Our SmartRx (PDP) offers you a wide selection of generic drugs for a low monthly premium ($7.15 on average). You’ll enjoy Tier 1 generic drug coverage with a $0 deductible and $0 copays at retail locations and free standard mail delivery.*
Our SmartRx (PDP) offers you a wide selection of generic drugs for a low monthly premium ($7.15 on average). You’ll enjoy Tier 1 generic drug coverage with a $0 deductible and $0 copays at retail locations and free standard mail delivery.*
This affordable plan offers a wide selection of generic and brand-name drugs and a $0 deductible for Tier 1/Tier2 drugs. You’ll pay $0 copays for Tier 1 drugs, including a 90-day supply at preferred pharmacy or by free standard mail delivery.†
This enhanced plan includes gap coverage and a $0 deductible for all tiers. You’ll pay a $0 copay for Tier 1 drugs, and a $2 copay for Tier 2 drugs on a 30-day supply.† For a 90-day supply, you may pay even less.†† You’ll also enjoy other extras such as vitamin and mineral supplements.†††
|
SilverScript SmartRx (PDP) |
SilverScript Choice (PDP) |
SilverScript Plus (PDP)*** |
|
|---|---|---|---|
|
Average monthly premium |
$7.15 |
$28.49§ |
$69.52 |
|
Deductible |
Tier 1: $0 |
Tier 1 / Tier 2: $0 |
$0 on all tiers |
|
Tier 1 copay* |
$0 |
$0 |
$0 |
|
Tier 2 copay* |
$19 |
$5 |
$2 |
|
Cost of 90-day supply of prescription medication §§ |
Tier 1: $0 |
Tier 1: $0 |
Tier 1 / Tier 2: $0†† |
|
Additional gap coverage |
No |
No |
Tier 1 / Tier 2 |
|
SilverScript SmartRx (PDP) |
|
|---|---|
|
Average monthly premium |
$7.15 |
|
Deductible |
Tier 1: $0 |
|
Tier 1 copay* |
$0 |
|
Tier 2 copay* |
$19 |
|
Cost of 90-day supply of prescription medication §§ |
Tier 1: $0 |
|
Additional gap coverage |
No |
|
SilverScript Choice (PDP) |
|
|---|---|
|
Average monthly premium |
$28.49§ |
|
Deductible |
Tier 1 / Tier 2: $0 |
|
Tier 1 copay* |
$0 |
|
Tier 2 copay* |
$5 |
|
Cost of 90-day supply of prescription medication §§ |
Tier 1: $0 |
|
Additional gap coverage |
No |
|
SilverScript Plus (PDP)*** |
|
|---|---|
|
Average monthly premium |
$69.52 |
|
Deductible |
$0 on all tiers |
|
Tier 1 copay* |
$0 |
|
Tier 2 copay* |
$2 |
|
Cost of 90-day supply of prescription medication §§ |
Tier 1 / Tier 2: $0†† |
|
Additional gap coverage |
Tier 1 / Tier 2 |
*For 30-day supply, at preferred pharmacies in the initial coverage stage.
**If you qualify for Extra Help, you will pay less in drug premiums, copays or coinsurance.
***SilverScript Plus PDP is not available in Alaska.
†At preferred pharmacies in the initial coverage stage.
††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.
†††See the Evidence of Coverage for more details.
§As low as $0 if you receive Extra Help.
§§Free standard mail delivery or pickup at a preferred retail pharmacy.
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