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Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance 30-Day Supply | Total Formulary Drugs | ||||
---|---|---|---|---|---|---|---|---|
Cigna Healthcare Assurance Rx (PDP) (S5617-158) Benefits & Contact Info |
$1.80 | $590 | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 16% Non-Preferred Drug: 49% Specialty Tier: 25% | 3,176 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) (S5921-413) Benefits & Contact Info |
$115.40 | $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 Classic (PDP) (S4802-094) Benefits & Contact Info |
$16.80 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 21% Non-Preferred Drug: 35% Specialty Tier: 25% | 457,169 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Value Script (PDP) (S4802-163) Benefits & Contact Info |
$17.40 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 35% Specialty Tier: 25% | 338,424 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Healthcare Assurance Rx (PDP) (S5617-158) Benefits & Contact Info |
$1.80 | $590 | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 16% Non-Preferred Drug: 49% Specialty Tier: 25% | 267,926 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
SilverScript Choice (PDP) (S5601-064) Benefits & Contact Info |
$53.60 | $590 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: 18% Non-Preferred Drug: 31% Specialty Tier: 25% | 134,555 Browse Formulary | ||||
AARP Medicare Rx Saver from UHC (PDP) (S5921-376) Benefits & Contact Info |
$124.80 | $590 | Preferred Generic: $2.00 Generic: $7.00 Preferred Brand: 17% Non-Preferred Drug: 36% Specialty Tier: 25% | 64,502 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 | ||||
---|---|---|---|---|---|---|---|---|
Cigna Healthcare Assurance Rx (PDP) (S5617-158) Benefits & Contact Info |
$1.80 | $590 | Preferred Generic: $0.00 Generic: $2.00 Preferred Brand: 16% Non-Preferred Drug: 49% Specialty Tier: 25% | 3,176 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Classic (PDP) (S4802-094) Benefits & Contact Info |
$16.80 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 21% Non-Preferred Drug: 35% Specialty Tier: 25% | 2,976 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Wellcare Value Script (PDP) (S4802-163) Benefits & Contact Info |
$17.40 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 35% Specialty Tier: 25% | 3,272 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Cigna Healthcare Saver Rx (PDP) (S5617-382) Benefits & Contact Info |
$20.60 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 17% Non-Preferred Drug: 41% 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. |