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posted:
11/12/2011
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State PDP Region Organizatio Plan Name Drug Plan Drug No Offers Type of

n Name Premium 1 Deductible Premium Variable Extra

with Full Copayment Coverage

Low s Offered in

Income (Tiers) the Gap

Subsidy (G=generics;



Aetna

Medicare

Aetna Rx

Ohio 14 Medicare Essentials $31.13 $250 

Aetna

Aetna Medicare

Ohio 14 Medicare Rx Plus $41.35 $0  G

Aetna

Medicare

Aetna Rx

Ohio 14 Medicare Premier $56.69 $0  G

AmeriHeal

AmeriHeal th

th Advantag

Advantag e Rx

Ohio 14 e Option l $22.14 $250 

Anthem

Blue

Cross and Blue

Blue Medicare

Ohio 14 Shield Rx Value $20.90 $250  

Anthem

Blue

Cross and Blue

Blue Medicare

Ohio 14 Shield Rx Plus $29.08 $0 

Anthem

Blue Blue

Cross and Medicare

Blue Rx

Ohio 14 Shield Premier $36.87 $0  G

CIGNATU

CIGNA RE Rx

HealthCar Value

Ohio 14 e Plan $34.82 $250 

CIGNA CIGNATU

HealthCar RE Rx

Ohio 14 e Plus Plan $40.03 $0 

CIGNATU

CIGNA RE Rx

HealthCar Complete

Ohio 14 e Plan $47.97 $0  G

Coventry

AdvantraR AdvantraR

Ohio 14 x x Value $21.28 $0 

Coventry

AdvantraR AdvantraR

Ohio 14 x x Premier $31.92 $0 



Coventry AdvantraR

AdvantraR x Premier

Ohio 14 x Plus $44.59 $0 

First First

Health Health

Ohio 14 Premier Premier $25.54 $250 

Humana

PDP

Standard

Humana S5884-

Ohio 14 Inc. 072 $14.43 $250 

Humana

PDP

Enhanced

Humana S5884-

Ohio 14 Inc. 012 $18.43 $0 

Humana

PDP

Complete

Humana S5884-

Ohio 14 Inc. 042 $63.91 $0  G/B

Prescripti

Marquette on

National Pathway

Life Silver

Insurance Plan Reg

Ohio 14 Company 14 $40.23 $250 



Marquette Prescripti

National on

Life Pathway

Insurance Gold Plan

Ohio 14 Company Reg 14 $51.47 $0 

Prescripti

Marquette on

National Pathway

Life Platinum

Insurance Plan Reg

Ohio 14 Company 14 $68.05 $0 

Medco

Health

Solutions, YOURx

Ohio 14 Inc. PLAN $31.64 $250 



Communit

MEMBER y Care Rx

Ohio 14 HEALTH BASIC $30.79 $250 

Communit

MEMBER y Care Rx

Ohio 14 HEALTH CHOICE $38.87 $250 

Communit

MEMBER y Care Rx

Ohio 14 HEALTH GOLD $42.77 $100 

PacifiCare

Life and

Health PacifiCare

Insurance Saver

Ohio 14 Company Plan $25.20 $0  

PacifiCare

Life and

Health PacifiCare

Insurance Select

Ohio 14 Company Plan $39.60 $0 

PacifiCare

Life and

Health PacifiCare

Insurance Comprehe

Ohio 14 Company nsive Plan $44.54 $0  G

Paramoun

t

Prescripti Paramoun

on Drug t Drug

Ohio 14 Plan Plan $50.21 $250

Prescripti

on

Pennsylva Pathway

nia Life Bronze

Insurance Plan Reg

Ohio 14 Company 14 $30.80 $250

Prescripti

on

Pennsylva Pathway

nia Life Silver

Insurance Plan

Ohio 14 Company Reg14 $40.15 $250 

Prescripti

Pennsylva on

nia Life Pathway

Insurance Gold Plan

Ohio 14 Company Reg 14 $51.41 $0 

SilverScri SilverScri

Ohio 14 pt pt $29.99 $250  

SilverScri SilverScri

Ohio 14 pt pt Plus $59.04 $100 

Sterling Sterling

Prescripti Prescripti

on Drug on Drug

Ohio 14 Plan Plan $53.80 $100 

Medicare

Rx

Ohio 14 Unicare Rewards $20.90 $250  

Medicare

Rx

Rewards

Ohio 14 Unicare Plus $29.08 $0 

Medicare

Rx

Rewards

Ohio 14 Unicare Premier $39.31 $0  G

UA

Medicare

United Part D

American Prescripti

Insurance on Drug

Ohio 14 Company Cov $35.00 $0 

United AARP

Healthcar Medicare

Ohio 14 e Rx Plan $27.93 $0  

United

United Medicare

Healthcar MedAdva

Ohio 14 e nce $30.06 $0  

WellCare

Ohio 14 WellCare Signature $19.96 $0  

WellCare

