The Part D Formulary has five cost-sharing tiers. If you need to be on a higher cost (higher-tiered) medication because a lower cost (lower-tiered) medication did not work for you, we will consider a request to lower your copayment to the Preferred Copayment amount. 

Drug Maintenance - Senior Preferred also allows members to fill their Tier 1, Tier 2, Tier 3 or Tier 4 drugs in a supply greater than 30 days. We allow up to a 90 day supply per fill for drugs within these four tiers. Each 30-day supply will take one copay (90 days supply equals 3 copays).


2018 Copayment Amounts


Value D - 2016 Copayment Amounts

Jul 25, 2017, 15:38 PM
Copayment Plan Name : Value D - 2016 Copayment Amounts
Exam : No

Before the total yearly drug costs (paid by both you and Senior Preferred Value D) reach $3,310, you pay the following for prescription drugs:

  • Tier 1 - Preferred Generic Drugs
    • One-month (30 day) supply - $11 copay
    • Three-month (90 day) supply - $33 copay
  • Tier 2 - Generic Drugs
    • One-month (30 day) supply - $20 copay
    • Three-month (90 day) supply - $60 copay
  • Tier 3 - Preferred Brand Name Drugs
    • One-month (30 day) supply - $47 copay
    • Three-month (90 day) supply - $141 copay
  • Tier 4 - Non-Preferred Brand Name Drugs
    • One-month (30 day) supply - $100 copay
    • Three-month (90 day) supply - $300 copay
  • Tier 5 - Specialty Medications
    • One-month (30 day) supply - 25% coinsurance
    • Three-month (90 day) supply - not offered
After your total yearly drug costs (paid by both you and Senior Preferred Value D) reach $3,310, you receive limited coverage by the plan on certain drugs. You will also receive a discount on brand name drugs and generally pay no more than 45% for the plan's costs for brand name drugs and 58% of the plan's costs for generic drugs until your yearly out-of-pocket drug costs reach $4,850.
After your yearly out-of-pocket drug costs reach $4,850 you pay the greater of 5% of the cost or $2.95 copay for generic (including brand drugs treated as generic) and $7.40 for all other drugs.

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2017 Copayment Amounts


Value D - 2016 Copayment Amounts

Jul 25, 2017, 15:38 PM
Copayment Plan Name : Value D - 2016 Copayment Amounts
Exam : No

Before the total yearly drug costs (paid by both you and Senior Preferred Value D) reach $3,310, you pay the following for prescription drugs:

  • Tier 1 - Preferred Generic Drugs
    • One-month (30 day) supply - $11 copay
    • Three-month (90 day) supply - $33 copay
  • Tier 2 - Generic Drugs
    • One-month (30 day) supply - $20 copay
    • Three-month (90 day) supply - $60 copay
  • Tier 3 - Preferred Brand Name Drugs
    • One-month (30 day) supply - $47 copay
    • Three-month (90 day) supply - $141 copay
  • Tier 4 - Non-Preferred Brand Name Drugs
    • One-month (30 day) supply - $100 copay
    • Three-month (90 day) supply - $300 copay
  • Tier 5 - Specialty Medications
    • One-month (30 day) supply - 25% coinsurance
    • Three-month (90 day) supply - not offered
After your total yearly drug costs (paid by both you and Senior Preferred Value D) reach $3,310, you receive limited coverage by the plan on certain drugs. You will also receive a discount on brand name drugs and generally pay no more than 45% for the plan's costs for brand name drugs and 58% of the plan's costs for generic drugs until your yearly out-of-pocket drug costs reach $4,850.
After your yearly out-of-pocket drug costs reach $4,850 you pay the greater of 5% of the cost or $2.95 copay for generic (including brand drugs treated as generic) and $7.40 for all other drugs.

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