2019

PLAN
INFORMATION

3 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 pharmacies you use.

Find a Plan

The Part D coverage you expect, at a price you don't.

SAVER

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

  • Coverage for more than 2,800 drugs, including the most commonly used medications
  • $0 deductible (Tiers 1 & 2 generic drugs)
  • $1 generic drugs (Tier 1) for a 30-day supply at preferred pharmacies, including CVS Pharmacy®, Walmart, and Kroger
  • $2 generic drugs (Tier 1) for a 90-day supply with home delivery from the Express Scripts PharmacySM†

VALUE

The Value plan is a great option if you're looking for more drug coverage and low copays at preferred pharmacies.

  • Coverage for nearly 3,000 drugs, including the most commonly used medications
  • $1 generic drugs (Tier 1) for a 30-day supply at preferred pharmacies, including Walgreens, Kroger and many local, independent pharmacies
  • $2 generic drugs (Tier 1) for a 90-day supply with home delivery from the Express Scripts Pharmacy

CHOICE

The Choice plan is a great option if you want our broadest drug coverage, our lowest deductible and $0 generics delivered right to you.

  • Coverage for 3,000+ 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 30-day supply at preferred pharmacies including Walgreens, Kroger and many local, independent pharmacies

Whichever plan you choose, get Express Scripts Medicare service and convenience 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 medications, even in the middle of the night
  • Express Scripts specialist pharmacists, with expertise in the drugs used to treat specific conditions, such as diabetes, high blood pressure and high cholesterol, and who help you get the most from your treatment
  • Savings alerts to help you get more value from your plan all year long
  • Easy refills with the Express Scripts® mobile app on your smartphone or tablet

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.

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’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas in Alaska; the Saver plan also includes limited lower-cost, preferred pharmacies in rural areas in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming; and in suburban areas in Puerto Rico. 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 whether there are any lower-cost preferred pharmacies in your area, 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. Call 1.866.477.5703 (TTY: 1.800.716.3231) for more information.

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.