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2020 Virginia Medicare Part D Prescription Drug Plan Highlights

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2020 Virginia Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 7
Print Version

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Click on the Benefits & Contact Info button for more plan details

Lowest Premium Medicare Part D Plan (PDP) in Virginia
Click here to see all VA PDPs
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 (Donut Hole)
Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance
30-Day Supply		Total Formulary Drugs
Humana Walmart Value Rx Plan (PDP)
(S5884-186)
Benefits & Contact Info

        		 $13.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $47.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,114

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Lowest Premium $0 Deductible VA Prescription Drug Plan (PDP)
Click here to see all Virginia $0 deductible PDP plans by premium lowest to highest
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
Anthem MediBlue Rx Plus (PDP)
(S5596-006)
Benefits & Contact Info

        		 $46.00 $0 Yes, some additional gap coverage.Preferred Generic: $1.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: 42%
Specialty Tier: 33%
3,114

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Five (5) Most Popular Medicare Part D Plans (PDP) in Virginia
Click here to see all Virginia PDP plans by popularity
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		 State Members
SilverScript Choice (PDP)
(S5601-014)
Benefits & Contact Info

        		 $24.70 $415 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: $47.00
Non-Preferred Drug: 38%
Specialty Tier: 25%
101,932

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Premier Rx Plan (PDP)
(S5884-153)
Benefits & Contact Info

        		 $54.50 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $42.00
Non-Preferred Drug: 44%
Specialty Tier: 25%
74,021

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Preferred (PDP)
(S5820-006)
Benefits & Contact Info

        		 $75.20 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Drug: 40%
Specialty Tier: 33%
71,919

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Basic Rx Plan (PDP)
(S5884-132)
Benefits & Contact Info

        		 $27.60 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: 25%
Non-Preferred Drug: 38%
Specialty Tier: 25%
43,163

Browse Formulary
 
WellCare Medicare Rx Saver (PDP)
(S5810-041)
Benefits & Contact Info

        		 $31.10 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $2.00
Preferred Brand: $28.00
Non-Preferred Drug: 39%
Specialty Tier: 25%
33,637

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Virginia Medicare Prescription Drug Plans (PDP) Under $30
Click here for all VA Medicare Prescription Drug plans
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
Humana Walmart Value Rx Plan (PDP)
(S5884-186)
Benefits & Contact Info

        		 $13.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $47.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,114

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Wellness Rx (PDP)
(S4802-176)
Benefits & Contact Info

        		 $13.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $7.00
Preferred Brand: $40.00
Non-Preferred Drug: 46%
Specialty Tier: 25%
3,382

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
EnvisionRxPlus (PDP)
(S7694-007)
Benefits & Contact Info

        		 $14.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $7.00
Preferred Brand: $35.00
Non-Preferred Drug: 39%
Specialty Tier: 25%
3,093

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Medicare Rx Select (PDP)
(S5810-281)
Benefits & Contact Info

        		 $15.60 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $3.00
Preferred Brand: $47.00
Non-Preferred Drug: 42%
Specialty Tier: 25%
3,388

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Clear Spring Health Premier Rx (PDP)
(S6946-033)
Benefits & Contact Info

        		 $15.80 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: 40%
Specialty Tier: 25%
3,148

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Value Script (PDP)
(S4802-142)
Benefits & Contact Info

        		 $16.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $8.00
Preferred Brand: $43.00
Non-Preferred Drug: 47%
Specialty Tier: 25%
3,382

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Anthem MediBlue Rx Enhanced (PDP)
(S5596-068)
Benefits & Contact Info

        		 $20.90 $300 Yes, some additional gap coverage.Preferred Generic: $1.00
Generic: $2.00
Preferred Brand: 20%
Non-Preferred Drug: 38%
Specialty Tier: 25%
3,081

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure-Essential (PDP)
(S5617-286)
Benefits & Contact Info

        		 $22.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $2.00
Preferred Brand: 18%
Non-Preferred Drug: 43%
Specialty Tier: 25%
3,080

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Saver (PDP)
(S5660-223)
Benefits & Contact Info

        		 $23.80 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $30.00
Non-Preferred Drug: 45%
Specialty Tier: 25%
2,892

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-014)
Benefits & Contact Info

        		 $24.70 $415 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: $47.00
Non-Preferred Drug: 38%
Specialty Tier: 25%
2,999

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Mutual of Omaha Rx Value (PDP)
(S7126-039)
Benefits & Contact Info

        		 $25.80 $435 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $2.00
Preferred Brand: $27.00
Non-Preferred Drug: 48%
Specialty Tier: 25%
2,892

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP)
(S5921-352)
Benefits & Contact Info

        		 $26.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $7.00
Preferred Brand: $27.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,056

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP)
(S4802-069)
Benefits & Contact Info

        		 $26.60 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $2.00
Preferred Brand: $33.00
Non-Preferred Drug: 34%
Specialty Tier: 25%
3,010

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Clear Spring Health Value Rx (PDP)
(S6946-004)
Benefits & Contact Info

        		 $27.50 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $45.00
Non-Preferred Drug: 36%
Specialty Tier: 25%
3,123

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Basic Rx Plan (PDP)
(S5884-132)
Benefits & Contact Info

        		 $27.60 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: 25%
Non-Preferred Drug: 38%
Specialty Tier: 25%
3,030

Browse Formulary
 
Cigna-HealthSpring Rx Secure (PDP)
(S5617-216)
Benefits & Contact Info

        		 $28.70 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $30.00
Non-Preferred Drug: 37%
Specialty Tier: 25%
Select Care Drugs: $0.00
3,107

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:


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Tips & Disclaimers
  • 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 PDP-Compare.com and MA-Compare.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.
  • 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.
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