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2017 Medicare Part D and Medicare Advantage Plan Formulary Browser

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select your search style and criteria below or use this example to get started

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State & Plan   ZIP & Plan   PlanID   FormularyID

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PDP     MAPD
Scroll down to see formulary results.

BlueRx Option I (PDP) (S1030-006-0)
Tier 1 (306)
Tier 2 (1640)
Tier 3 (262)
Tier 4 (528)
Tier 5 (615)
Requires Prior Authorization:
Yes No Show either
Uses Step Therapy:
Yes No Show either
Has Quantity Limits:
Yes No Show either
  *required
 
Cick on the first letter of your drug name to browse the 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 
2017 Medicare Part D Plan Formulary Information
BlueRx Option I (PDP) (S1030-006-0)
Benefit Details           
The BlueRx Option I (PDP) (S1030-006-0)
Formulary Drugs Starting with the Letter E

in CMS PDP Region 12 which includes: AL TN
Plan Monthly Premium: $69.70 Deductible: $330 Qualifies for LIS: No
Drugs Starting with Letter E

Drug Name
Drug Tier Information Cost-Sharing Drug
Usage
Mgmt
Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
E.E.S. GRAN SUS 200/5ML   4 Non-Preferred Brand 40%N/ANone
ECONAZOLE NITRATE 1% CREAM 85GM TUBE   2 Generic $10.00N/ANone
EDURANT 27.5mg/1   5 Specialty Tier 26%N/AQ:30
/30Days
EFFIENT 10 MG TABLET   3 Preferred Brand $37.00N/ANone
EFFIENT 5 MG TABLET   3 Preferred Brand $37.00N/ANone
EGRIFTA 2 MG VIAL   5 Specialty Tier 26%N/AP
ELAPRASE 6mg/3mL 1 VIAL, GLASS in 1 BOX / 3 mL in 1 VIAL, GLASS   5 Specialty Tier 26%N/ANone
ELELYSO 200 UNITS VIAL   5 Specialty Tier 26%N/ANone
ELIDEL 1% CREAM   4 Non-Preferred Brand 40%N/AP
ELIGARD 22.5 MG SYRINGE   4 Non-Preferred Brand 40%N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ELIGARD 30 MG SYRINGE KIT   4 Non-Preferred Brand 40%N/ANone
ELIGARD 45 MG SYRINGE KIT   4 Non-Preferred Brand 40%N/ANone
ELIGARD 7.5 MG SYRINGE KIT   4 Non-Preferred Brand 40%N/ANone
ELIQUIS 2.5 MG TABLET   3 Preferred Brand $37.00N/AQ:60
/30Days
ELIQUIS 5 MG TABLET   3 Preferred Brand $37.00N/AQ:120
/30Days
Elitek 3 KIT per CARTON / 1 KIT in 1 KIT   5 Specialty Tier 26%N/ANone
ELITEK 7.5 MG VIAL   5 Specialty Tier 26%N/ANone
EMCYT 140MG CAPSULE   4 Non-Preferred Brand 40%N/ANone
EMEND 150 MG VIAL   4 Non-Preferred Brand 40%N/ANone
EMEND 40MG CAPSULE   4 Non-Preferred Brand 40%N/AP
EMEND CAPSULES 125MG 6 BLPK   4 Non-Preferred Brand 40%N/AP
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
EMEND CAPSULES 80MG 2 BLPK   4 Non-Preferred Brand 40%N/AP
EMEND TRIFOLD PACK   4 Non-Preferred Brand 40%N/AP
Emoquette 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK   2 Generic $10.00N/ANone
EMPLICITI 300 MG VIAL   5 Specialty Tier 26%N/ANone
EMPLICITI 400 MG VIAL   5 Specialty Tier 26%N/ANone
