- 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.
- Mail Order Pharmacy Information (click highlighted link to see details).
- $0 copay on Tier 1, 90 day Mail Order Prescriptions
- Preferred Pharmacy Search:
- You are not required to use Walmart Pharmacy although Walmart is the preferred pharmacy and can receive lower copays on many RX’s
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.