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Part D Prescription Drug Plans (PDP)

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View 2023 plans

	SilverScript^® SmartSaver (PDP)	SilverScript^® Choice (PDP)	SilverScript^® Plus (PDP)
Average Monthly Premium	$5.92	$33.60*	$75.58
Deductible	$0 For Tier 1	$505 Applies to all tiers	$0 On all tiers
Tier 1 copay**	$2	$2	$0
Tier 2 copay**	$15	$7	$0
Cost of 90-day supply of prescription medication***	Tier 1: $6	Tier 1: $6	Tier 1 / Tier 2: $0^†
Additional gap coverage	No	No	Tier 1 / Tier 2

SilverScript^® SmartSaver (PDP)
Average Monthly Premium	$5.92
Deductible	$0 For Tier 1
Tier 1 copay**	$2
Tier 2 copay**	$15
Cost of 90-day supply of prescription medication***	Tier 1: $6
Additional gap coverage	No

SilverScript^® Choice (PDP)
Average Monthly Premium	$33.60*
Deductible	$505 Applies to all tiers
Tier 1 copay**	$2
Tier 2 copay**	$7
Cost of 90-day supply of prescription medication***	Tier 1: $6
Additional gap coverage	No

SilverScript^® Plus (PDP)
Average Monthly Premium	$75.58
Deductible	$0 On all tiers
Tier 1 copay**	$0
Tier 2 copay**	$0
Cost of 90-day supply of prescription medication***	Tier 1 / Tier 2: $0^†
Additional gap coverage	Tier 1 / Tier 2

*As low as $0 if you receive Extra Help.

**For up to a 30-day supply at preferred pharmacies during the initial coverage phase.

^***Free standard mail delivery or pickup at a preferred retail pharmacy.

^†Pay a $0 copay for Tier 1 and Tier 2 drugs for up to a 90-day supply, at a preferred pharmacy.

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