New Rx$ Feature Showing Formulary Cost-Sharing for Preferred and Non-Preferred Network Pharmacies

Updated for 2014 plans:  We now have a new Medicare Part D prescription cost-sharing feature online at on this site.  For every Medicare plan that includes Medicare prescription drug coverage, we have an icon that will lead you to a complete listing of the plan's formulary drug-tier cost-sharing – including costs at preferred and non-preferred network pharmacies.

So for all stand-alone Medicare Part D plan and Medicare Advantage plan that includes Medicare Part D coverage, you can see what you will pay at network pharmacies for prescriptions in each formulary tier - links are provided so you can then browse the plan's formulary directly from the cost-sharing page.

You can start with an example of the WellCare Classic Medicare Part D plan in California: https://PDP-Finder.com/2014/CA  (just choose another state for plans in your area).

2014 Medicare Part D Prescription Drug Formulary (Drug List) Cost-Sharing Details WellCare Classic (PDP) (S5967-169-0)      Monthly Plan Premium: $22.40   Deductible: $0   ICL: $2,850   Qualifies for LIS: Yes This plan is available in CMS PDP Region 32, includes: CA This Plan Uses Lower Cost-Sharing for Preferred Pharmacies 30-Day Supply Cost-Sharing 90-Day Supply Cost-Sharing Preferred Pharmacy Non- Preferred Mail- Order Preferred Pharmacy Non- Preferred Mail- Order This plan does not have an Initial Deductible: N/A N/A N/A N/A N/A N/A Initial Coverage Phase Cost-Sharing Tier 1: Preferred Generic: $0.00 $8.00 $0.00 $0.00 $24.00 $0.00 Tier 2: Non-Preferred Generic: $15.00 $29.00 $15.00 $45.00 $87.00 $30.00 Tier 3: Preferred Brand: $40.00 $45.00 $40.00 $120.00 $135.00 $80.00 Tier 4: Non-Preferred Brand: $90.00 $95.00 $90.00 $270.00 $285.00 $180.00 Coverage Gap (Donut Hole) Phase Cost Sharing Plan offers no Gap Coverage 28% Generic and 52.5% Brand Donut Hole Discount applies All Formulary Generic Drugs: 72% 72% 72% 72% 72% 72% All Formulary Brand-Name Drugs: 47.5% 47.5% 47.5% 47.5% 47.5% 47.5% Catastrophic Coverage Phase Cost Sharing Generic & Preferred Multi-Source Drugs: The greater of 5% or $2.55 The greater of 5% or $2.55 Other Drugs (Brand-Name or Non-Preferred Multi-Source Drugs): The greater of 5% or $6.35 The greater of 5% or $6.35