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 | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-052) Benefit Details ![]() ![]() ![]() ![]() |
$12.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33% | 3,043 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-052) Benefit Details ![]() ![]() ![]() ![]() |
$12.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33% | 3,043 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance |
State Members | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-052) Benefit Details ![]() ![]() ![]() ![]() |
$12.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33% | 31,875 Browse Formulary | |||
AARP MedicareRx Preferred (PDP) (S5820-025) Benefit Details ![]() ![]() ![]() ![]() |
$42.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | 20,268 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-110) Benefit Details ![]() ![]() ![]() ![]() |
$20.20 | $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% | 11,659 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
AARP MedicareRx Saver Plus (PDP) (S5921-371) Benefit Details ![]() ![]() ![]() ![]() |
$20.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $40.00 Specialty Tier: 25% | 10,560 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Blue Cross MedicareRx Basic (PDP) (S5715-013) Benefit Details ![]() ![]() ![]() ![]() |
$18.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% | 5,622 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) (S5601-052) Benefit Details ![]() ![]() ![]() ![]() |
$12.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33% | 3,043 Browse Formulary | |||
Humana Walmart Rx Plan (PDP) (S5884-172) Benefit Details ![]() ![]() ![]() ![]() |
$15.60 | $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) (S5810-060) Benefit Details ![]() ![]() ![]() ![]() |
$15.70 | $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: 43% Specialty Tier: 25% | 3,062 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Blue Cross MedicareRx Basic (PDP) (S5715-013) Benefit Details ![]() ![]() ![]() ![]() |
$18.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% | 2,523 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-110) Benefit Details ![]() ![]() ![]() ![]() |
$20.20 | $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: ![]() | ||||||||
EnvisionRxPlus Silver (PDP) (S7694-026) Benefit Details ![]() ![]() ![]() ![]() |
$20.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Preferred Brand: 15% Non-Preferred Brand: 38% Specialty Tier: 25% | 2,971 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
AARP MedicareRx Saver Plus (PDP) (S5921-371) Benefit Details ![]() ![]() ![]() ![]() |
$20.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $40.00 Specialty Tier: 25% | 3,510 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Symphonix Value Rx (PDP) (S0522-043) Benefit Details ![]() ![]() ![]() ![]() |
$21.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty Tier: 25% | 3,529 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
WellCare Classic (PDP) (S5967-163) Benefit Details ![]() ![]() ![]() ![]() |
$23.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $11.00 Preferred Brand: $39.00 Non-Preferred Brand: $89.00 Specialty Tier: 25% | 3,135 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Cigna-HealthSpring Rx Secure-Xtra (PDP) (S5617-271) Benefit Details ![]() ![]() ![]() ![]() |
$28.10 | $0 | 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: 33% | 3,379 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Transamerica MedicareRx Classic (PDP) (S9579-025) Benefit Details ![]() ![]() ![]() ![]() |
$29.10 | $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: 50% 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. |