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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) (S4802-160) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 40% 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 | ||||
---|---|---|---|---|---|---|---|---|
AARP Medicare Rx Preferred from UHC (PDP) (S5921-408) Benefits & Contact Info |
$104.70 | $0 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 3,611 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance |
State Members | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Value Script (PDP) (S4802-160) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 40% Specialty Tier: 25% | 95,106 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-091) Benefits & Contact Info |
$17.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 22% Non-Preferred Drug: 35% Specialty Tier: 25% | 22,092 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Basic Rx Plan (PDP) (S5884-111) Benefits & Contact Info |
$15.00 | $590 | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 21% Non-Preferred Drug: 46% Specialty Tier: 25% | 20,736 Browse Formulary | ||||
Humana Value Rx Plan (PDP) (S5884-206) Benefits & Contact Info |
$63.90 | $573 | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 20% Non-Preferred Drug: 34% Specialty Tier: 26% | 17,346 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Healthcare Assurance Rx (PDP) (S5617-133) Benefits & Contact Info |
$11.70 | $590 | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 17% Non-Preferred Drug: 49% Specialty Tier: 25% | 16,583 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) (S4802-160) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 40% Specialty Tier: 25% | 3,272 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Healthcare Assurance Rx (PDP) (S5617-133) Benefits & Contact Info |
$11.70 | $590 | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 17% Non-Preferred Drug: 49% Specialty Tier: 25% | 3,176 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Basic Rx Plan (PDP) (S5884-111) Benefits & Contact Info |
$15.00 | $590 | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 21% Non-Preferred Drug: 46% Specialty Tier: 25% | 2,985 Browse Formulary | ||||
Wellcare Classic (PDP) (S4802-091) Benefits & Contact Info |
$17.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 22% Non-Preferred Drug: 35% Specialty Tier: 25% | 2,976 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Healthcare Saver Rx (PDP) (S5617-377) Benefits & Contact Info |
$20.70 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 18% Non-Preferred Drug: 50% Specialty Tier: 25% | 3,277 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. |