MedicarePartD.guide

A non-government resource built from CMS public data

PacificSource Medicare MyCare Rx 40 (HMO)

Available to residents of Multnomah County, OR for 2026. Contract H3864, plan 040, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$399.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH3864-040-0
Offered byPacificSource Medicare
Parent organizationPacificSource
Formulary drugs3,742

CMS star ratings

Overall
3.5 out of 5 stars for Overall
Health plan (Part C)
3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$6.00
Tier 324%
Tier 428%
Tier 528%

Also available in 2 other OR counties