Q1GROUP LLC | Q1Medicare.com - a non-government resource for the Medicare community
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2016 Medicare Prescription Drug Plan Cost-Sharing Details

Send this chart to my email
Receive our free Part D Newsletter
2016 Medicare Prescription Drug
Formulary (Drug List) Cost-Sharing Details
AARP MedicareRx Saver Plus (PDP) (S5921-356-0)
Benefit Details        
This plan is available in CMS PDP Region 11
Monthly Premium: $27.50
Rx Deductible: $360
Initial Coverage Limit: $3,310 Qualifies for LIS: Yes


Click on a letter below to view the
AARP MedicareRx Saver Plus (PDP) Formulary
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  0-9 
This Plan Uses Lower Cost-Sharing for Preferred Pharmacies
  30-Day Supply
Cost-Sharing
90-Day Supply
Cost-Sharing
Preferred Pharmacy Standard Pharmacy Mail- Order* Preferred Pharmacy Standard Pharmacy Mail- Order*
Initial Deductible Phase Cost Sharing
All Formulary Drug Tiers: 100% 100% 100% 100% 100% 100%
Initial Coverage Phase Cost-Sharing
Tier 1: Preferred Generic: $1.00 $3.00 n/a $3.00 $9.00 $0.00
Tier 2: Generic: $2.00 $7.00 n/a $6.00 $21.00 $0.00
Tier 3: Preferred Brand: $23.00 $30.00 n/a $69.00 $90.00 $64.00
Tier 4: Non-Preferred Brand: 30% 40% n/a 30% 40% 30%
Tier 5: Specialty Tier: 25% 25% n/a 25% 25% 25%
Coverage Gap (Donut Hole) Phase Cost Sharing
Plan offers no Gap Coverage -- 42% Generic and 55% Brand Donut Hole Discount applies
All Formulary Generic Drugs: 58% 58% 58% 58% 58% 58%
All Formulary Brand-Name Drugs: 45% 45% 45% 45% 45% 45%
Catastrophic Coverage Phase Cost Sharing
Generic & Preferred Multi-Source Drugs: The greater of 5% or $2.95 The greater of 5% or $2.95
Other Drugs (Brand-Name or Non-Preferred Multi-Source Drugs): The greater of 5% or $7.40 The greater of 5% or $7.40
Go to the AARP MedicareRx Saver Plus (PDP) 2016 Formulary Browser by choosing a letter below:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  0-9 
Send this chart to my email
Receive our free Part D Newsletter