Express Scripts Medicare ® (PDP)
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Get true value and savings from your Part D plan.

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Call: 1.877.417.8962

Call an Express Scripts Medicare Advisor today at 1.877.417.8962, 8:00 a.m. to 8:00 p.m., 7 days a week, except Thanksgiving. TTY users: 1.800.716.3231.

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Express Scripts Medicare offers prescription drug coverage in your area.

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Plans Available in <%=State.Name %>

Value Plan
Choice Plan
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Basic prescription drug coverage Broader coverage of brand drugs
$320 deductible $0 deductible (Tiers 1 & 2 generics)
$0 generic drugs (Tier 1) for 31-day supply at over 27,000 pharmacies, including Walgreens $1 generic drugs (Tier 1) for 31-day supply at over 27,000 pharmacies, including Walgreens
$3 generic drugs (Tier 1) for 90-day supply with home delivery $0 generic drugs (Tier 1) for 90-day supply with home delivery

Plan Details

  • $0 deductible (Tiers 1 & 2 generics) and low-premium options
  • $0 or $1 generic drugs (Tier 1) at Walgreens and many local, independent pharmacies*
  • Over 3,000 covered brand and generic drugs
  • More than 67,000 pharmacies in our national network
  • Express Scripts pharmacists available to
    answer medication questions 24/7

*Other pharmacies are available in our network. Our network includes pharmacies with standard and preferred cost-sharing. Members may use any of our pharmacies, but costs may be lower at a pharmacy offering preferred cost-sharing. Those who receive low-income subsidy assistance (Extra Help) pay the same amount as set by Medicare at any network pharmacy.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

Express Scripts Medicare (PDP) is a prescription drug plan with a Medicare contract. Enrollment in Express Scripts Medicare depends on contract renewal.

Y0046_OT44968W Approved

This page was last updated on 11/20/2014.

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