Filling Your Prescriptions
What is Medicare Part D?
What is a prescription drug formulary?
If you're currently taking a drug that isn't in our formulary, you can request an exception. See our Drug Transition Policy here.
What is the Gap Phase of my coverage, or Coverage Gap?
The coverage gap begins after the total yearly drug cost (including what our plan has paid and what you have paid) reaches $3,750. Not everyone will enter the coverage gap. If you do reach the Gap Phase of your coverage, you'll pay more for your prescriptions until you reach the end of that phase. At the end of the Gap Phase, you'll pay a low, fixed amount till the end of the plan year for all your Part D prescriptions. If you have questions about your own Part D costs, or extra help you might be eligible for in paying those costs, please contact Member Services.
How will my prescription drug costs change throughout the year?
Member Joe takes four medications:
Drug A, which is generic, tier 2, and costs $50/month without insurance
Drug B, which is generic, tier 2, and costs $100/month without insurance
Drug C, which is brand name, tier 1, and costs $200/month without insurance
Drug D, which is brand name, tier 4, and costs $380/month without insurance
Without insurance, Joe would pay $730/month