AARP MedicareRx Walgreens (PDP)
S5921 - 382 - 0
(3 / 5)
AARP MedicareRx Walgreens (PDP) is a Medicare Prescription Drug Plan by UnitedHealthcare.
This page features plan details for 2023 AARP MedicareRx Walgreens (PDP) S5921 – 382 – 0.
Locations
AARP MedicareRx Walgreens (PDP) is offered in the following locations.
Plan Overview
AARP MedicareRx Walgreens (PDP) offers the following coverage and cost-sharing.
| Insurer: | UnitedHealthcare |
| Drugs Covered: | Yes |
Please Note:
- This plan does not charge an annual deductible for all drugs. The $350.00 annual deductible only applies to drugs on certain tiers.
Ready to sign up for AARP MedicareRx Walgreens (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
Premium Breakdown
AARP MedicareRx Walgreens (PDP) has a monthly premium of $40.90. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.| Part B | Part C | Part D | Part B Give Back | Total |
|---|---|---|---|---|
| $0.00 | $ | $40.90 | $0.00 | $ |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
- You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.
Drug Info
AARP MedicareRx Walgreens (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $350.00 |
| Initial Coverage Limit: | $4,660.00 |
| Catastrophic Coverage Limit: | $7,400.00 |
| Drug Benefit Type: | Enhanced Alternative |
| Gap Coverage: | Yes |
| Formulary Link: | Formulary Link |
Part D Premium Reduction
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs. The table below shows how the LIS impacts the Part D premium of this plan.| Part D | LIS 25% | LIS 50% | LIS 75% | LIS Full |
|---|---|---|---|---|
| $40.90 | $31.4 | $21.9 | $12.5 | $3.00 |
Initial Coverage Phase
After you pay your $350.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.
30 Day
60 Day
90 Day
30 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1 (Preferred Generic) | $1.00 copay | $16.00 copay | ||
| 2 (Generic) | $10.00 copay | $20.00 copay | ||
| 3 (Preferred Brand) | $40.00 copay | $45.00 copay | ||
| 4 (Non-Preferred Drug) | 45% | 50% | ||
| 5 (Specialty Tier) | 27% | 27% | 27% | 27% |
60 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1 (Preferred Generic) | ||||
| 2 (Generic) | ||||
| 3 (Preferred Brand) | ||||
| 4 (Non-Preferred Drug) | ||||
| 5 (Specialty Tier) |
90 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1 (Preferred Generic) | $3.00 copay | $48.00 copay | $3.00 copay | $48.00 copay |
| 2 (Generic) | $30.00 copay | $60.00 copay | $30.00 copay | $60.00 copay |
| 3 (Preferred Brand) | $120.00 copay | $135.00 copay | $120.00 copay | $135.00 copay |
| 4 (Non-Preferred Drug) | 45% | 50% | 45% | 50% |
| 5 (Specialty Tier) |
Gap Coverage Phase
30 Day
90 Day
30 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 2 (Generic) * | $10.00 copay | $20.00 copay |
90 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 2 (Generic) * | $30.00 copay | $60.00 copay | $30.00 copay | $60.00 copay |
| Tier | Cost |
|---|---|
| All other tiers (Generic) | 25% |
| All other tiers (Brand-name) | 25% |
Catastrophic Coverage Phase
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.
| Drug Type | Cost Share |
|---|---|
| Generic drugs | $4.15 copay or 5% (whichever costs more) |
| Brand-name drugs | $10.35 copay or 5% (whichever costs more) |
Ready to sign up for AARP MedicareRx Walgreens (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST