2018 Georgia Medicare Part D Prescription Drug Plan Highlights

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2018 Georgia Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 10
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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 Georgia
Click here to see all GA 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)
(S7694-010)
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: 40%
Specialty Tier: 27%
2,963

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



Lowest Premium $0 Deductible GA Prescription Drug Plan (PDP)
Click here to see all Georgia $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)
(S5601-020)
Benefit Details

        
$19.60 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $14.00
Preferred Brand: $43.00
Non-Preferred Drug: 47%
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 Georgia
Click here to see all Georgia PDP plans by popularity
Plan Name
Plan ID
Monthly
Prem.
Dedu-
ctible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/Coinsurance
State Members
SilverScript Choice (PDP)
(S5601-020)
Benefit Details

        
$19.60 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $14.00
Preferred Brand: $43.00
Non-Preferred Drug: 47%
Specialty Tier: 33%
167,433

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Preferred (PDP)
(S5820-009)
Benefit Details

        
$89.60 $0 Yes, some additional gap coverage.Preferred Generic: $5.00
Generic: $10.00
Preferred Brand: $37.00
Non-Preferred Drug: 40%
Specialty Tier: 33%
67,978

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-135)
Benefit Details

        
$25.40 $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%
61,108

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP)
(S5810-044)
Benefit Details

        
$23.80 $350 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: 26%
51,721

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP)
(S5884-156)
Benefit Details

        
$20.40 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 21%
Non-Preferred Drug: 35%
Specialty Tier: 25%
47,452

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



Georgia Medicare Prescription Drug Plans (PDP) Under $30
Click here for all GA Medicare Prescription Drug plans
Plan Name
Plan ID
Monthly
Prem.
Dedu-
ctible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/Coinsurance
Total Drugs
EnvisionRxPlus (PDP)
(S7694-010)
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: 40%
Specialty Tier: 27%
2,963

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Select (PDP)
(S5810-284)
Benefit Details

        
$17.80 $405 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $47.00
Non-Preferred Drug: 42%
Specialty Tier: 25%
3,737

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-020)
Benefit Details

        
$19.60 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $14.00
Preferred Brand: $43.00
Non-Preferred Drug: 47%
Specialty Tier: 33%
2,995

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP)
(S5884-156)
Benefit Details

        
$20.40 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 21%
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)
(S5660-226)
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: 45%
Specialty Tier: 25%
2,806

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP)
(S5810-044)
Benefit Details

        
$23.80 $350 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: 26%
3,283

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP)
(S0522-014)
Benefit Details

        
$24.30 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $28.00
Non-Preferred Drug: 34%
Specialty Tier: 25%
3,277

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-135)
Benefit Details

        
$25.40 $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%
2,968

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP)
(S4802-082)
Benefit Details

        
$26.70 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: $31.00
Non-Preferred Drug: 42%
Specialty Tier: 25%
2,989

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Walgreens (PDP)
(S5921-392)
Benefit Details

        
$26.70 $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:


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.