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2019 Hawaii Medicare Part D Prescription Drug Plan Highlights

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2019 Hawaii Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 33
Print Version

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

The information below is for research purposes. Enrollment in the 2019 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
WellCare Value Script (PDP) (S4802-164) Benefit Details			$13.90	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Generic: $8.00 Preferred Brand: $41.00 Non-Preferred Drug: 48% Specialty Tier: 25%		3,396 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
SilverScript Choice (PDP) (S5601-066) Benefit Details			$24.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $9.00 Generic: $19.00 Preferred Brand: $46.00 Non-Preferred Drug: 49% Specialty Tier: 33%		3,061 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	$24.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $9.00 Generic: $19.00 Preferred Brand: $46.00 Non-Preferred Drug: 49% Specialty Tier: 33%	8,244 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP) (S5810-067) Benefit Details	$23.70	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 38% Specialty Tier: 25%	5,767 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP) (S5921-381) Benefit Details	$25.50	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $8.00 Preferred Brand: $27.00 Non-Preferred Drug: 33% Specialty Tier: 25%	3,630 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Preferred (PDP) (S5820-032) Benefit Details	$72.30	$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%	3,060 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP) (S5884-179) Benefit Details	$30.10	$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%	2,290 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

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
WellCare Value Script (PDP) (S4802-164) Benefit Details	$13.90	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Generic: $8.00 Preferred Brand: $41.00 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) (S5810-308) Benefit Details	$17.40	$385	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:
Cigna-HealthSpring Rx Secure-Essential (PDP) (S5617-312) Benefit Details	$21.90	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: 20% Non-Preferred Drug: 49% Specialty Tier: 25%	3,239 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP) (S5810-067) Benefit Details	$23.70	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 38% Specialty Tier: 25%	3,366 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Saver (PDP) (S5660-249) Benefit Details	$23.90	$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:
SilverScript Choice (PDP) (S5601-066) Benefit Details	$24.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $9.00 Generic: $19.00 Preferred Brand: $46.00 Non-Preferred Drug: 49% Specialty Tier: 33%	3,061 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP) (S4802-095) Benefit Details	$25.40	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: $37.00 Non-Preferred Drug: 40% Specialty Tier: 25%	3,061 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP) (S5921-381) Benefit Details	$25.50	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $8.00 Preferred Brand: $27.00 Non-Preferred Drug: 33% Specialty Tier: 25%	3,072 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Mutual of Omaha Rx Value (PDP) (S7126-065) Benefit Details	$26.60	$415	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 15% Non-Preferred Drug: 37% Specialty Tier: 25%	2,906 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Walgreens (PDP) (S5921-414) Benefit Details	$27.00	$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:

A few notes to help with the understanding of the 2019 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 $415 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 $3833.75 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2019, ALL formulary generics will have at least a 63% discount and ALL brand drugs will have at least a 75% 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 $3833.75;
- 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 2019 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.