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This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2016 Washington DC Medicare Part D Prescription Drug Plan Highlights

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2016 Washington DC Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 5
Print Version |  Washington DC Medicare Advantage Plans

 2023  2022  2021  2020  2019  2018  2017  2016  2015  2014  2013  2012  2011  2010  2009  2008  2007  2006

The information below is for research purposes. Enrollment in the 2016 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in Washington DC
Click here to see all DC PDPs
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

        		 $18.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,533

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Lowest Premium $0 Deductible DC Prescription Drug Plan (PDP)
Click here to see all Washington DC $0 deductible PDP plans by premium lowest to highest
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
SilverScript Choice (PDP)
(S5601-010)
Benefit Details

        		 $27.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $17.00
Preferred Brand: $47.00
Non-Preferred Brand: 46%
Specialty Tier: 33%
3,128

Browse Formulary
 



Five (5) Most Popular Medicare Part D Plans (PDP) in Washington DC
Click here to see all Washington DC PDP plans by popularity
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

        		 $57.50 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Brand: 40%
Specialty Tier: 33%
108,740

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-010)
Benefit Details

        		 $27.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $17.00
Preferred Brand: $47.00
Non-Preferred Brand: 46%
Specialty Tier: 33%
80,258

Browse Formulary
 
Humana Walmart Rx Plan (PDP)
(S5884-151)
Benefit Details

        		 $18.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
41,397

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP)
(S5921-350)
Benefit Details

        		 $33.60 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: 30%
Specialty Tier: 25%
37,587

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP)
(S5810-039)
Benefit Details

        		 $28.50 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $40.00
Non-Preferred Brand: 42%
Specialty Tier: 25%
33,259

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Washington DC Medicare Prescription Drug Plans (PDP) Under $30
Click here for all DC Medicare Prescription Drug plans
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

        		 $18.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,533

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-010)
Benefit Details

        		 $27.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $17.00
Preferred Brand: $47.00
Non-Preferred Brand: 46%
Specialty Tier: 33%
3,128

Browse Formulary
 
Aetna Medicare Rx Saver (PDP)
(S5810-039)
Benefit Details

        		 $28.50 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $40.00
Non-Preferred Brand: 42%
Specialty Tier: 25%
3,336

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-103)
Benefit Details

        		 $28.60 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,449

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP)
(S0522-006)
Benefit Details

        		 $28.70 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,696

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:


A few notes to help with the understanding of the 2016 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS)

  • Plan ID: This is the unique id for this particular plan.

  • Deductible: This is the $360 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.

  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3752.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2016, ALL formulary generics will have at least a 42% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3752.5;
    • Yes: This plan offers some level of gap coverage.


  • Number of Formulary Drugs: This is the total number of drugs on the plan's formulary (drug list).

  • Members in this Plan: The number of members currently enrolled in the plan.

(Chart Source: Centers for Medicare and Medicaid file 2016 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.




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