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BlueMedicare Value Rx (PDP)
Health Insurance Company: Arkansas Blue Medicare
Medicare Prescription Drug Part D Plan Details
$49 /mo
monthly premium
BlueMedicare Value Rx (PDP)
Coverage
Overall Star Rating (2025)
- Rx
General Plan Details
Prescription Drug Deductible
$590
Preferred Generic copay
$4
Preferred Brand copay
$0
Eligible for Low Income Subsidy
No
Rx Drug Coverage - Standard Retail Cost
Tier 1: Preferred Generic
$4.00 copay (30-day supply)
$12.00 copay (90-day supply)
Tier 2: Generic
$15.00 copay (30-day supply)
$45.00 copay (90-day supply)
Tier 3: Preferred Brand
20% coinsurance (30-day supply)
20% coinsurance (90-day supply)
Tier 4: Non-Preferred Drug
44% coinsurance (30-day supply)
44% coinsurance (90-day supply)
Tier 5: Specialty Tier
25% coinsurance (30-day supply)
Rx Drug Coverage - Standard Mail Order Cost
Tier 1: Preferred Generic
$4.00 copay (30-day supply)
$12.00 copay (90-day supply)
Tier 2: Generic
$15.00 copay (30-day supply)
$45.00 copay (90-day supply)
Tier 3: Preferred Brand
20% coinsurance (30-day supply)
20% coinsurance (90-day supply)
Tier 4: Non-Preferred Drug
44% coinsurance (30-day supply)
44% coinsurance (90-day supply)
Tier 5: Specialty Tier
25% coinsurance (30-day supply)
Plan Links
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Where This Plan is Available
State:
Counties:
Arkansas, Ashley, Baxter, Benton, Boone, Bradley, Calhoun, Carroll, Chicot, Clark, Clay, Cleburne, Cleveland, Columbia, Conway, Craighead, Crawford, Crittenden, Cross, Dallas, Desha, Drew, Faulkner, Franklin, Fulton, Garland, Grant, Greene, Hempstead, Hot Spring, Howard, Independence, Izard, Jackson, Jefferson, Johnson, Lafayette, Lawrence, Lee, Lincoln, Little River, Logan, Lonoke, Madison, Marion, Miller, Mississippi, Monroe, Montgomery, Nevada, Newton, Ouachita, Perry, Phillips, Pike, Poinsett, Polk, Pope, Prairie, Pulaski, Randolph, Saint Francis, Saline, Scott, Searcy, Sebastian, Sevier, Sharp, Stone, Union, Van Buren, Washington, White, Woodruff, Yell
View all plans in your Arkansas County
Additional Plan Info
Plan Year:
2025
Insurance Company Website:
Arkansas Blue Medicare