Q1GROUP LLC | Q1Medicare.com - a non-government resource for the Medicare community
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2017 Hawaii Medicare Part D Prescription Drug Plan Highlights

Hawaii State Flag
Quick links to Hawaii plan tools:

2017 Hawaii Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 33
Print Version |  Hawaii Medicare Advantage Plans

 2024  2023  2022  2021  2020  2019  2018  2017  2016  2015  2014  2013  2012  2011

The information below is for research purposes. Enrollment in the 2017 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in Hawaii
Click here to see all HI 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)
(S5884-179)
Benefit Details

        
$17.00 $400 No additional gap coverage, only the Donut Hole DiscountPreferred 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:



Lowest Premium $0 Deductible HI Prescription Drug Plan (PDP)
Click here to see all Hawaii $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
First Health Part D Value Plus (PDP)
(S5768-198)
Benefit Details

        
$34.90 $0 Yes, some additional gap coverage.Preferred Generic: $2.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 33%
3,508

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



Five (5) Most Popular Medicare Part D Plans (PDP) in Hawaii
Click here to see all Hawaii PDP plans by popularity
Plan Name
Plan ID
Monthly
Prem.
Dedu-
ctible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/Coinsurance
State Members
SilverScript Choice (PDP)
(S5601-066)
Benefit Details

        
$23.90 $400 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 17%
Non-Preferred Drug: 36%
Specialty Tier: 25%
8,462

Browse Formulary
 
Aetna Medicare Rx Saver (PDP)
(S5810-067)
Benefit Details

        
$26.10 $380 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $30.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
6,571

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Preferred (PDP)
(S5820-032)
Benefit Details

        
$68.40 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Drug: 38%
Specialty Tier: 33%
3,748

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP)
(S5884-179)
Benefit Details

        
$17.00 $400 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 20%
Non-Preferred Drug: 35%
Specialty Tier: 25%
2,604

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP)
(S4802-095)
Benefit Details

        
$25.30 $400 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $12.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 25%
1,253

Browse Formulary
 



Hawaii Medicare Prescription Drug Plans (PDP) Under $30
Click here for all HI 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)
(S5884-179)
Benefit Details

        
$17.00 $400 No additional gap coverage, only the Donut Hole DiscountPreferred 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)
(S0522-076)
Benefit Details

        
$22.50 $400 No additional gap coverage, only the Donut Hole DiscountPreferred 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:
Symphonix Value Rx (PDP)
(S0522-046)
Benefit Details

        
$23.40 $400 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $28.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,151

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure (PDP)
(S5617-163)
Benefit Details

        
$23.50 $400 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $4.00
Generic: $9.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 25%
3,511

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-066)
Benefit Details

        
$23.90 $400 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 17%
Non-Preferred Drug: 36%
Specialty Tier: 25%
3,184

Browse Formulary
 
WellCare Classic (PDP)
(S4802-095)
Benefit Details

        
$25.30 $400 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $12.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 25%
3,007

Browse Formulary
 
Aetna Medicare Rx Saver (PDP)
(S5810-067)
Benefit Details

        
$26.10 $380 No additional gap coverage, only the Donut Hole DiscountPreferred 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:
Cigna-HealthSpring Rx Secure-Extra (PDP)
(S5617-278)
Benefit Details

        
$27.30 $50 Yes, some additional gap coverage.Preferred Generic: $5.00
Generic: $10.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 32%
3,541

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.
  • 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 $400 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 $3725 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2017, ALL formulary generics will have at least a 49% discount and ALL brand drugs will have at least a 60% 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 $3725;
    • 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 2017 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.