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Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance 30-Day Supply | Total Formulary Drugs | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Value Script (PDP) (S4802-139) Benefits & Contact Info |
$2.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 25% | 3,272 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance | Total Drugs | ||||
---|---|---|---|---|---|---|---|---|
Horizon Medicare Blue Rx Enhanced (PDP) (S5993-003) Benefits & Contact Info |
$86.40 | $0 | Preferred Generic: $0.00 Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Drug: 45% Specialty Tier: 33% | 3,469 Browse Formulary | ||||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance |
State Members | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Value Script (PDP) (S4802-139) Benefits & Contact Info |
$2.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 25% | 141,033 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-078) Benefits & Contact Info |
$38.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 21% Non-Preferred Drug: 35% Specialty Tier: 25% | 92,288 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-008) Benefits & Contact Info |
$47.40 | $590 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: 19% Non-Preferred Drug: 32% Specialty Tier: 25% | 46,348 Browse Formulary | ||||
AARP Medicare Rx Preferred from UHC (PDP) (S5921-386) Benefits & Contact Info |
$89.20 | $0 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 44,304 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP Medicare Rx Saver from UHC (PDP) (S5921-349) Benefits & Contact Info |
$93.10 | $590 | Preferred Generic: $2.00 Generic: $8.00 Preferred Brand: 16% Non-Preferred Drug: 44% Specialty Tier: 25% | 25,018 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance | Total Drugs | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Value Script (PDP) (S4802-139) Benefits & Contact Info |
$2.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 25% | 3,272 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Healthcare Saver Rx (PDP) (S5617-354) Benefits & Contact Info |
$9.90 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 17% Non-Preferred Drug: 45% Specialty Tier: 25% | 3,277 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Basic Rx Plan (PDP) (S5884-131) Benefits & Contact Info |
$12.10 | $590 | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 21% Non-Preferred Drug: 47% Specialty Tier: 25% | 2,985 Browse Formulary | ||||
Horizon Medicare Blue Rx Standard (PDP) (S5993-001) Benefits & Contact Info |
$18.20 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 20% Non-Preferred Drug: 45% Specialty Tier: 25% | 2,998 Browse Formulary | ||||
Humana Value Rx Plan (PDP) (S5884-183) Benefits & Contact Info |
$28.80 | $573 | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 19% Non-Preferred Drug: 35% Specialty Tier: 26% | 3,014 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2025 Medicare Part D Plan chart above.
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, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing. |