MedicarePartD.guide

A non-government resource built from CMS public data

SilverScript Choice (PDP)

Contract S5601, plan 002, segment 0 · offered by SILVERSCRIPT INSURANCE COMPANY · CMS PDP Region 01 (Maine).

Plan features

Monthly premium$94.90
Annual deductible$615.00
Drug benefit type—
$0 premium with full LIS—
Premium with Extra Help (LIS)—
Formulary drugs3,380
Formulary exception tier—
Mail order offered—
Plan reach—
Members in Maine—
Members nationally—
Member services—
BIN / PCN—

CMS star ratings

Summary rating
3 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$7.00—
Tier 318%—
Tier 433%—
Tier 525%—

Cost-sharing by coverage phase

Tier30-day supply90-day supply
PreferredStandardMail OrderPreferredStandardMail Order
Initial coverage phase
Tier 1: Preferred Generic$0.00$0.00$0.00$0.00$0.00$0.00
Tier 2: Generic$7.00$7.00$7.00$21.00$21.00$21.00
Tier 3: Preferred Brand18%18%18%18%18%18%
Tier 4: Non-Preferred Drug33%33%33%33%33%33%
Tier 5: Specialty Tier25%25%25%n/an/an/a
Catastrophic coverage phase
Tier 1: Preferred Generic0%0%0%0%0%0%
Tier 2: Generic0%0%0%0%0%0%
Tier 3: Preferred Brand0%0%0%0%0%0%
Tier 4: Non-Preferred Drug0%0%0%0%0%0%
Tier 5: Specialty Tier0%0%0%0%0%0%