2017

PLAN
INFORMATION

You have entered the 2017 plan year website. Benefits, formulary, pharmacy network, premium, deductible and/or copayments/coinsurance may change on January 1, 2018. Visit our 2018 website for details.

Medicare Part D Plan Summary

Express Scripts Medicare has a plan that’s right for you, whatever your medication needs.

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

Find a plan

Value Plan

The Value plan is a great option if you take only a few drugs and use a preferred retail pharmacy in the plan’s network:

  • Low monthly premium*
  • $0 generic drugs (Tier 1) for a 31-day supply at more than 30,000 preferred pharmacies, including Walgreens, Duane Reade and many independent pharmacies
  • $3 generic drugs (Tier 1) for a 90-day supply with home delivery from the Express Scripts PharmacySM†
Whichever plan you select,
you will enjoy lower prices at
30,000+ preferred pharmacies,
including Walgreens.

Choice Plan

The Choice plan is a great option if you take generic drugs and enjoy the convenience of home delivery:

  • $0 deductible for generic drugs (Tiers 1 & 2)
  • $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 more than 30,000 preferred pharmacies in the plan’s network, including Walgreens, Duane Reade and many independent pharmacies

Both plans have the medicines you need, the pharmacies you use and the services you deserve.

  • Coverage for over 3,000 of the most commonly prescribed brand and generic drugs
    Learn more about covered drugs
  • Broad network with over 67,000 pharmacies, and lower costs at more than 30,000 preferred pharmacies, including Walgreens, Duane Reade and many local, independent pharmacies
  • Convenient home delivery with free standard shipping from the Express Scripts Pharmacy
    Learn more about our pharmacy network
  • Express Scripts Medicare Advisors, who are available 24/7 to answer questions about your benefit and find ways to help you save all year
  • Express Scripts pharmacists, who are available by phone 24/7 to answer questions about your medicines
  • Express Scripts specialist pharmacists, who have 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

2017 Plan Comparison

Value Plan

$400 annual deductible

View premiums by state

Cost-Sharing &
Pharmacy Type
Days Supply
Preferred Home
Delivery
90 days
Preferred
Retail

31 days
Standard
Retail

31 days
Tier 1
Preferred
Generic Drugs
$3 $0 $5 - $10
Tier 2
Generic Drugs
$6a $3b $10 - $20
Tier 3
Preferred
Brand Drugs
$93 - $126 $31 - $42 $36 - $47
Tier 4c
Nonpreferred
Drugs
50%
(31 days only)
48% 50%
Tier 5c
Specialty Drugs
25%
(31 days only)
25% 25%

Choice Plan
$0 deductible for generics (Tiers 1 & 2)
$350 annual deductible (Tiers 3, 4 & 5)

View premiums by state

Cost-Sharing &
Pharmacy Type
Days Supply
Preferred Home
Delivery
90 days
Preferred
Retail

31 days
Standard
Retail

31 days
Tier 1
Preferred
Generic Drugs
$0 $2 $10
Tier 2
Generic Drugs
$4 $7 $20
Tier 3
Preferred
Brand Drugs
23% - 25% 21% - 23% 23% - 25%
Tier 4c
Nonpreferred
Drugs
50%
(31 days only)
48% 48%
Tier 5c
Specialty Drugs
26%
(31 days only)
26% 26%

Download this chart in a print-friendly format.

Pricing above applies during the Initial Coverage Stage after payment of your annual deductible (if any). You leave this stage and enter the Coverage Gap when your year-to-date total drug costs (what you pay, plus what your plan pays) exceed $3,700.

Value plan tiers 1, 2 and 3 copayments, and Choice plan tier 3 coinsurance may vary by region. For details, please see the Summary of Benefits or call an Express Scripts Medicare Advisor.

a. $8 in IL, MS; $10 in NM, PR
b. $4 in IL, MS; $5 in NM, PR
c. Tiers 4 and 5 drugs are available in 31-day supply only

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 Part B premium.

Other pharmacies are available in our network.

Standard shipping costs are included as part of your prescription plan.

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.

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.

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