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2018 New York Medicare Part D Prescription Drug Plan Highlights

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2018 New York Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 3
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The information below is for research purposes. Enrollment in the 2018 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in New York
Click here to see all NY PDPs
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)
(S7694-003)
Benefit Details

        		 $12.60 $300 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $6.00
Preferred Brand: $29.00
Non-Preferred Drug: 38%
Specialty Tier: 27%
2,963

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



Lowest Premium $0 Deductible NY Prescription Drug Plan (PDP)
Click here to see all New York $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
SilverScript Choice (PDP)
(S5601-006)
Benefit Details

        		 $29.80 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $14.00
Preferred Brand: $40.00
Non-Preferred Drug: 44%
Specialty Tier: 33%
2,995

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



Five (5) Most Popular Medicare Part D Plans (PDP) in New York
Click here to see all New York PDP plans by popularity
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		 State Members
SilverScript Choice (PDP)
(S5601-006)
Benefit Details

        		 $29.80 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $14.00
Preferred Brand: $40.00
Non-Preferred Drug: 44%
Specialty Tier: 33%
240,613

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Preferred (PDP)
(S5805-001)
Benefit Details

        		 $91.10 $0 Yes, some additional gap coverage.Preferred Generic: $5.00
Generic: $10.00
Preferred Brand: $37.00
Non-Preferred Drug: 35%
Specialty Tier: 33%
172,013

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure (PDP)
(S5617-013)
Benefit Details

        		 $39.00 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $7.00
Preferred Brand: $35.00
Non-Preferred Drug: 41%
Specialty Tier: 25%
93,242

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Value (PDP)
(S5983-004)
Benefit Details

        		 $35.00 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $21.00
Non-Preferred Drug: 48%
Specialty Tier: 25%
79,365

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5552-004)
Benefit Details

        		 $38.60 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: 20%
Non-Preferred Drug: 35%
Specialty Tier: 25%
60,356

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



New York Medicare Prescription Drug Plans (PDP) Under $30
Click here for all NY Medicare Prescription Drug plans
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
EnvisionRxPlus (PDP)
(S7694-003)
Benefit Details

        		 $12.60 $300 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $6.00
Preferred Brand: $29.00
Non-Preferred Drug: 38%
Specialty Tier: 27%
2,963

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Select (PDP)
(S5810-277)
Benefit Details

        		 $17.70 $405 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $47.00
Non-Preferred Drug: 38%
Specialty Tier: 25%
3,737

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP)
(S5552-005)
Benefit Details

        		 $20.40 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 25%
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,055

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Saver (PDP)
(S5983-007)
Benefit Details

        		 $22.60 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 18%
Non-Preferred Drug: 44%
Specialty Tier: 25%
2,806

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Walgreens (PDP)
(S5921-382)
Benefit Details

        		 $26.80 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $6.00
Preferred Brand: $31.00
Non-Preferred Drug: 32%
Specialty Tier: 25%
2,884

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-006)
Benefit Details

        		 $29.80 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $14.00
Preferred Brand: $40.00
Non-Preferred Drug: 44%
Specialty Tier: 33%
2,995

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


A few notes to help with the understanding of the 2018 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 $405 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 $3758.75 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2018, ALL formulary generics will have at least a 56% discount and ALL brand drugs will have at least a 65% 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 $3758.75;
    • 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 2018 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.




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