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2018 Medicare Prescription Drug Plan Cost-Sharing Details

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2018 Medicare Prescription Drug
Formulary (Drug List) Cost-Sharing Details
AARP MedicareRx Preferred (PDP) (S5820-038-0)
Benefit Details        
This plan is available in CMS PDP Region 39
Monthly Premium: $41.30
Rx Deductible: $405
Initial Coverage Limit: $3,750 Qualifies for LIS: No


Click on a letter below to view the
AARP MedicareRx Preferred (PDP) Formulary
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  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 $1.00 n/a $3.00 $3.00 n/a
Tier 2: Generic: $20.00 $20.00 n/a $60.00 $60.00 n/a
Tier 3: Preferred Brand: $23.00 $23.00 n/a $69.00 $69.00 n/a
Tier 4: Non-Preferred Drug: 44% 44% n/a 44% 44% n/a
Tier 5: Specialty Tier: 25% 25% n/a 25% 25% n/a
Coverage Gap (Donut Hole) Phase Cost Sharing
Plan offers no Gap Coverage -- 56% Generic and 65% Brand Donut Hole Discount applies
All Formulary Generic Drugs: 44% 44% 44% 44% 44% 44%
All Formulary Brand-Name Drugs: 35% 35% 35% 35% 35% 35%
Catastrophic Coverage Phase Cost Sharing
Generic & Preferred Multi-Source Drugs: The greater of 5% or $3.35 The greater of 5% or $3.35
Other Drugs (Brand-Name or Non-Preferred Multi-Source Drugs): The greater of 5% or $8.35 The greater of 5% or $8.35
Go to the AARP MedicareRx Preferred (PDP) 2018 Formulary Browser by choosing a letter below:
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