The information below is for research purposes. Enrollment in the 2018 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 | |||
---|---|---|---|---|---|---|---|---|
Symphonix Value Rx (PDP) (S0522-045) Benefit Details ![]() ![]() ![]() ![]() |
$20.20 | $405 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $32.00 Non-Preferred Drug: 25% Specialty Tier: 25% | 3,277 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) (S5601-058) Benefit Details ![]() ![]() ![]() ![]() |
$38.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $19.00 Preferred Brand: $46.00 Non-Preferred Drug: 49% Specialty Tier: 33% | 2,995 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 |
State Members | |||
---|---|---|---|---|---|---|---|---|
Humana Preferred Rx Plan (PDP) (S5884-112) Benefit Details ![]() ![]() ![]() ![]() |
$28.90 | $405 | 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% | 28,081 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-175) Benefit Details ![]() ![]() ![]() ![]() |
$20.40 | $405 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 22% Non-Preferred Drug: 35% Specialty Tier: 25% | 22,454 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
AARP MedicareRx Preferred (PDP) (S5820-028) Benefit Details ![]() ![]() ![]() ![]() |
$89.80 | $0 | Yes, some additional gap coverage. | Preferred Generic: $7.00 Generic: $12.00 Preferred Brand: $37.00 Non-Preferred Drug: 39% Specialty Tier: 33% | 18,904 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-063) Benefit Details ![]() ![]() ![]() ![]() |
$24.70 | $350 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 42% Specialty Tier: 26% | 16,551 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Symphonix Value Rx (PDP) (S0522-045) Benefit Details ![]() ![]() ![]() ![]() |
$20.20 | $405 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $32.00 Non-Preferred Drug: 25% Specialty Tier: 25% | 15,236 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 | |||
---|---|---|---|---|---|---|---|---|
Symphonix Value Rx (PDP) (S0522-045) Benefit Details ![]() ![]() ![]() ![]() |
$20.20 | $405 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $32.00 Non-Preferred Drug: 25% Specialty Tier: 25% | 3,277 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-175) Benefit Details ![]() ![]() ![]() ![]() |
$20.40 | $405 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 22% 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) (S5660-245) Benefit Details ![]() ![]() ![]() ![]() |
$22.60 | $405 | No additional gap coverage, only the Donut Hole Discount | Preferred 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: ![]() | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-063) Benefit Details ![]() ![]() ![]() ![]() |
$24.70 | $350 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 42% Specialty Tier: 26% | 3,283 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
AARP MedicareRx Walgreens (PDP) (S5921-410) Benefit Details ![]() ![]() ![]() ![]() |
$28.00 | $405 | No additional gap coverage, only the Donut Hole Discount | Preferred 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: ![]() | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-112) Benefit Details ![]() ![]() ![]() ![]() |
$28.90 | $405 | 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% | 2,968 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.
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. |