The information below is for research purposes. Enrollment in the 2016 plans is no longer available.
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
(Donut Hole) Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance 30-Day Supply | Total Formulary Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-038) Benefit Details |
$11.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $11.00 Preferred Brand: $43.00 Non-Preferred Brand: 45% Specialty Tier: 33% | 3,128 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-038) Benefit Details |
$11.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $11.00 Preferred Brand: $43.00 Non-Preferred Brand: 45% Specialty Tier: 33% | 3,128 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance |
State Members | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-038) Benefit Details |
$11.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $11.00 Preferred Brand: $43.00 Non-Preferred Brand: 45% Specialty Tier: 33% | 81,714 Browse Formulary | |||
AR Blue Cross - Medi-Pak Rx Basic (PDP) (S5795-003) Benefit Details |
$40.10 | $300 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00 Generic: $15.00 Preferred Brand: $42.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 27,618 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-053) Benefit Details |
$20.40 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: 36% Specialty Tier: 25% | 25,543 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S5967-156) Benefit Details |
$18.20 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $9.00 Preferred Brand: $47.00 Non-Preferred Brand: 50% Specialty Tier: 25% | 24,387 Browse Formulary | |||
Humana Walmart Rx Plan (PDP) (S5884-165) Benefit Details |
$18.40 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 22,972 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-038) Benefit Details |
$11.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $11.00 Preferred Brand: $43.00 Non-Preferred Brand: 45% Specialty Tier: 33% | 3,128 Browse Formulary | |||
WellCare Classic (PDP) (S5967-156) Benefit Details |
$18.20 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $9.00 Preferred Brand: $47.00 Non-Preferred Brand: 50% Specialty Tier: 25% | 2,964 Browse Formulary | |||
Humana Walmart Rx Plan (PDP) (S5884-165) Benefit Details |
$18.40 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,533 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-053) Benefit Details |
$20.40 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: 36% Specialty Tier: 25% | 3,336 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-141) Benefit Details |
$21.90 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,449 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Simple (PDP) (S2505-003) Benefit Details |
$23.20 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Brand: 50% Specialty Tier: 25% | 2,964 Browse Formulary | |||
EnvisionRxPlus Silver (PDP) (S7694-019) Benefit Details |
$27.10 | $360 | No additional gap coverage, only the Donut Hole Discount | Generic: $2.00 Preferred Brand: 12% Non-Preferred Brand: 40% Specialty Tier: 25% | 3,074 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Express Scripts Medicare - Value (PDP) (S5660-121) Benefit Details |
$29.10 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: 20% Non-Preferred Brand: 48% Specialty Tier: 25% | 3,534 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Magellan Rx Medicare Basic (PDP) (S4607-017) Benefit Details |
$29.50 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: $100.00 Specialty Tier: 25% | 4,254 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2016 Medicare Part D Plan chart above.
Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing. |