Blue MedicareRx Enhanced (PDP)
Health Insurance Company: Blue Cross Blue Shield of Arizona (AZ Blue)
Medicare Prescription Drug Part D Plan Details
General Plan Details
Prescription Drug Deductible
$0
Preferred Generic copay
$0
Preferred Brand copay
$0
Eligible for Low Income Subsidy
No
Rx Drug Coverage - Standard Retail Cost
Tier 1: Preferred Generic
$0.00 copay (30-day supply)
$0.00 copay (90-day supply)
Tier 2: Generic
$3.00 copay (30-day supply)
$7.50 copay (90-day supply)
Tier 3: Preferred Brand
20% coinsurance (30-day supply)
20% coinsurance (90-day supply)
Tier 4: Non-Preferred Drug
45% coinsurance (30-day supply)
45% coinsurance (90-day supply)
Tier 5: Specialty Tier
33% coinsurance (30-day supply)
Plan Links
Ready to Enroll Online?
Or call and get free advice from licensed insurance agents
TTY 711
Mon-Fri: 8am-9pm, Sat: 9am-8pm ET
Where This Plan is Available
Additional Plan Info
Year:
2024
Plan ID:
S6506-002-0
Insurance Company Website:
Blue Cross Blue Shield of Arizona (AZ Blue)