

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 by provided by HTA which shows the plan premium, copays by tier ranking, specific costs and and drug limits or restrictions for your current medication list.
Pharmacies
- Mail Order Pharmacy Information
- Preferred Pharmacy Search:
- You are not required to use Walgreens Pharmacy although Walgreens is the preferred pharmacy and can receive lower copays on many RX’s.
Plan Documents
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.