EMSAM TRANSDERMAL SYSTEM PATCHES 12MG/24H   5 Specialty Tier 26%N/ANone
EMSAM TRANSDERMAL SYSTEM PATCHES 6MG/24H   5 Specialty Tier 26%N/ANone
EMSAM TRANSDERMAL SYSTEM PATCHES 9MG/24H   5 Specialty Tier 26%N/ANone
EMTRIVA 10MG/ML SOLUTION   4 Non-Preferred Brand 40%N/AQ:850
/30Days
EMTRIVA 200MG CAPSULE   4 Non-Preferred Brand 40%N/AQ:30
/30Days
ENALAPRIL MALEATE 10MG TABLET (100 CT)   2 Generic $10.00N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ENALAPRIL MALEATE 2.5 MG TAB   2 Generic $10.00N/ANone
Enalapril Maleate 20mg/1 100 TABLET BOTTLE, PLASTIC   2 Generic $10.00N/ANone
ENALAPRIL MALEATE 5 MG TABLET   2 Generic $10.00N/ANone
Enalapril Maleate and Hydrochlorothiazide 10; 25mg/1; mg/1 100 TABLET BOTTLE, PLASTIC   1 Preferred Generic $5.00N/ANone
ENALAPRIL MALEATE-HCTZ 5-12.5MG TABLET   1 Preferred Generic $5.00N/ANone
ENBREL 25 MG/0.5 ML SYRINGE   5 Specialty Tier 26%N/AP
ENBREL 25MG KIT   5 Specialty Tier 26%N/AP
ENBREL 50 MG/ML SURECLICK SYR   5 Specialty Tier 26%N/AP
ENBREL 50mg/mL   5 Specialty Tier 26%N/AP
ENDOCET 10MG-325MG TABLET   2 Generic $10.00N/AQ:180
/30Days
ENDOCET 5/325 TABLET   2 Generic $10.00N/AQ:360
/30Days
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ENDOCET 7.5-325MG TABLET   2 Generic $10.00N/AQ:240
/30Days
ENGERIX B INJECTION   4 Non-Preferred Brand 40%N/AP
ENGERIX-B 10MCG 10 X 0.5ML VIALSD   4 Non-Preferred Brand 40%N/AP
ENGERIX-B 20 MCG/ML SYRN   4 Non-Preferred Brand 40%N/AP
ENOXAPARIN 100 MG/ML SYRINGE   2 Generic $10.00N/AQ:30
/90Days
ENOXAPARIN 120 MG/0.8 ML SYRINGE   2 Generic $10.00N/AQ:24
/90Days
ENOXAPARIN 150 MG/ML SYRINGE   2 Generic $10.00N/AQ:30
/90Days
ENOXAPARIN 30 MG/0.3 ML SYRINGE   2 Generic $10.00N/AQ:9
/90Days
ENOXAPARIN 300 MG/3 ML vial   2 Generic $10.00N/AQ:30
/90Days
ENOXAPARIN 40 MG/0.4 ML SYRINGE   2 Generic $10.00N/AQ:12
/90Days
ENOXAPARIN 60 MG/0.6 ML SYRINGE   2 Generic $10.00N/AQ:18
/90Days
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ENOXAPARIN 80 MG/0.8 ML SYRINGE   2 Generic $10.00N/AQ:24
/90Days
ENTACAPONE 200 MG TABLET [Comtan Entacapone]   2 Generic $10.00N/ANone
ENTECAVIR 0.5 MG TABLET [Baraclude]   5 Specialty Tier 26%N/ANone
ENTECAVIR 1 MG TABLET [Baraclude]   5 Specialty Tier 26%N/ANone
ENTRESTO 24 MG-26 MG TABLET   3 Preferred Brand $37.00N/AP Q:60
/30Days
ENTRESTO 49 MG-51 MG TABLET   3 Preferred Brand $37.00N/AP Q:60
/30Days
ENTRESTO 97 MG-103 MG TABLET   3 Preferred Brand $37.00N/AP Q:60
/30Days
ENULOSE 10 GM/15 ML SOLUTION   2 Generic $10.00N/ANone
EPCLUSA 400 MG-100 MG TABLET   5 Specialty Tier 26%N/AP
EPINASTINE HCL 0.05% EYE DROPS   2 Generic $10.00N/ANone
EPINEPHRINE 0.15 MG AUTO-INJCT   3 Preferred Brand $37.00N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
EPINEPHRINE 0.3 MG AUTO-INJECT   3 Preferred Brand $37.00N/ANone
EPIPEN 0.3MG AUTO-INJECTOR   3 Preferred Brand $37.00N/ANone
EPIPEN JR 0.15MG AUTO-INJCT   3 Preferred Brand $37.00N/ANone
Epirubicin 200 mg/100 ml vial   2 Generic $10.00N/ANone
