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) (S5884-166) Benefit Details |
$17.00 | $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) (S5601-040) Benefit Details |
$25.00 | $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) (S5601-040) Benefit Details |
$25.00 | $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% | 86,796 Browse Formulary | |||
AARP MedicareRx Preferred (PDP) (S5820-019) Benefit Details |
$72.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $7.00 Preferred Brand: $32.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 35,618 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S4802-074) Benefit Details |
$24.90 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: 50% Specialty Tier: 25% | 34,782 Browse Formulary | |||
Humana Preferred Rx Plan (PDP) (S5884-142) Benefit Details |
$22.20 | $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% | 31,962 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-054) Benefit Details |
$27.50 | $390 | 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% | 25,201 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) (S5884-166) Benefit Details |
$17.00 | $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: | ||||||||
EnvisionRxPlus (PDP) (S7694-020) Benefit Details |
$19.10 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 10% Generic: 12% Preferred Brand: 15% Non-Preferred Drug: 33% Specialty Tier: 25% | 3,207 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna-HealthSpring Rx Secure (PDP) (S5617-226) Benefit Details |
$22.00 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Drug: 45% Specialty Tier: 25% | 3,511 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-142) Benefit Details |
$22.20 | $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: | ||||||||
AARP MedicareRx Walgreens (PDP) (S0522-060) Benefit Details |
$22.50 | $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: | ||||||||
WellCare Classic (PDP) (S4802-074) Benefit Details |
$24.90 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: 50% Specialty Tier: 25% | 3,007 Browse Formulary | |||
SilverScript Choice (PDP) (S5601-040) Benefit Details |
$25.00 | $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 | |||
Aetna Medicare Rx Saver (PDP) (S5810-054) Benefit Details |
$27.50 | $390 | 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% | 3,446 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Symphonix Value Rx (PDP) (S0522-024) Benefit Details |
$27.90 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Drug: 35% 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. |