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Q1 Medicare.com Click to Enter Your Drugs and Compare Medicare Part D Plans
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2015 Drug Finder:
Search for Your Prescription Drug Across All Medicare Part D or Medicare Advantage Plans

There are three ways to find your medication:
  1. Select your State and enter at least the first three letters of your drug name.
  2. Select your State and enter your drug’s 11-digit National Drug Code (NDC).
  3. Select the starting letter for the drug you wish to find. You will be taken to a page showing all Medicare Part D drugs beginning with this letter. Click on the medication. You will return to this page. Select your State (if not already shown).
All Medicare Part D plans or Medicare Advantage plans with prescription drug coverage that cover your chosen drug will be shown with the plan’s premium, deductible, drug cost-sharing details and the plan's average negotiated retail drug price.  Example: California stand-alone Medicare Part D plans covering ATORVASTATIN 10 MG.

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Search Criteria
PlanType:* PDP     MAPD
State:*
Select A Drug==>:
Plan Family 1:
Plan Family 2:
Maximum Premium:  $ max: $172
Maximum Deductible:  $ max: $320
Type of Gap Coverage:
Full Low-Income Subsidy?
Drug (Usage) Utilization Management Options:
   Requires Prior Authorization: Yes No Show either (default)
   Uses Step Therapy:                 Yes No Show either (default)
   Has Quantity Limits:                Yes No Show either (default)
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Search Criteria Options: Basic     Advanced
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: :TX’s 2015 Plan Highlights
: :Print Version
: :2015 Plan Finder
: :Compare 2014 & 2015 Plans
: :Create a Medicine Cabinet & Compare Select Plans

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What does all this mean? Here are a few notes to help you understand the above 2015 Medicare Part D Plan drug information.
  • Plan Name: This is the official Medicare Part D prescription drug plan name from the Centers for Medicare and Medicaid Services (CMS). The same Medicare Part D plan name generally has a different Plan ID in each state (or CMS Region).

  • Monthly Premium: This is the amount you must pay each month for this prescription drug plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase.

  • Deductible: If your Part D plan has an initial deductible, you are 100% responsible for your drug costs until your expenses exceed this value and you begin your Initial Coverage Phase. Many Medicare Part D plans use the the standard $320 deductible as provided by CMS in their Standard plan design. Some Part D plan providers offer an initial deductible lower than the Standard deductible. Many prescription drug plans do not have a deductible (also called first dollar coverage or a $0 deductible), however the monthly premium for a plan with a $0 deductible may be slightly higher.

  • Qualifies for LIS: The Extra Help or Low Income Subsidy (LIS) Program.
    • Yes - This plan qualifies for the $0 Premium for those persons with a full LIS or Extra Help benefit. Persons on the LIS program who select a qualifying plan will also pay a $0 deductible, pay lower cost-sharing payments and have coverage through the Coverage Gap or Doughnut Hole.
    • No - This plan does not qualify for the $0 Premium for persons wit the full LIS benefit.

  • Drug Tier Information - Drug Tiers are the logical grouping of prescription drugs on a Part D plan formulary. These fields represent the Tier (or drug list group) - for this particular medication - on this particular plan’s Formulary or Drug List.
    • Tier Number - This is the actual numerical tier level from the formulary. Most Part D plans have four (4) tiers 1=Preferred Generics, 2=Preferred Brands, 3=Non-preferred Brands and Generics, 4=Specialty Drugs.
    • Tier Description - This is the Medicare Part D plan’s description of this particular drug tier.

  • Cost Sharing - Copay / Coinsurance - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown under this "Cost Sharing" category:
    • Preferred Network Pharmacy - (Preferred Pharm) - This is the cost-share amount you would pay during the intial coverage phase for a 30-Day supply (until your total retail prescription drug costs reach $2960) at a "Preferred" network pharmacy. In most cases, the "Preferred" network and network pharmacy pricing are the same. However, for example on the 2015 Humana Walmart-Preferred Rx Plan the cost-sharing is much higher at a network pharmacy over a "Preferred" network pharmacy. "Preferred" network pharmacies for this plan include only Walmart, Sam’s Club and RightSource.
    • Mail Order - This is the cost-share amount you would pay during the initial coverage phase for a 90-Day supply if you purchased your medication through your plan’s preferred mail order partner(s).

  • Drug Utilization Management or Coverage Rules - (Drug Usage Mgmt) - This shows the plan requires drug utilization management controls for this particular medication.
    • None - This drug does not fall under any drug utilization management controls.
    • P - Prior Authorization -This drug is subject to prior authorization.
    • S - Step Therapy -This drug is subject to step therapy.
    • Q - Quantity Limits -This drug is subject to quantity limits. The actual quantity limit is shown as Q:Amount/Days. For Example: Q:6/28Days means the quantity limit is a quantity of 6 pills per 28 days. Q:90/365Days would mean that the plan limits this drug to 90 pills for the entire year.


  • Plan’s Avg. Retail Drug Price: This is the Medicare Part D prescription drug plan’s average negotiated retail drug price. This price is calculated for each plan by averaging the negotiated retail price for a particular drug across all pharmacies in the plan’s service area. For example. The negotiated retail drug price for Quetiapine Fumarate 25MG Tables on the AARP MedicareRx Saver Plus plan in Florida (S5921-356) is determined by averaging all of the AARP MedicareRx Saver Plus plan’s negotiated retail drug prices for a Florida pharmacies.


(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2014 )

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, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Part D plan provider.




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Quick Links
: : 2015 Part D PDP-Finder (Drug Only) Plan Finder
: : Compare 2014/2015 PDP plans
: : 2015 MA-Finder: Medicare Advantage Plan Finder
: : Compare 2014/2015 Medicare Advantage plans
: : 2015 Part D Drug Finder
: : Browse Any 2015 Plan Formulary
: : 2015 Browse Drugs By Letter
: : Find a 2015 Plan by Drug Costs
: : 2015 Part D plan Facts & Figures
: : Medicare Part D Reminder Service: 2015
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Medicare PartD MAPD and PDP plan comparisons .

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: : 2015 Medicare Part D Rx plans
: : PDP plan changes 2014 to 2015
: : 2015 Medicare Advantage plans
: : MA plan changes 2014 to 2015
: : Browse any 2015 Drug Formulary
: : Find a 2015 Medicare drug plan by drug cost
: : Compare Medicare Rx and Health plans by drug costs
: : Newsletter Sign-up
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