
These fields represent the Tier (or drug list group) - for this particular medication - on this particular plan’s Formulary or Drug List. Drug Tier Information - Drug Tiers are the logical grouping of prescription drugs on a Part D plan formulary.See the chart that follows to find out how much it will cost you. You will need to use your formulary to locate your drug's tier. Read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. See plan details for a description of the gap coverage. Yes: This plan offers some supplemental gap coverage in addition to the 75%ĭonut Hole Discount.In our chart, you will see one of the following:ĭepending on your mix of generics and brand-name drugs, before exiting into Catastrophic Coverage. Supplemental coverage your plan pays in addition to the Healthcare Reform mandated discounts. The Gap Coverage Types discussed in this section are The Healthcare Reform provides that for plan year 2022,Īll formulary drugs will have at least a 75% discount in the brand-name drug manufacturer discount), pay(s)ĭepending on your mix of generics and brand-name drugs. The beneficiary, or others on their behalf (e.g. Gap Coverage: In the CMS Standard Plan,.If the deductible field above isįollowed by * (example: $480*), then this drug tier is excluded from the deductible. *Some Part D plans exclude some drug tiers from the deductible.Or a $0 deductible), however the monthly premium for a plan with a $0 deductible may Many prescription drug plans do not have a deductible (also called first dollar coverage.Some Part D plan providers offer an initial deductible lower than the Standard deductible.Provided in the CMS Standard plan design.


Understanding Your Explanation of Benefits.Medicare plan quality and CMS Star Ratings.Q1Rx Drug-Finder: Compare Drug Cost Across all 2022 Medicare Plans.Browse Any 2022 Medicare Plan Formulary (or Drug List).Find a 2022 Medicare Advantage Plan (Health and Health w/Rx Plans).
