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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) (S4802-155) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 36% 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) (S5921-403) Benefits & Contact Info |
$89.20 | $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) (S4802-155) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 36% Specialty Tier: 25% | 249,375 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-013) Benefits & Contact Info |
$3.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 22% Non-Preferred Drug: 35% Specialty Tier: 25% | 177,431 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-044) Benefits & Contact Info |
$44.80 | $590 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: 18% Non-Preferred Drug: 31% Specialty Tier: 25% | 93,000 Browse Formulary | ||||
Humana Value Rx Plan (PDP) (S5884-201) Benefits & Contact Info |
$43.30 | $573 | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 20% Non-Preferred Drug: 34% Specialty Tier: 26% | 60,410 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Premier Rx Plan (PDP) (S5884-168) Benefits & Contact Info |
$124.60 | $0 | Preferred Generic: $0.00 Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Drug: 50% Specialty Tier: 33% | 53,301 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) (S4802-155) Benefits & Contact Info |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 36% Specialty Tier: 25% | 3,272 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-013) Benefits & Contact Info |
$3.30 | $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) (S5617-372) Benefits & Contact Info |
$20.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 17% Non-Preferred Drug: 48% 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. |