The information below is for research purposes. Enrollment in the 2015 plans is no longer available.
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
(Donut Hole) Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance 30-Day Supply | Total Formulary Drugs | |||
---|---|---|---|---|---|---|---|---|
Humana Walmart Rx Plan (PDP) (S5884-151) Benefit Details ![]() ![]() ![]() ![]() |
$15.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,433 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-010) Benefit Details ![]() ![]() ![]() ![]() |
$26.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: 46% Specialty Tier: 33% | 3,043 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance |
State Members | |||
---|---|---|---|---|---|---|---|---|
AARP MedicareRx Preferred (PDP) (S5820-004) Benefit Details ![]() ![]() ![]() ![]() |
$46.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Non-Preferred Generic: $5.00 Preferred Brand: $38.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 117,827 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
SilverScript Choice (PDP) (S5601-010) Benefit Details ![]() ![]() ![]() ![]() |
$26.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: 46% Specialty Tier: 33% | 71,489 Browse Formulary | |||
AARP MedicareRx Saver Plus (PDP) (S5921-350) Benefit Details ![]() ![]() ![]() ![]() |
$28.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $20.00 Non-Preferred Brand: $35.00 Specialty Tier: 25% | 34,459 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-151) Benefit Details ![]() ![]() ![]() ![]() |
$15.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 32,536 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-103) Benefit Details ![]() ![]() ![]() ![]() |
$29.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 31,943 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
Humana Walmart Rx Plan (PDP) (S5884-151) Benefit Details ![]() ![]() ![]() ![]() |
$15.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,433 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-039) Benefit Details ![]() ![]() ![]() ![]() |
$25.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: 37% Specialty Tier: 25% | 3,062 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
SilverScript Choice (PDP) (S5601-010) Benefit Details ![]() ![]() ![]() ![]() |
$26.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: 46% Specialty Tier: 33% | 3,043 Browse Formulary | |||
AARP MedicareRx Saver Plus (PDP) (S5921-350) Benefit Details ![]() ![]() ![]() ![]() |
$28.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $20.00 Non-Preferred Brand: $35.00 Specialty Tier: 25% | 3,510 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
SmartD Rx Saver (PDP) (S0064-005) Benefit Details ![]() ![]() ![]() ![]() |
$28.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 48% Specialty Tier: 25% | 3,395 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-103) Benefit Details ![]() ![]() ![]() ![]() |
$29.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,307 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Transamerica MedicareRx Classic (PDP) (S9579-004) Benefit Details ![]() ![]() ![]() ![]() |
$29.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: 49% Specialty Tier: 25% | 2,949 Browse Formulary | |||
A few notes to help with the understanding of the 2015 Medicare Part D Plan chart above.
(Chart Source: Centers for Medicare and Medicaid file 2015 PDP Landscape Source file) Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing. |