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 | |||
---|---|---|---|---|---|---|---|---|
EnvisionRxPlus (PDP) (S7694-002) Benefit Details |
$14.60 | $260 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $15.00 Preferred Brand: 10% Non-Preferred Drug: 25% Specialty Tier: 27% | 3,024 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) (S5601-004) Benefit Details |
$32.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $13.00 Preferred Brand: $42.00 Non-Preferred Drug: 44% 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) (S5601-004) Benefit Details |
$32.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $13.00 Preferred Brand: $42.00 Non-Preferred Drug: 44% Specialty Tier: 33% | 202,648 Browse Formulary | |||
AARP MedicareRx Preferred (PDP) (S5820-002) Benefit Details |
$67.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $10.00 Preferred Brand: $36.00 Non-Preferred Drug: 38% Specialty Tier: 33% | 123,095 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-102) Benefit Details |
$28.90 | $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% | 84,240 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Blue MedicareRx Value Plus (PDP) (S2893-001) Benefit Details |
$43.10 | $280 | 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: 27% | 76,651 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Saver Plus (PDP) (S5921-348) Benefit Details |
$32.70 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $18.00 Non-Preferred Drug: 30% Specialty Tier: 25% | 75,658 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 | |||
---|---|---|---|---|---|---|---|---|
EnvisionRxPlus (PDP) (S7694-002) Benefit Details |
$14.60 | $260 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $15.00 Preferred Brand: 10% Non-Preferred Drug: 25% Specialty Tier: 27% | 3,024 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-149) 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: | ||||||||
AARP MedicareRx Walgreens (PDP) (S0522-081) 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: | ||||||||
WellCare Classic (PDP) (S4802-076) Benefit Details |
$28.10 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $16.00 Preferred Brand: $39.00 Non-Preferred Drug: 46% Specialty Tier: 25% | 3,007 Browse Formulary | |||
Humana Preferred Rx Plan (PDP) (S5884-102) Benefit Details |
$28.90 | $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: |
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. |