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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) (S4802-145) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 38% 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) (S5921-392) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$100.00 | $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) (S4802-145) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 38% Specialty Tier: 25% | 143,077 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
SilverScript Choice (PDP) (S5601-020) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$50.70 | $590 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: 19% Non-Preferred Drug: 31% Specialty Tier: 25% | 67,704 Browse Formulary | ||||
Wellcare Classic (PDP) (S4802-082) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$15.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 22% Non-Preferred Drug: 36% Specialty Tier: 25% | 62,089 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
AARP Medicare Rx Preferred from UHC (PDP) (S5921-392) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$100.00 | $0 | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 40% Specialty Tier: 33% | 52,008 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Basic Rx Plan (PDP) (S5884-135) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$16.50 | $590 | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 22% Non-Preferred Drug: 45% Specialty Tier: 25% | 38,008 Browse Formulary | ||||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible | Preferred Pharmacy Copay/Coinsurance | Total Drugs | ||||
---|---|---|---|---|---|---|---|---|
Wellcare Value Script (PDP) (S4802-145) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$0.00 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 38% Specialty Tier: 25% | 3,272 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Wellcare Classic (PDP) (S4802-082) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$15.30 | $590 | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 22% Non-Preferred Drug: 36% Specialty Tier: 25% | 2,976 Browse Formulary | ||||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Basic Rx Plan (PDP) (S5884-135) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$16.50 | $590 | Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: 22% Non-Preferred Drug: 45% Specialty Tier: 25% | 2,985 Browse Formulary | ||||
Cigna Healthcare Saver Rx (PDP) (S5617-360) Benefits & Contact Info ![]() ![]() ![]() ![]() |
$21.20 | $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. |