EPITOL 200MG TABLET   2 Generic $10.00N/ANone
EPIVIR HBV 25MG/5ML TUBEX   3 Preferred Brand $37.00N/ANone
Eplerenone 25mg/1 90 TABLET BOTTLE   2 Generic $10.00N/ANone
Eplerenone 50mg/1 90 TABLET BOTTLE   2 Generic $10.00N/ANone
EPOGEN 10000U/ML VIAL MDV   4 Non-Preferred Brand 40%N/AP
EPOGEN 2000[iU]/mL 10 VIAL in 1 PACKAGE / 1 mL in 1 VIAL   4 Non-Preferred Brand 40%N/AP
EPOGEN 3000U/ML VIAL SDV   4 Non-Preferred Brand 40%N/AP
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
EPOGEN 4000U/ML VIAL SDV   4 Non-Preferred Brand 40%N/AP
EPOGEN INJECTION 20000U 10 X 1ML CRTN   4 Non-Preferred Brand 40%N/AP
EPZICOM 600MG/300MG TABLETS   5 Specialty Tier 26%N/AQ:30
/30Days
ERBITUX 100MG/50ML VIAL   5 Specialty Tier 26%N/ANone
ERGOLOID MESYLATES TABLETS 1MG 100 BOT   3 Preferred Brand $37.00N/AP
ERIVEDGE 150 MG CAPSULE   5 Specialty Tier 26%N/AP Q:30
/30Days
Errin 0.35 mg tablet   2 Generic $10.00N/ANone
ERWINAZE 10,000 UNITS VIAL   5 Specialty Tier 26%N/ANone
ERY 2% PADS 2% 60 PADS JAR   2 Generic $10.00N/ANone
ERY-TAB 500mg/1 100 TABLET, DELAYED RELEASE in 1 BOTTLE   4 Non-Preferred Brand 40%N/ANone
ERY-TAB TAB 250MG EC   4 Non-Preferred Brand 40%N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ERY-TAB TAB 333MG EC   4 Non-Preferred Brand 40%N/ANone
ERYPED 200 MG/5 ML SUSPENSION   4 Non-Preferred Brand 40%N/ANone
ERYPED 400 MG/5 ML SUSPENSION   4 Non-Preferred Brand 40%N/ANone
ERYTHROCIN 500MG ADDVNT VL   4 Non-Preferred Brand 40%N/ANone
ERYTHROCIN TAB 250MG   4 Non-Preferred Brand 40%N/ANone
Erythromycin 2% solution   2 Generic $10.00N/ANone
ERYTHROMYCIN 500 MG FILMTAB   4 Non-Preferred Brand 40%N/ANone
Erythromycin Ethylsuccinate 40 MG/ML Oral Suspension   2 Generic $10.00N/ANone
ERYTHROMYCIN OPHTHALMIC OINTMENT 0.5% 1 G BOX OF 50 TUBE   2 Generic $10.00N/ANone
ERYTHROMYCIN TAB 250MG BS   4 Non-Preferred Brand 40%N/ANone
ERYTHROMYCIN-BENZOYL PEROXIDE 3-5% GEL   2 Generic $10.00N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ESBRIET 267 MG CAPSULE   5 Specialty Tier 26%N/AP Q:270
/30Days
ESBRIET 267 MG TABLET   5 Specialty Tier 26%N/AP Q:270
/30Days
ESBRIET 801 MG TABLET   5 Specialty Tier 26%N/AP Q:90
/30Days
ESCITALOPRAM 10 MG TABLET [Lexapro]   1 Preferred Generic $5.00N/AQ:30
/30Days
ESCITALOPRAM 20 MG TABLET [Lexapro]   1 Preferred Generic $5.00N/AQ:30
/30Days
ESCITALOPRAM 5 MG TABLET [Lexapro]   1 Preferred Generic $5.00N/AQ:30
/30Days
ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]   2 Generic $10.00N/AQ:600
/30Days
ESOMEPRAZOLE DR 49.3 MG CAPSULE [Nexium]   2 Generic $10.00N/AQ:30
/30Days
ESOMEPRAZOLE MAG DR 20 MG CAPSULE [Nexium]   2 Generic $10.00N/AQ:30
/30Days
ESOMEPRAZOLE SODIUM 20 MG VIAL [Nexium]   4 Non-Preferred Brand 40%N/ANone
ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]   2 Generic $10.00N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ESTRACE VAG CREAM 0.1MG/GM   4 Non-Preferred Brand 40%N/ANone
