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|
SilverScript® SmartSaver (PDP) |
SilverScript® Choice (PDP) |
SilverScript® Plus (PDP) |
|
|---|---|---|---|
|
Monthly premium |
$5.30 |
$41.00* |
$92.60 |
|
Deductible |
$0 For Tier 1 |
$545 Across all tiers* |
$0 For Tiers 1 & 2 |
|
Tier 1 copay** |
$0 |
$2 |
$0 |
|
Tier 2 copay** |
$5 |
$7 |
$0 |
|
Cost of 90-day supply of prescription medication*** |
Tier 1: $0 |
Tier 1: $6 |
Tier 1 / Tier 2: $0† |
|
Additional gap coverage |
No |
No |
Tier 1 / Tier 2 |
*$0 monthly premium and $0 deductible if you receive Extra Help.
**For 30-day supply, at preferred pharmacies in the initial coverage phase.
***Standard mail-order delivery or pickup at a preferred retail pharmacy.
†Pay a $0 copay for up to a 90-day supply of Tier 1 and Tier 2 drugs, at preferred retail pharmacies or by standard mail-order delivery.
Questions about Medicare Part D? We’ve got answers
Medicare Part D FAQs
Find the answers to common questions about prescription drug coverage.