MedicarePartD.guide

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AARP Medicare Rx Preferred from UHC (PDP)

Contract S5820, plan 037, segment 0 · offered by UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY · CMS PDP Region 38 (Puerto Rico).

Plan features

Monthly premium$145.10
Annual deductible$615.00
Drug benefit type—
$0 premium with full LIS—
Premium with Extra Help (LIS)—
Formulary drugs3,593
Formulary exception tier—
Plan reach—
Members in Puerto Ricoat least 4,91741 counties suppressed by CMS (under 11 enrollees)
Members nationally5,154
Member services(888)867-5575TTY 711
Pharmacy searchAARPMedicarePlans.com
BIN / PCN610097 / 9999See BIN/PCNs for all plans

CMS star ratings

Part D summary rating
3 out of 5 stars for Part D summary rating

Published per contract, which is how CMS scores them — every plan under contract S5820 shares this rating.

Formulary tiers — preferred pharmacy, initial coverage phase

TierCost-sharingDrugs on tier
Tier 125%267
Tier 225%632
Tier 325%1,040
Tier 425%952
Tier 525%702

Cost-sharing by coverage phase

Tier30-day supply90-day supply
PreferredStandardMail OrderPreferredStandardMail Order
Initial coverage phase
Tier 1: Preferred Generic25%25%25%25%25%25%
Tier 2: Generic25%25%25%25%25%25%
Tier 3: Preferred Brand25%25%25%25%25%25%
Tier 4: Non-Preferred Drug25%25%25%25%25%25%
Tier 5: Specialty Tier25%25%25%25%25%25%
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%

Plan facts come from the CMS quarterly prescription drug plan public use files.