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|
SilverScript SmartRx (PDP) |
SilverScript Choice (PDP) |
SilverScript Plus (PDP) |
|
|---|---|---|---|
|
Monthly premium |
$7.80 |
$25.60* |
$78.40 |
|
Deductible |
Tier 1: $0 |
Tier 1 / Tier 2: $0 |
$0 on all tiers |
|
Tier 1 copay** |
$1 |
$0 |
$0 |
|
Tier 2 copay** |
$19 |
$5 |
$2 |
|
Cost of 90-day supply of prescription medication*** |
Tier 1: $3 |
Tier 1: $0 |
Tier 1 / Tier 2: $0† |
|
Additional gap coverage |
No |
No |
Tier 1 / Tier 2 |
*As low as $0 if you receive Extra Help.
**For 30-day supply, at preferred pharmacies in the initial coverage stage.
***Free standard mail delivery or pickup at a preferred retail pharmacy.
†Pay a $0 copay for Tier 2 drugs and save on Tier 3 drugs, on a 90-day supply, at preferred retail pharmacies or by free standard mail delivery.
Questions about Medicare Part D? We’ve got answers
Medicare Part D FAQs
Find the answers to common questions about prescription drug coverage.