ATRIO Prime Rx (PPO)
Available to residents of Douglas County, OR for 2026. Contract H6743, plan 028, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $400.00Tier 1, 2 and 6 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H6743-028-0 |
| Offered by | ATRIO Health Plans |
| Parent organization | ATRIO Health Plans |
| Formulary drugs | 3,250 |
CMS star ratings
- Overall
- 2.5 out of 5 stars for Overall
- Health plan (Part C)
- 2.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H6743 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $8.00 |
| Tier 3 | $47.00 |
| Tier 4 | $100.00 |
| Tier 5 | 28% |
| Tier 6 | $0.00 |
Plan facts come from the CMS quarterly prescription drug plan public use files.