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):
