The information below is for research purposes. Enrollment in the 2020 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 | |||
---|---|---|---|---|---|---|---|---|
Humana Walmart Value Rx Plan (PDP) (S5884-190) Benefit Details |
$13.20 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: $47.00 Non-Preferred Drug: 35% Specialty Tier: 25% | 3,186 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 Medicare Rx Value Plus (PDP) (S5768-134) Benefit Details |
$74.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: $47.00 Non-Preferred Drug: 47% Specialty Tier: 33% | 3,474 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) (S5601-022) Benefit Details |
$25.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: $47.00 Non-Preferred Drug: 38% Specialty Tier: 28% | 376,405 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Preferred (PDP) (S5820-010) Benefit Details |
$79.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 195,379 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Walgreens (PDP) (S5921-383) Benefit Details |
$34.20 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: 32% Specialty Tier: 25% | 89,976 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Premier Rx Plan (PDP) (S5884-157) Benefit Details |
$58.00 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: $42.00 Non-Preferred Drug: 44% Specialty Tier: 25% | 77,776 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Saver Plus (PDP) (S5921-356) Benefit Details |
$46.70 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $8.00 Preferred Brand: $29.00 Non-Preferred Drug: 35% Specialty Tier: 25% | 59,504 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 | |||
---|---|---|---|---|---|---|---|---|
Humana Walmart Value Rx Plan (PDP) (S5884-190) Benefit Details |
$13.20 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: $47.00 Non-Preferred Drug: 35% Specialty Tier: 25% | 3,186 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Wellness Rx (PDP) (S4802-180) Benefit Details |
$13.20 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $6.00 Preferred Brand: $42.00 Non-Preferred Drug: 46% Specialty Tier: 25% | 3,469 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Clear Spring Health Premier Rx (PDP) (S6946-037) Benefit Details |
$13.80 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $40.00 Non-Preferred Drug: 40% Specialty Tier: 25% | 3,228 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Value Script (PDP) (S4802-146) Benefit Details |
$15.10 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $43.00 Non-Preferred Drug: 47% Specialty Tier: 25% | 3,469 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Medicare Rx Select (PDP) (S5810-285) Benefit Details |
$21.90 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $3.00 Preferred Brand: $47.00 Non-Preferred Drug: 42% Specialty Tier: 25% | 3,474 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna-HealthSpring Rx Secure-Essential (PDP) (S5617-290) Benefit Details |
$22.20 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 18% Non-Preferred Drug: 42% Specialty Tier: 25% | 3,215 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-022) Benefit Details |
$25.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: $47.00 Non-Preferred Drug: 38% Specialty Tier: 28% | 3,056 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Mutual of Omaha Rx Value (PDP) (S7126-043) Benefit Details |
$25.80 | $435 | Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Drug: 48% Specialty Tier: 25% | 2,990 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S4802-083) Benefit Details |
$25.90 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 33% Specialty Tier: 25% | 3,102 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Clear Spring Health Value Rx (PDP) (S6946-008) Benefit Details |
$26.50 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Drug: 34% Specialty Tier: 25% | 3,204 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Express Scripts Medicare - Saver (PDP) (S5660-227) Benefit Details |
$27.50 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Drug: 43% Specialty Tier: 25% | 2,990 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna-HealthSpring Rx Secure (PDP) (S5617-053) Benefit Details |
$28.30 | $435 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $24.00 Non-Preferred Drug: 39% Specialty Tier: 25% Select Care Drugs: $0.00 | 3,254 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2020 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. |