The information below is for research purposes. Enrollment in the 2023 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 | |||
---|---|---|---|---|---|---|---|---|
SilverScript SmartSaver (PDP) (S5601-194) Benefit Details |
$7.60 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $15.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 25% select insulin pay $20 copay | 3,695 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) (S4802-222) Benefit Details |
$71.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $4.00 Preferred Brand: $47.00 Non-Preferred Drug: 50% Specialty Tier: 33% Select Diabetic Drugs: $11.00 select insulin pay $35 copay | 3,466 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) (S5601-038) Benefit Details |
$27.90 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $7.00 Preferred Brand: 17% Non-Preferred Drug: 35% Specialty Tier: 25% | 48,038 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Value Script (PDP) (S4802-153) Benefit Details |
$11.10 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $44.00 Non-Preferred Drug: 47% Specialty Tier: 25% Select Diabetic Drugs: $11.00 | 26,335 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Walmart Value Rx Plan (PDP) (S5884-198) Benefit Details |
$30.50 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 17% Non-Preferred Drug: 50% Specialty Tier: 25% | 23,066 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-073) Benefit Details |
$29.10 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $4.00 Preferred Brand: $32.00 Non-Preferred Drug: 37% Specialty Tier: 25% | 20,000 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
BlueMedicare Value Rx (PDP) (S5795-003) Benefit Details |
$53.10 | $495 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Drug: 45% Specialty Tier: 25% | 17,443 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript SmartSaver (PDP) (S5601-194) Benefit Details |
$7.60 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $15.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 25% select insulin pay $20 copay | 3,695 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Value Script (PDP) (S4802-153) Benefit Details |
$11.10 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $44.00 Non-Preferred Drug: 47% Specialty Tier: 25% Select Diabetic Drugs: $11.00 select insulin pay $35 copay | 3,454 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Saver Rx (PDP) (S5617-369) Benefit Details |
$12.40 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Drug: 50% Specialty Tier: 25% select insulin coverage $35 or less | 3,350 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Mutual of Omaha Rx Essential (PDP) (S7126-121) Benefit Details |
$19.50 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $15.00 Preferred Brand: 20% Non-Preferred Drug: 48% Specialty Tier: 25% select insulin coverage $35 or less | 3,189 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-038) Benefit Details |
$27.90 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $7.00 Preferred Brand: 17% Non-Preferred Drug: 35% Specialty Tier: 25% select insulin coverage $35 or less | 3,547 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Walgreens (PDP) (S5921-400) Benefit Details |
$28.30 | $350 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Drug: 45% Specialty Tier: 27% select insulin coverage $35 or less | 3,307 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Secure Rx (PDP) (S5617-225) Benefit Details |
$28.70 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $7.00 Preferred Brand: $34.00 Non-Preferred Drug: 50% Specialty Tier: 25% Select Care Drugs: $0.00 select insulin coverage $35 or less | 3,233 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-073) Benefit Details |
$29.10 | $505 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $4.00 Preferred Brand: $32.00 Non-Preferred Drug: 37% Specialty Tier: 25% select insulin coverage $35 or less | 3,090 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2023 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. |