MedicarePartD.guide

A non-government resource built from CMS public data

BlueRx Enhanced Plus (PDP)

Contract S1030, plan 001, segment 0 · offered by BCBS OF ALABAMA & UTIC INSURANCE COMPANY · CMS PDP Region 12 (Alabama).

Plan features

Monthly premium$129.50
Annual deductible$150.00Tier 1 and 2 exempt
Drug benefit type—
$0 premium with full LIS—
Premium with Extra Help (LIS)—
Formulary drugs3,251
Formulary exception tier—
Mail order offered—
Plan reach—
Members in Alabama—
Members nationally—
Member services—
BIN / PCN—

CMS star ratings

Summary rating
2.5 out of 5 stars for Summary rating
Customer service
—
Member experience
—
Drug pricing & patient safety
—

Formulary tiers — preferred pharmacy, initial coverage phase

TierCost-sharingDrugs on tier
Tier 1$0.00—
Tier 2$12.00—
Tier 3$47.00—
Tier 442%—
Tier 531%—

Cost-sharing by coverage phase

Tier30-day supply90-day supply
PreferredStandardMail OrderPreferredStandardMail Order
Initial deductible phase
Tier 1: Preferred Generic$0.00$0.00$0.00$0.00$0.00$0.00
Tier 2: Generic$12.00$12.00$12.00$24.00$24.00$24.00
Initial coverage phase
Tier 1: Preferred Generic$0.00$0.00$0.00$0.00$0.00$0.00
Tier 2: Generic$12.00$12.00$12.00$24.00$24.00$24.00
Tier 3: Preferred Brand$47.00$47.00$47.00$94.00$94.00$94.00
Tier 4: Non-Preferred Drug42%42%42%42%42%42%
Tier 5: Specialty Tier31%31%31%31%31%31%
Catastrophic coverage phase
Tier 1: Preferred Generic$0.00$0.00$0.00$0.00$0.00$0.00
Tier 2: Generic$0.00$0.00$0.00$0.00$0.00$0.00
Tier 3: Preferred Brand$0.00$0.00$0.00$0.00$0.00$0.00
Tier 4: Non-Preferred Drug$0.00$0.00$0.00$0.00$0.00$0.00
Tier 5: Specialty Tier$0.00$0.00$0.00$0.00$0.00$0.00