2018

PLAN
INFORMATION

Medicare Part D Prescription Drug Plans

We know that everyone has different prescription drug needs. That's why you have a choice of three different plans to help make sure you get the coverage you need at a price you can afford.

Compare plans and see your costs based on where you live, the drugs you take and the pharmacy you use.

Find a Plan

Saver Plan


NEW for 2018! Saver Plan
The Part D coverage you expect, at a price you don't.

The Saver plan is a great option if you want our lowest premium and a $0 deductible for generic drugs.*

  • Coverage for nearly 3,000 drugs, including the most commonly used medications
  • $0 deductible (Tiers 1 & 2 generic drugs)
  • $1 generic drugs (Tier 1) for a 31-day supply at preferred pharmacies, including CVS Pharmacy® and Kroger
  • $2 generic drugs (Tier 1) for a 90-day supply with home delivery from the Express Scripts PharmacySM†

Value Plan

The Value plan is a great option if you’re looking for a low premium and more drug coverage.

  • Coverage for 3,000+ drugs, including the most commonly used medications
  • $1 generic drugs (Tier 1) for a 31-day supply at preferred pharmacies, including Walgreens, Kroger and many local, independent pharmacies*
  • $3 generic drugs (Tier 1) for a 90-day supply with home delivery from the Express Scripts Pharmacy*

Choice Plan

The Choice plan is a great option if you want our broadest drug coverage and our lowest deductible.

  • Coverage for 3,500+ drugs, including the most commonly used medications
  • $0 deductible (Tiers 1 & 2 generic drugs)
  • $0 generic drugs (Tier 1) for a 90-day supply with home delivery from the Express Scripts Pharmacy*
  • $2 generic drugs (Tier 1) for a 31-day supply at preferred pharmacies including Walgreens, Kroger and many local, independent pharmacies*

Whichever plan you choose, Express Scripts Medicare provides service you can rely on.

  • Express Scripts Medicare advisors, available 24/7 to answer questions about your plan and find ways to help you save all year
  • Express Scripts pharmacists, available by phone 24/7 to answer questions about your medicines
  • Express Scripts specialist pharmacists, with expertise in the medicines used to treat specific conditions, such as diabetes, high blood pressure and high cholesterol
  • Savings alerts to help you get more value from your plan all year long

Need help?

Call 1.866.477.5703 TTY users: 1.800.716.3231
8 a.m. to 8 p.m., 7 days a week, except Thanksgiving and Christmas

*Premiums may vary by region. Remember, you must continue to pay your Medicare Part B premium.

Other pharmacies are available in our network. Preferred pharmacies agree to charge less for certain prescription drugs. You may use any network pharmacy in your plan, but you will typically pay less when you use a preferred retail pharmacy or home delivery from the Express Scripts Pharmacy.

Medicare Part B prescription drugs are not covered under the prescription drug benefit (Part D). Generally, we cover only prescription drugs, vaccines, biological products and medical supplies that are covered under the Medicare prescription drug benefit (Part D) and that are on our formulary.

Express Scripts Medicare Saver plan’s pharmacy network offers limited access to pharmacies with preferred cost-sharing in rural and suburban areas in Arkansas, Iowa, Minnesota, Montana, Nebraska, North Dakota, Puerto Rico, South Dakota, Wisconsin and Wyoming; and in rural areas only in Idaho, Kansas, Mississippi, Missouri, Oklahoma and Utah. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost-sharing, please call Customer Service at 1.866.477.5703; TTY: 1.800.716.3231, or consult the online Pharmacy Directory.

Certain prescription drugs will have maximum quantity limits.

Your prescriber must get prior authorization from Express Scripts Medicare for certain prescription drugs.

Covered Part D drugs are available at out-of-network pharmacies under certain circumstances, including illness while traveling outside the plan's service area, where there is no network pharmacy. You may also incur an additional cost for drugs received at an out-of-network pharmacy.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary.

We have free interpreter services to answer any questions you may have about the plan. View information on multi-language interpreter services.

Express Scripts Medicare (PDP) is a prescription drug plan with a Medicare contract.
Enrollment in Express Scripts Medicare depends on contract renewal.