The information below is for research purposes. Enrollment in the 2017 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) (S5884-161) Benefit Details |
$15.00 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 3,504 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) (S5601-030) Benefit Details |
$26.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $14.00 Preferred Brand: $45.00 Non-Preferred Drug: 50% Specialty Tier: 33% | 3,184 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance |
State Members | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-030) Benefit Details |
$26.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $14.00 Preferred Brand: $45.00 Non-Preferred Drug: 50% Specialty Tier: 33% | 193,410 Browse Formulary | |||
Humana Walmart Rx Plan (PDP) (S5884-161) Benefit Details |
$15.00 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 125,786 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Preferred (PDP) (S5820-014) Benefit Details |
$67.20 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $8.00 Preferred Brand: $35.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 115,185 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-049) Benefit Details |
$31.70 | $270 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 35% Specialty Tier: 25% | 73,541 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-138) Benefit Details |
$27.70 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 65,703 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) (S5884-161) Benefit Details |
$15.00 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 3,504 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Walgreens (PDP) (S0522-059) Benefit Details |
$22.40 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $3.00 Preferred Brand: $27.00 Non-Preferred Drug: 32% Specialty Tier: 25% | 3,108 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-030) Benefit Details |
$26.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $14.00 Preferred Brand: $45.00 Non-Preferred Drug: 50% Specialty Tier: 33% | 3,184 Browse Formulary | |||
Cigna-HealthSpring Rx Secure (PDP) (S5617-222) Benefit Details |
$27.00 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Drug: 40% Specialty Tier: 25% | 3,511 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-138) Benefit Details |
$27.70 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 3,411 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S4802-086) Benefit Details |
$28.90 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $44.00 Non-Preferred Drug: 50% Specialty Tier: 25% | 3,007 Browse Formulary | |||
Symphonix Value Rx (PDP) (S0522-022) Benefit Details |
$29.80 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $24.00 Non-Preferred Drug: 34% Specialty Tier: 25% | 3,151 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2017 Medicare Part D Plan chart above.
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. |