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Blue MedicareRx Essentials (PDP)

Health Insurance Company: Blue Cross and Blue Shield of Kansas or Blue KC

Medicare Prescription Drug Part D Plan Details

$0 /mo

monthly premium

Blue MedicareRx Essentials (PDP)

Coverage

Overall Star Rating (2025)

Rx
Low Income
Subsidy

out of 5 stars

General Plan Details

Prescription Drug Deductible

$425

Preferred Generic copay

Preferred Brand copay

Eligible for Low Income Subsidy

Yes

Rx Drug Coverage - Preferred Retail Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$2.00 copay (30-day supply)
$4.00 copay (90-day supply)

Tier 3: Preferred Brand

20% coinsurance (30-day supply)
20% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

48% coinsurance (30-day supply)
48% coinsurance (90-day supply)

Tier 5: Specialty Tier

27% coinsurance (30-day supply)

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

$5.00 copay (30-day supply)
$10.00 copay (90-day supply)

Tier 2: Generic

$7.00 copay (30-day supply)
$14.00 copay (90-day supply)

Tier 3: Preferred Brand

25% coinsurance (30-day supply)
25% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

50% coinsurance (30-day supply)
50% coinsurance (90-day supply)

Tier 5: Specialty Tier

27% coinsurance (30-day supply)

Rx Drug Coverage - Standard Mail Order Cost

Tier 1: Preferred Generic

$5.00 copay (30-day supply)
$10.00 copay (90-day supply)

Tier 2: Generic

$7.00 copay (30-day supply)
$14.00 copay (90-day supply)

Tier 3: Preferred Brand

25% coinsurance (30-day supply)
25% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

50% coinsurance (30-day supply)
50% coinsurance (90-day supply)

Tier 5: Specialty Tier

27% coinsurance (30-day supply)

Rx Drug Coverage - Preferred Mail Order Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$2.00 copay (30-day supply)
$4.00 copay (90-day supply)

Tier 3: Preferred Brand

20% coinsurance (30-day supply)
20% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

48% coinsurance (30-day supply)
48% coinsurance (90-day supply)

Tier 5: Specialty Tier

27% coinsurance (30-day supply)

Plan Links

Plan Link

Doctor Lookup

Drug Link

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Where This Plan is Available

State:

Kansas

Counties:

Allen, Anderson, Atchison, Barber, Barton, Bourbon, Brown, Butler, Chase, Chautauqua, Cherokee, Cheyenne, Clark, Clay, Cloud, Coffey, Comanche, Cowley, Crawford, Decatur, Dickinson, Doniphan, Douglas, Edwards, Elk, Ellis, Ellsworth, Finney, Ford, Franklin, Geary, Gove, Graham, Grant, Gray, Greeley, Greenwood, Hamilton, Harper, Harvey, Haskell, Hodgeman, Jackson, Jefferson, Jewell, Johnson, Kearny, Kingman, Kiowa, Labette, Lane, Leavenworth, Lincoln, Linn, Logan, Lyon, Marion, Marshall, Mcpherson, Meade, Miami, Mitchell, Montgomery, Morris, Morton, Nemaha, Neosho, Ness, Norton, Osage, Osborne, Ottawa, Pawnee, Phillips, Pottawatomie, Pratt, Rawlins, Reno, Republic, Rice, Riley, Rooks, Rush, Russell, Saline, Scott, Sedgwick, Seward, Shawnee, Sheridan, Sherman, Smith, Stafford, Stanton, Stevens, Sumner, Thomas, Trego, Wabaunsee, Wallace, Washington, Wichita, Wilson, Woodson, Wyandotte

View all plans in your Kansas County

Additional Plan Info

Plan Year:

2025

Insurance Company Website:

Blue Cross and Blue Shield of Kansas or Blue KC

Blue MedicareRx Essentials (PDP)

Medicare Prescription Drug Part D Plan Details

General Plan Details

Rx Drug Coverage - Preferred Retail Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Rx Drug Coverage - Standard Mail Order Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Rx Drug Coverage - Preferred Mail Order Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Plan Links

Where This Plan is Available

Additional Plan Info

Health Insurance Companies Offering Plans