Example: How retail drug prices can vary between Medicare Part D drug plans and change over time.
If you purchase a
formulary medication such as Quetiapine Fumarate, the generic for Seroquel®,
you may see on your receipt a price slightly more or slightly less than someone
who is enrolled in another Medicare prescription plan. For example, back in 2021, the drug price ranged anywhere from $5.40 all the way up to
$58.80 depending on the Medicare Part D plan.
The chart below shows the how average price of Quetiapine
Fumarate differs between a sample of stand-alone Medicare
Part D plans in Florida and across the years – the prices shown are the average negotiated
retail drug price for each plan’s Florida service area and can vary from the
pharmacy specific price shown on Medicare.gov and our negotiated retail price data.
(Please note, the National Drug Code (NDC) for this medication - QUETIAPINE FUMARATE 25 MG TABLET [Seroquel] (30 TABLETS ) - was 47335090288 in 2014, 16729014501 in 2019, 67877024201 in 2022 and 67877024210 in 2023.)
QUETIAPINE FUMARATE 25MG TABLETS on Florida Medicare Part D Plans |
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Stand-alone Medicare Part D plan's Average Negotiated Retail Drug Price |
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Medicare Part D Plan Name | Dec. 2012 | Dec. 2013 | March 2014 | June 2014 | June 2019 | August 2020 |
WellCare Plans (PDP) |
$22.18 | $19.25 | $18.17 | $18.18 | $6.00 | $11.40 |
AARP Plans (PDP) | $47.56 | $16.39 | $18.60 | $18.29 | $8.10 | $19.80 |
Express Scripts Medicare - Value (PDP) | $73.16 | $73.22 | $59.41 | $19.16 | $20.12 | $13.20 |
HealthMarkets Value Rx (PDP) | $25.83 | $22.56 | $22.44 | $22.43 | n/a | n/a |
Cigna (HealthSpring) Medicare Rx Secure Plans (PDP) | $43.91 | $19.30 | $22.90 | $23.06 | $7.10 | $7.80 |
Aetna Plans (PDP) | $73.34 | $67.17 | $54.40 | $37.63 | $44.93 | $9.00 |
First Health Part D Value Plus (PDP) | $108.55 | $73.46 | $74.30 | $44.58 | n/a | n/a |
Cigna-HealthSpring Rx (PDP) | n/a | $92.34 | $79.77 | $65.10 | $15.44 | $9.00 |
United American Plans (PDP) | $109.17 | $112.00 | $106.43 | $102.20 | n/a | n/a |
SilverScript Plans (PDP) | $186.93 | n/a | $118.26 | $135.78 | $7.58 | $37.20 |
Health First Basic Plan (PDP) | n/a | $121.16 | $230.76 | $230.97 | n/a | n/a |
EnvisionRxPlus (PDP) | n/a | $37.31 | $45.67 | $45.11 | $65.35 | $75.60 |
As you can see in the chart above, the average negotiated retail drug price can vary significantly from one Medicare plan to another.
2016 AARP MedicareRx Preferred (PDP) |
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Example Drugs |
(S5820-013-0) 44319 (Summit, Ohio) |
(S5820-031-0) 90001 (Los Angeles, California) |
(S5820-010-0) 33034 (Miami-Dade, Florida) |
|||
CVS (standard) |
Walmart (preferred) |
CVS (standard) |
Walmart (preferred) |
CVS (standard) |
Walmart (preferred) |
|
Advair Diskus 250/50 |
$336.50 |
$334.97 |
$336.50 | $334.97 | $336.50 |
$334.97 |
Crestor 10MG |
$249.96 |
$248.85 |
$249.96 | $248.85 | $249.96 |
$248.85 |
Januvia 100MG |
$365.40 |
$363.73 |
$365.40 | $363.73 | $365.40 |
$363.73 |
2018 AARP MedicareRx Preferred (PDP) |
||||||
(S5820-013-0) 44319 (Summit, Ohio) |
(S5820-031-0) 90001 (Los Angeles, California) |
(S5820-010-0) 33034 (Miami-Dade, Florida) |
||||
Example Drugs |
CVS (standard) |
Walmart (preferred) |
CVS (standard) |
Walmart (preferred) |
CVS (standard) |
Walmart (preferred) |
Advair Diskus 250/50 |
$425.03 |
$414.81 |
$425.03 | $414.81 | $425.03 |
$414.81 |
Crestor 10MG |
$314.07 |
$313.07 |
$314.07 | $313.07 | $314.07 |
$313.07 |
Januvia 100MG |
$463.42 |
$452.37 |
$463.42 | $452.37 | $463.42 |
$452.37 |
Rosuvastatin Calcium TAB 100MG (generic Crestor) |
$16.54 |
$12.11 |
$16.54 | $12.11 | $16.54 |
$12.11 |
To give you an overview of pricing, we have the
average negotiated retail drug price in the far right column of our Drug
Finder comparison chart. The average negotiated retail drug
prices shown are the average of the negotiated retail drug prices for all
pharmacies in the plan’s service area.
Please note that the average
negotiated retail drug price can vary state-to-state. In our Drug
Finder, you can click on
the average negotiated retail drug price to view the pricing history for a
particular plan and drug. The same average retail drug pricing
information is also available when using our Formulary
Browser and clicking on the 30-day supply or 90-day supply cost-sharing
figures.