BlueRx Essential (PDP)
Health Insurance Company: BlueRx (PDP)
Medicare Prescription Drug Part D Plan Details
$72 /mo
monthly premium
BlueRx Essential (PDP)
Coverage
Overall Star Rating (2024)
- Rx
General Plan Details
Prescription Drug Deductible
$545
Preferred Generic copay
$0
Preferred Brand copay
$47
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
$14.00 copay (30-day supply)
$42.00 copay (90-day supply)
Tier 3: Preferred Brand
$47.00 copay (30-day supply)
$141.00 copay (90-day supply)
Tier 4: Non-Preferred Drug
46% coinsurance (30-day supply)
46% coinsurance (90-day supply)
Tier 5: Specialty Tier
25% coinsurance (30-day supply)
25% coinsurance (90-day supply)
Rx Drug Coverage - Standard Mail Order Cost
Tier 1: Preferred Generic
$0.00 copay (30-day supply)
$0.00 copay (90-day supply)
Tier 2: Generic
$14.00 copay (30-day supply)
$28.00 copay (90-day supply)
Tier 3: Preferred Brand
$47.00 copay (30-day supply)
$94.00 copay (90-day supply)
Tier 4: Non-Preferred Drug
46% coinsurance (30-day supply)
46% coinsurance (90-day supply)
Tier 5: Specialty Tier
25% coinsurance (30-day supply)
25% coinsurance (90-day supply)
Plan Links
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Where This Plan is Available
State:
Counties:
Autauga, Baldwin, Barbour, Bibb, Blount, Bullock, Butler, Calhoun, Chambers, Cherokee, Chilton, Choctaw, Clarke, Clay, Cleburne, Coffee, Colbert, Conecuh, Coosa, Covington, Crenshaw, Cullman, Dale, Dallas, De Kalb, Elmore, Escambia, Etowah, Fayette, Franklin, Geneva, Greene, Hale, Henry, Houston, Jackson, Jefferson, Lamar, Lauderdale, Lawrence, Lee, Limestone, Lowndes, Macon, Madison, Marengo, Marion, Marshall, Mobile, Monroe, Montgomery, Morgan, Perry, Pickens, Pike, Randolph, Russell, Saint Clair, Shelby, Sumter, Talladega, Tallapoosa, Tuscaloosa, Walker, Washington, Wilcox, Winston
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Additional Plan Info
Plan Year:
2024
Insurance Company Website:
BlueRx (PDP)