The information below is for research purposes. Enrollment in the 2019 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 | |||
---|---|---|---|---|---|---|---|---|
WellCare Value Script (PDP) (S4802-155) Benefit Details |
$10.40 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: 48% Specialty Tier: 25% | 3,396 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 Plus (PDP) (S5601-045) Benefit Details |
$51.60 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00 Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 3,081 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 | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-044) Benefit Details |
$24.50 | $100 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $13.00 Preferred Brand: $42.00 Non-Preferred Drug: 42% Specialty Tier: 31% | 247,300 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Preferred (PDP) (S5820-021) Benefit Details |
$75.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 130,482 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-168) Benefit Details |
$27.80 | $415 | 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% | 114,903 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-143) Benefit Details |
$22.50 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 25% | 112,977 Browse Formulary | |||
Aetna Medicare Rx Saver (PDP) (S5810-056) Benefit Details |
$21.30 | $355 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 35% Specialty Tier: 26% | 100,982 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 | |||
---|---|---|---|---|---|---|---|---|
WellCare Value Script (PDP) (S4802-155) Benefit Details |
$10.40 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: 48% Specialty Tier: 25% | 3,396 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Aetna Medicare Rx Select (PDP) (S5810-293) Benefit Details |
$16.10 | $380 | Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: $47.00 Non-Preferred Drug: 40% Specialty Tier: 25% | 3,827 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-056) Benefit Details |
$21.30 | $355 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 35% Specialty Tier: 26% | 3,366 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna-HealthSpring Rx Secure-Essential (PDP) (S5617-301) Benefit Details |
$21.80 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: 20% Non-Preferred Drug: 50% Specialty Tier: 25% | 3,239 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-143) Benefit Details |
$22.50 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 25% | 3,095 Browse Formulary | |||
Cigna-HealthSpring Rx Secure (PDP) (S5617-108) Benefit Details |
$22.70 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Drug: 37% Specialty Tier: 25% | 3,273 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Express Scripts Medicare - Saver (PDP) (S5660-238) Benefit Details |
$24.00 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 18% Non-Preferred Drug: 33% Specialty Tier: 25% | 2,906 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S4802-013) Benefit Details |
$24.30 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: $29.00 Non-Preferred Drug: 40% Specialty Tier: 25% | 3,061 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-044) Benefit Details |
$24.50 | $100 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $13.00 Preferred Brand: $42.00 Non-Preferred Drug: 42% Specialty Tier: 31% | 3,061 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-168) Benefit Details |
$27.80 | $415 | 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% | 3,181 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Walgreens (PDP) (S5921-403) Benefit Details |
$28.00 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Drug: 32% Specialty Tier: 25% | 3,025 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Mutual of Omaha Rx Value (PDP) (S7126-054) Benefit Details |
$29.20 | $415 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 15% Non-Preferred Drug: 36% Specialty Tier: 25% | 2,906 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2019 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. |