2021

PLAN
INFORMATION

3 Medicare Part D Prescription Drug Plans At Your Service

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

SAVER

Our lowest premiums, $0 deductible for many generic drugs, and $0 or low copays at preferred home delivery or retail pharmacies

  • Coverage for more than 2,900 drugs, including the most commonly used medications
  • $0 deductible (Tiers 1 & 2 generic drugs)
  • $0 generic drugs (Tiers 1 & 2) for a 90-day supply with preferred home delivery from Express Scripts Pharmacy® for added safety and convenience
  • $2 generic drugs (Tier 1) for a 30-day supply at preferred retail pharmacies, including CVS Pharmacy®, Walmart and the Kroger Family of Pharmacies
  • $35 for select insulin medications on Tier 3 from any pharmacy, starting January 1 and continuing through the Coverage Gap Stage

Learn more about our Saver plan.

VALUE

Wider drug coverage, $0 deductible for many generic and select drugs, and $0 or low copays at preferred home delivery or retail pharmacies

  • Coverage for nearly 3,000 drugs, including the most commonly used medications
  • $0 deductible (Tiers 1 & 2 generic drugs and Tier 6 Select Care Drugs)
  • $0 generic drugs (Tiers 1 & 2) for a 90-day supply with preferred home delivery from Express Scripts Pharmacy® for added safety and convenience
  • $1 generic drugs (Tier 1) for a 30-day supply at preferred retail pharmacies, including Walgreens, Walmart and the Kroger Family of Pharmacies

Learn more about our Value plan.

CHOICE

Our widest drug coverage, $0 deductible for even more generic and select drugs, $0 or low copays at preferred home delivery or retail pharmacies

  • Coverage for more than 3,200 drugs, including the most commonly used medications
  • $0 deductible (Tiers 1, 2, 3 & 6)
  • $0 generic drugs (Tier 1) for a 90-day supply with preferred home delivery from Express Scripts Pharmacy® for added safety and convenience
  • $2 generic drugs (Tier 1) for a 30-day supply at preferred retail pharmacies, including Walgreens, the Kroger Family of Pharmacies and many local, independent pharmacies
  • Additional coverage for generic drugs (Tiers 1 & 2) in the Coverage Gap Stage
  • NEW! Copays as low as $0 for select insulin drugs to treat diabetes

Learn more about our Choice plan.

Whichever plan you choose, get Express Scripts Medicare savings, service and safety 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 specialty-trained 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 from Express Scripts Pharmacy 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

The Kroger Family of Pharmacies includes Dillons, Fred Meyer, Fry's, Harris Teeter, King Soopers, Mariano's, Metro Market, Pick 'n Save, QFC, Ralphs and Smith's.

Premiums may vary by plan and 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 preferred home delivery from 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 suburban areas in Puerto Rico, and the Choice plan also includes limited lower-cost, preferred pharmacies in rural areas in Oklahoma. 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.

We have free interpreter services available 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.