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Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance 30-Day Supply | Total Formulary Drugs | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Classic (PDP) (S4802-073) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 2,976 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance | Total Drugs | ||||
---|---|---|---|---|---|---|---|---|
AARP Medicare Rx Preferred from UHC (PDP) (S5921-400) Benefits & Contact Info |
$80.90 | $0 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 3,611 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance |
State Members | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Value Script (PDP) (S4802-153) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 40% Specialty Tier: 25% | 39,475 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-038) Benefits & Contact Info |
$23.50 | $590 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: 19% Non-Preferred Drug: 45% Specialty Tier: 25% | 39,351 Browse Formulary | ||||
Wellcare Classic (PDP) (S4802-073) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 23,800 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Value Rx Plan (PDP) (S5884-198) Benefits & Contact Info |
$14.20 | $573 | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 26% | 21,249 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
BlueMedicare Value Rx (PDP) (S5795-003) Benefits & Contact Info |
$48.90 | $590 | Preferred Generic: $4.00 Generic: $15.00 Preferred Brand: 20% Non-Preferred Drug: 44% Specialty Tier: 25% | 16,049 Browse Formulary | ||||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance | Total Drugs | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Classic (PDP) (S4802-073) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 25% | 2,976 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Value Script (PDP) (S4802-153) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 40% Specialty Tier: 25% | 3,272 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Healthcare Assurance Rx (PDP) (S5617-225) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 17% Non-Preferred Drug: 50% Specialty Tier: 25% | 3,176 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Basic Rx Plan (PDP) (S5884-141) Benefits & Contact Info |
$1.40 | $590 | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 23% Non-Preferred Drug: 48% Specialty Tier: 25% | 2,985 Browse Formulary | ||||
Cigna Healthcare Saver Rx (PDP) (S5617-369) Benefits & Contact Info |
$4.50 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 17% Non-Preferred Drug: 50% Specialty Tier: 25% | 3,277 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Value Rx Plan (PDP) (S5884-198) Benefits & Contact Info |
$14.20 | $573 | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 20% Non-Preferred Drug: 35% Specialty Tier: 26% | 3,014 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-038) Benefits & Contact Info |
$23.50 | $590 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: 19% Non-Preferred Drug: 45% Specialty Tier: 25% | 3,600 Browse Formulary | ||||
AARP Medicare Rx Saver from UHC (PDP) (S5921-364) Benefits & Contact Info |
$26.20 | $590 | Preferred Generic: $2.00 Generic: $7.00 Preferred Brand: 17% Non-Preferred Drug: 42% Specialty Tier: 25% | 3,010 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2025 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. |