Wellcare Value Script (PDP)
Contract S4802, plan 138, segment 0 · offered by WELLCARE PRESCRIPTION INSURANCE, INC. · CMS PDP Region 03 (New York) · see other plans.
- ✉ Email a copy of the plan benefit details
- Benefits in plain text
- Cost-sharing for all pharmacies and tiers
- Star rating details
- Formulary on the plan's website
- Browse the Wellcare Value Script (PDP) formulary (drug list)
- Look up a drug's cost in this plan
Consolidated into another plan for 2026. CMS carries this plan forward from 2025 under the same id. See every 2025 → 2026 change.
Plan features
| Monthly premium | $42.40 |
|---|---|
| — basic (standard) part | $21.50? |
| — supplemental (enhanced) part | $20.90 |
| Annual deductible | $615.00Tier 1 and 2 exempt |
| Out-of-pocket threshold | $2,100.00 |
| Drug benefit type | Enhanced Alternative? |
| $0 premium with full LIS | No |
| Premium with Extra Help (LIS) | $20.90? |
| LIS benchmark status | Not applicable — enhanced plan |
| Formulary drugs | 3,262 |
| Formulary exception tier | Tier 4? |
| Has a tier the deductible does not apply to | Yes |
| Plan reach | National plan |
| Members in New York | 169,200 |
| Members nationally | 169,403 |
| Member services | (888)550-5252TTY 711 |
| Pharmacy search | go.wellcare.com/PDP |
| BIN / PCN | 610014 / MEDDPRIME?See BIN/PCNs for all plans |
The plan’s own pages: Plan website · Formulary · Pharmacy directory
CMS star ratings
- Part D summary rating
- 3.5 out of 5 stars for Part D summary rating
- Customer service
- 5 out of 5 stars for Customer service
- Member experience
- 4 out of 5 stars for Member experience
- Drug pricing & patient safety
- 3 out of 5 stars for Drug pricing & patient safety
Published per contract, which is how CMS scores them — every plan under contract S4802 shares this rating. How the ratings work
Formulary tiers — preferred pharmacy, initial coverage phase
| Tier | Cost-sharing | Drugs on tier |
|---|---|---|
| Tier 1 · Preferred Generic | $0.00 | 362 |
| Tier 2 · Generic | $3.00 | 544 |
| Tier 3 · Preferred Brand | 25% | 364 |
| Tier 4 · Non-Preferred Drug | 40% | 1,287 |
| Tier 5 · Specialty Tier | 25% | 689 |
| Tier 6 · Select Care Drugs | $11.00 | 16 |
Cost-sharing by coverage phase
| Tier | 30-day supply | 90-day supply | ||||
|---|---|---|---|---|---|---|
| Preferred | Standard | Mail Order | Preferred | Standard | Mail Order | |
| Initial deductible phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $15.00 | n/a | $0.00 | $45.00 | $0.00 |
| Tier 2: Generic | $3.00 | $20.00 | n/a | $9.00 | $60.00 | $9.00 |
| Initial coverage phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $15.00 | n/a | $0.00 | $45.00 | $0.00 |
| Tier 2: Generic | $3.00 | $20.00 | n/a | $9.00 | $60.00 | $9.00 |
| Tier 3: Preferred Brand | 25% | 25% | n/a | 25% | 25% | 25% |
| Tier 4: Non-Preferred Drug | 40% | 50% | n/a | 40% | 50% | 40% |
| Tier 5: Specialty Tier | 25% | 25% | n/a | n/a | n/a | n/a |
| Tier 6: Select Care Drugs | $11.00 | $11.00 | n/a | $33.00 | $33.00 | $33.00 |
| Catastrophic coverage phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 2: Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 3: Preferred Brand | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 4: Non-Preferred Drug | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 5: Specialty Tier | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 6: Select Care Drugs | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Benefits in plain text
Wellcare Value Script (PDP) (S4802-138-0) is a 2026 Medicare Part D prescription drug plan offered by WELLCARE PRESCRIPTION INSURANCE, INC. in New York (CMS PDP Region 03).
The plan has a monthly premium of $42.40 and an annual drug deductible of $615.00. Tier 1 and 2 exempt.
Its drug benefit type is Enhanced Alternative.
With full Extra Help (the Low-Income Subsidy), the monthly premium is $20.90.
The plan's formulary lists 3,262 drugs.
At a preferred pharmacy in the initial coverage phase, a 30-day supply costs tier 1 (Preferred Generic): $0.00; tier 2 (Generic): $3.00; tier 3 (Preferred Brand): 25%; tier 4 (Non-Preferred Drug): 40%; tier 5 (Specialty Tier): 25%; tier 6 (Select Care Drugs): $11.00.
CMS gives the plan's contract (S4802) a Part D summary rating of 3.5 out of 5 stars.
Email a copy of the plan benefit details
Plan facts come from the CMS quarterly prescription drug plan public use files.