The information below is for research purposes. Enrollment in the 2024 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) (S4802-147) Benefit Details |
$0.50 | $545 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 25% Select Care Drugs: $11.00 | 3,455 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 | |||
---|---|---|---|---|---|---|---|---|
Farm Bureau Select Rx (PDP) (S2668-006) Benefit Details |
$76.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $9.00 Preferred Brand: $42.00 Non-Preferred Drug: 45% Specialty Tier: 33% | 3,148 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 | |||
---|---|---|---|---|---|---|---|---|
Wellcare Value Script (PDP) (S4802-147) Benefit Details |
$0.50 | $545 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 25% Select Care Drugs: $11.00 | 125,314 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript SmartSaver (PDP) (S5601-187) Benefit Details |
$12.30 | $280 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 24% Non-Preferred Drug: 50% Specialty Tier: 29% | 49,785 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Walmart Value Rx Plan (PDP) (S5884-191) Benefit Details |
$40.10 | $545 | Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 16% Non-Preferred Drug: 45% Specialty Tier: 25% | 45,502 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-024) Benefit Details |
$50.00 | $545 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $7.00 Preferred Brand: 16% Non-Preferred Drug: 40% Specialty Tier: 25% | 45,388 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-071) Benefit Details |
$36.10 | $545 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 21% Non-Preferred Drug: 41% Specialty Tier: 25% Select Care Drugs: $0.00 | 43,297 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) (S4802-147) Benefit Details |
$0.50 | $545 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 25% Select Care Drugs: $11.00 | 3,455 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript SmartSaver (PDP) (S5601-187) Benefit Details |
$12.30 | $280 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 24% Non-Preferred Drug: 50% Specialty Tier: 29% | 3,716 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Saver Rx (PDP) (S5617-362) Benefit Details |
$20.70 | $545 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $8.00 Preferred Brand: 19% Non-Preferred Drug: 48% Specialty Tier: 25% | 3,392 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Mutual of Omaha Rx Essential (PDP) (S7126-114) Benefit Details |
$23.60 | $545 | 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% | 3,222 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2024 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. |