Estradiol / Norethindrone Acetate 0.5; 0.1mg/1; mg/1 1 BLISTER PACK per CARTON / 28 TABLET, FILM C   4 Non-Preferred Brand 40%N/AP
ESTRADIOL 0.5MG TABLET   4 Non-Preferred Brand 40%N/AP
ESTRADIOL 2MG TABLET   4 Non-Preferred Brand 40%N/AP
ESTRADIOL TABLET 1MG (500 CT)   4 Non-Preferred Brand 40%N/AP
ESTRADIOL TDS 0.025 MG/DAY   4 Non-Preferred Brand 40%N/AP
ESTRADIOL TDS 0.0375 MG/DAY   4 Non-Preferred Brand 40%N/AP
ESTRADIOL TDS 0.05 MG/DAY   4 Non-Preferred Brand 40%N/AP
ESTRADIOL TDS 0.06 MG/DAY   4 Non-Preferred Brand 40%N/AP
ESTRADIOL TDS 0.075 MG/DAY   4 Non-Preferred Brand 40%N/AP
ESTRADIOL TDS 0.1 MG/DAY   4 Non-Preferred Brand 40%N/AP
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ESTRADIOL-NORETH 1.0-0.5MG TABLET   4 Non-Preferred Brand 40%N/AP
ESTROPIPATE 0.625(0.75 MG) TABLET   4 Non-Preferred Brand 40%N/AP
ESTROPIPATE 1.25(1.5 MG) TABLET   4 Non-Preferred Brand 40%N/AP
ESTROPIPATE 2.5(3 MG) TABLET   4 Non-Preferred Brand 40%N/AP
ETHAMBUTOL HCL 400 MG TABLET   2 Generic $10.00N/ANone
Ethambutol Hydrochloride 100mg/1   2 Generic $10.00N/ANone
ETHINYL ESTRADIOL 0.03 MG / LEVONORGESTREL 0.05 MG ORAL TABLET) / 10 (ETHINYL ESTRADIOL 0.03 MG 6   2 Generic $10.00N/ANone
ETHINYL ESTRADIOL 0.03 MG / NORGESTREL 0.3 MG ORAL TABLET/ 7 (INERT INGREDIENTS 1 MG ORAL TAB 21   2 Generic $10.00N/ANone
ETHOSUXIMIDE 250 MG CAPSULE   2 Generic $10.00N/ANone
ETHOSUXIMIDE 250MG/5ML SYRP   2 Generic $10.00N/ANone
ethynodiol-eth estra 1mg-50mcg [ZOVIA]   2 Generic $10.00N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
ETIDRONATE DISODIUM 400MG TABLET (60 CT)   4 Non-Preferred Brand 40%N/ANone
ETIDRONATE DISODIUM TABLETS 200MG 60 BOT   4 Non-Preferred Brand 40%N/ANone
ETODOLAC 200MG CAPSULE   2 Generic $10.00N/AQ:150
/30Days
Etodolac 300 mg capsule   2 Generic $10.00N/AQ:90
/30Days
ETODOLAC 400 MG TABLET   2 Generic $10.00N/AQ:60
/30Days
ETODOLAC 400MG TABLET SR 24HR   2 Generic $10.00N/AQ:60
/30Days
ETODOLAC 500 MG TABLET   2 Generic $10.00N/AQ:60
/30Days
ETODOLAC 500MG TABLET SR 24HR   2 Generic $10.00N/AQ:60
/30Days
ETODOLAC 600MG TABLET SR 24HR   2 Generic $10.00N/AQ:30
/30Days
ETOPOPHOS 100MG VIAL   4 Non-Preferred Brand 40%N/ANone
Etoposide 500 mg/25 ml vial   2 Generic $10.00N/ANone
Drug Name Tier
Nbr.
Tier
Description
30-Day
Preferred
Pharm
90-Day
Mail
Order
Drug
Usage
Mgmt
EVOTAZ 300 MG-150 MG TABLET   5 Specialty Tier 26%N/AQ:30
/30Days
Exemestane 25mg/1 30 FILM COATED TABLETS in BOTTLE   2 Generic $10.00N/ANone
EXJADE 125MG TABLET   5 Specialty Tier 26%N/ANone
EXJADE 250MG TABLET   5 Specialty Tier 26%N/ANone
EXJADE 500MG TABLET   5 Specialty Tier 26%N/ANone
Ezetimibe 10 mg tablet [Zetia]   2 Generic $10.00N/AQ:30
/30Days
Ezetimibe-Simvastatin 10-10 MG [Vytorin]   2 Generic $10.00N/AQ:30
/30Days
Ezetimibe-Simvastatin 10-20 MG [Vytorin]   2 Generic $10.00N/AQ:30
/30Days
Ezetimibe-Simvastatin 10-40 MG [Vytorin]   2 Generic $10.00N/AQ:30
/30Days
Ezetimibe-Simvastatin 10-80 MG [Vytorin]   2 Generic $10.00N/AQ:30
/30Days

