 Generic and Preferred Brand: $42.00 Generic and Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,463 Browse Formulary | ||
BravoRx (PDP) - S5998-013 Benefit Details |
$32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,848 Browse Formulary | ||
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