Prescription Drug Plan

Plan Information

• Premiums, Deductibles and Copays vary by state.
  • This plan’s deductible is waived for Tier 1 and Tier 2 Prescriptions. Applies to Tier 3-5 medications.

Please reference your personal Rx Report provided by HTA which shows the plan premium, copays by tier ranking, specific costs and drug limits or restrictions for your current medication list.

Pharmacies

• Preferred Pharmacy Search:
  • Blue RX has preferred pharmacies where you can get lower co-pays.  Please use the above link to search for pharmacies near you.

Plan Documents

• Summary of Benefits
• Formulary List
• Carrier Star Ratings

All Medicare Prescription Drug Plans have 4 Stages of Coverage.

Please click on the link for more details and a short video overview on Medicare Prescription Drug Plans and Stages.