Chart Legend:

Below are a few notes to help you understand the above 2017 Medicare Part D BlueRx Option I (PDP) Plan Formulary.
  • Plan Name: This is the official Medicare Part D prescription drug plan name from the Centers for Medicare and Medicaid Services (CMS). The same Medicare Part D plan name generally has a different Plan ID in each state (or CMS Region).

  • Monthly Premium: This is the amount you must pay each month for this prescription drug plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase.

  • Deductible: If your Part D plan has an initial deductible, you are 100% responsible for your drug costs until your expenses exceed this value and you begin your Initial Coverage Phase. Many Medicare Part D plans use the standard $400 deductible as provided by CMS in their Standard plan design. Some Part D plan providers offer an initial deductible lower than the Standard deductible. Many prescription drug plans do not have a deductible (also called first dollar coverage or a $0 deductible), however the monthly premium for a plan with a $0 deductible may be slightly higher.

  • Qualifies for LIS: The Extra Help or Low Income Subsidy (LIS) Program.
    • Yes - This plan qualifies for the $0 Premium for those persons with a full LIS or Extra Help benefit. Persons on the LIS program who select a qualifying plan will also pay a $0 deductible, pay lower cost-sharing payments and have coverage through the Coverage Gap or Doughnut Hole.

    • No - This plan does not qualify for the $0 Premium for persons with the full LIS benefit.

  • Plan ID: This is the Medicare Part D prescription drug plan's unique ID.
  • Drug Tier Information - Drug Tiers are the logical grouping of prescription drugs on a Part D plan formulary. These fields represent the Tier (or drug list group) - for this particular medication - on this particular plan’s Formulary or Drug List.
    • Tier Number - This is the actual numerical tier level from the formulary. Most Part D plans have four (4) tiers 1=Preferred Generics, 2=Preferred Brands, 3=Non-preferred Brands and Generics, 4=Specialty Drugs.
    • Drug Description - This is the Medicare Part D plan’s description of this particular drug tier.
  • Cost Sharing - Copay / Coinsurance - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown under this "Cost Sharing" category:
    • Preferred Network Pharmacy - (Preferred Pharm) - This is the cost-share amount you would pay during the intial coverage phase for a 30-Day supply (until your total retail prescription drug costs reach $3700) at a "Preferred" network pharmacy. In most cases, the "Preferred" network and network pharmacy pricing are the same. However, for example on the 2017 Humana Walmart-Preferred Rx Plan the cost-sharing is much higher at a network pharmacy over a "Preferred" network pharmacy. "Preferred" network pharmacies for this plan include only Walmart, Sam’s Club and RightSource.
    • Mail Order - This is the cost-share amount you would pay during the initial coverage phase for a 90-Day supply if you purchased your medication through your plan’s preferred mail order partner(s).
  • Drug Utilization Management or Coverage Rules - (Drug Usage Mgmt) - This shows the plan requires drug utilization management controls for this particular medication.
    • None - This drug does not fall under any drug utilization management controls.
    • P - Prior Authorization -This drug is subject to prior authorization.
    • S - Step Therapy -This drug is subject to step therapy.
    • Q - Quantity Limits -This drug is subject to quantity limits. The actual quantity limit is shown as Q:Amount/Days. For Example: Q:6/28Days means the quantity limit is a quantity of 6 pills per 28 days. Q:90/365Days would mean that the plan limits this drug to 90 pills for the entire year.




(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2017 )

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Part D plan provider.







Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.