Ohio 14 WellCare Complete $41.56 $0 

WellCare

Ohio 14 WellCare Premier $45.05 $0 

Sources: CMS PDP Landscape of Local Plans Source File

Number of Number of Number of Mail Order contract # plan # segement # formulary benefit_type

Top 100 Top 100 Top 100 Offered

Drugs on Drugs Drugs with

Formulary 2 Requiring Cost

Prior Sharing

Authorizati below $20 2









86 5 54  S5810 048 0 2662 Actuarially Equivalent Standard





86 5 54  S5810 150 0 2662 Enhanced Alternative







100 38 78  S5810 184 0 2681 Enhanced Alternative









92 13 N/A S5783 006 0 3416 Defined Standard Benefit









92 5 56  S5596 013 0 2493 Actuarially Equivalent Standard









92 5 56  S5596 014 0 2493 Enhanced Alternative









98 5 57  S5596 015 0 2546 Enhanced Alternative







99 31 86  S5617 068 0 1241 Actuarially Equivalent Standard





99 31 57  S5617 070 0 1241 Enhanced Alternative







99 31 57  S5617 184 0 1241 Enhanced Alternative





78 9 57  S5670 075 0 2764 Enhanced Alternative

100 12 77  S5670 076 0 2759 Enhanced Alternative







100 12 22  S5670 078 0 2766 Basic Alternative





100 12 N/A S5768 017 0 1727 Defined Standard Benefit









99 8 N/A  S5884 072 0 1863 Defined Standard Benefit









99 8 56  S5884 012 0 1863 Enhanced Alternative









99 8 56  S5884 042 0 1863 Enhanced Alternative









92 1 57  S5581 126 0 1446 Actuarially Equivalent Standard









92 1 57  S5581 030 0 1446 Enhanced Alternative









100 0 57  S5581 054 0 1494 Enhanced Alternative







98 10 95  S5660 014 0 3164 Basic Alternative







95 10 58 S5803 083 0 3422 Actuarially Equivalent Standard

95 10 91 S5803 151 0 3422 Actuarially Equivalent Standard





95 10 58 S5803 117 0 3422 Enhanced Alternative









78 9 53  S5921 052 0 2654 Basic Alternative









87 3 54  S5921 051 0 2656 Basic Alternative









78 9 53  S5921 053 0 2654 Enhanced Alternative









95 25 N/A  S5588 001 0 3004 Defined Standard Benefit









92 1 N/A  S5597 079 0 1446 Defined Standard Benefit









92 1 57  S5597 178 0 1446 Actuarially Equivalent Standard









92 1 57  S5597 046 0 1446 Enhanced Alternative



92 5 92  S5601 028 0 897 Actuarially Equivalent Standard



98 5 56  S5601 029 0 619 Basic Alternative







98 5 56  S4802 026 0 3245 Basic Alternative

92 5 56  S5960 014 0 2493 Actuarially Equivalent Standard







92 5 56  S5960 050 0 2493 Enhanced Alternative







98 5 57  S5960 084 0 2546 Enhanced Alternative









99 10 58  S5755 017 0 3296 Basic Alternative





100 2 58  S5820 013 0 3440 Basic Alternative







100 2 58  S5820 117 0 3440 Basic Alternative



88 12 56  S5967 048 0 2366 Basic Alternative



85 9 74  S5967 082 0 2003 Enhanced Alternative



85 9 56  S5967 117 0 2629 Enhanced Alternative

icl_amount STCD









2250 OH





2250 OH







2250 OH









2250 OH









2250 OH









2250 OH









2250 OH







2250 OH





2250 OH







2250 OH





2250 OH

2250 OH







2250 OH





2250 OH









2250 OH









2250 OH









0 OH









2250 OH









2000 OH









2000 OH







2250 OH







2250 OH

2250 OH





2250 OH









2250 OH









2250 OH









2250 OH









2250 OH









2250 OH









2250 OH









2000 OH



2250 OH



2250 OH







2250 OH

2250 OH







2250 OH







2250 OH









2250 OH





2250 OH







2250 OH



2250 OH



1850 OH



2250 OH



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