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) (S5884-158) 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) (S5601-024) Benefit Details |
$28.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $13.00 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) (S5601-024) Benefit Details |
$28.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $13.00 Preferred Brand: $45.00 Non-Preferred Drug: 50% Specialty Tier: 33% | 161,408 Browse Formulary | |||
AARP MedicareRx Preferred (PDP) (S5820-011) Benefit Details |
$70.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $7.00 Preferred Brand: $33.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 93,057 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-158) 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% | 83,284 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S4802-071) Benefit Details |
$28.30 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $46.00 Non-Preferred Drug: 50% Specialty Tier: 25% | 67,249 Browse Formulary | |||
Humana Preferred Rx Plan (PDP) (S5884-106) Benefit Details |
$26.80 | $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% | 62,500 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) (S5884-158) 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) (S0522-056) 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: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-106) Benefit Details |
$26.80 | $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: | ||||||||
Cigna-HealthSpring Rx Secure (PDP) (S5617-220) Benefit Details |
$27.30 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: 47% Specialty Tier: 25% | 3,511 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S4802-071) Benefit Details |
$28.30 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $46.00 Non-Preferred Drug: 50% Specialty Tier: 25% | 3,007 Browse Formulary | |||
SilverScript Choice (PDP) (S5601-024) Benefit Details |
$28.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $13.00 Preferred Brand: $45.00 Non-Preferred Drug: 50% Specialty Tier: 33% | 3,184 Browse Formulary | |||
Express Scripts Medicare - Value (PDP) (S5660-114) Benefit Details |
$29.60 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $3.00 Preferred Brand: $41.00 Non-Preferred Drug: 48% Specialty Tier: 25% | 3,472 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Symphonix Value Rx (PDP) (S0522-016) Benefit Details |
$29.90 | $400 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $24.00 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. |