Virginia Part D Prescription Drug Plans – Compare Rates

Medicare Part D coverage in Virginia provides comprehensive prescription drug benefits. You can choose among 27 stand-alone plans (PDPs) that meet your medical and budget needs. Many Advantage contracts also offer drug benefits. Prices, copays, and deductibles vary, depending on the carrier and policy. HMO and PPO Advantage plans are offered. Generic drugs are the least expensive option and are typically considered as "Tier 1" drugs. Tier 2 (preferred brand name) and Tier 3 (non-preferred brand-name) drugs are also popular.

Your 2020 Part D plan works with your Part A and/or Part B coverage. Provided pharmacy networks may lower your out-of-pocket costs. Formularies list covered generic and brand-name medications, and help customers work with their doctors and specialists to choose the best option. A Formulary can change, but not without written notice. The standard initial deductible of $435 increased $20 from last year. This deductible does not impact Coverage Gap or Donut Hole. However, it can impact when you leave the Donut Hole and enter the catastrophic coverage.

Virginia Medicare Supplement plans and Advantage policies can also be purchased in all counties. Rates and benefits will vary.

Listed below are all of the available prescription drug plans in Virginia.

Anthem Blue MedicareRx Standard -- $83.20 monthly cost with $365 deductible and 2,831 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $5 (Tier 2), $30 (Tier 3), 40% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $15 (Tier 2), $90 (Tier 3), 40% (Tier 4), and n/a (Tier 5). Plan Summary Star Rating is 3.5. Plan ID is S5596-005.

Anthem Blue MedicareRx Plus -- $91.30 monthly cost with $0 deductible and 3,054 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $3 (Tier 2), $40 (Tier 3), 39% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $9 (Tier 2),  $120 (Tier 3), 39% (Tier 4), and n/a (Tier 5). Plan Summary Star Rating is 3.5. Plan ID is S5596-006.

WellCare Value Script -- $14.50 monthly cost with $415 deductible and 3,379 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $0 (Tier 1), $7 (Tier 2), $40 (Tier 3), 46% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $0 (Tier 1), $21 (Tier 2),  $120 (Tier 3), 46% (Tier 4), and n/a (Tier 5). Plan Summary Star Rating is 3.0. Plan ID is S4802-142.

WellCare Classic -- $29.70 monthly cost with $415 deductible and 2,999 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $0 (Tier 1), $14 (Tier 2),  $37 (Tier 3), 41% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $0 (Tier 1), $42 (Tier 2),  $111 (Tier 3),  41% (Tier 4), and n/a (Tier 5). Plan Summary Star Rating is 3.0.

WellCare Extra -- $70.20 monthly cost with $0 deductible and 3,327 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $0 (Tier 1), $5 (Tier 2),  $40 (Tier 3),  46% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $0 (Tier 1), $15 (Tier 2),  $120 (Tier 3),  46% (Tier 4), and n/a (Tier 5).

Aetna Medicare Rx Saver -- $27.90 monthly cost with $310 deductible and 3,283 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $2 (Tier 2),  $30 (Tier 3), 35% (Tier 4), and 27% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $6 (Tier 2),  $90 (Tier 3),  35% (Tier 4), and n/a (Tier 5).

Aetna Medicare Rx Value Plus -- $58.70 monthly cost with $0 deductible and 3,737 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $2 (Tier 2), $47 (Tier 3),  49% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $6 (Tier 2),  $141 (Tier 3),  49% (Tier 4), and n/a (Tier 5).

Aetna Medicare Rx Select -- $16.10 monthly cost with $390 deductible and 3,737 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $0 (Tier 1), $2 (Tier 2),  $47 (Tier 3),  40% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $0 (Tier 1), $6 (Tier 2),  $141 (Tier 3),  40% (Tier 4), and n/a (Tier 5).

Part D Drug Plan Rates Virginia

Cigna-HealthSpring Rx Secure-Essential -- $21.90 monthly cost with $415 deductible and 3,154 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $3 (Tier 2),  20% (Tier 3),  50% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $9 (Tier 2),  20% (Tier 3),  50% (Tier 4), and n/a (Tier 5).

Cigna-HealthSpring Rx Secure -- $53.60 monthly cost with $415 deductible and 3,191 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $3 (Tier 2),  $30 (Tier 3),  37% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $9 (Tier 2),  $90 (Tier 3),  37% (Tier 4), and n/a (Tier 5).

Cigna-HealthSpring Rx Secure Extra -- $60.40 monthly cost with $100 deductible and 3,317 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $4 (Tier 1), $10 (Tier 2),  $42 (Tier 3),  50% (Tier 4), and 31% (Tier 5). The preferred pharmacy copays for a 90-day supply are $12 (Tier 1), $30 (Tier 2),  $126 (Tier 3),  50% (Tier 4), and n/a (Tier 5).

Express Scripts Medicare-Saver -- $25.40 monthly cost with $415 deductible and 2,806 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $4 (Tier 2),  18% (Tier 3),  34% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $12 (Tier 2),  18% (Tier 3),  n/a (Tier 4), and n/a (Tier 5).

Express Scripts Medicare-Value -- $33.40 monthly cost with $415 deductible and 2,931 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $3 (Tier 2),  $25 (Tier 3),  36% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $9 (Tier 2),  $75 (Tier 3),  n/a (Tier 4), and n/a (Tier 5).

Express Scripts Medicare-Choice -- $93.30 monthly cost with $350 deductible and 3,268 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $2 (Tier 1), $7 (Tier 2),  $42 (Tier 3),  45% (Tier 4), and 26% (Tier 5). The preferred pharmacy copays for a 90-day supply are $6 (Tier 1), $21 (Tier 2),  $126 (Tier 3),  n/a (Tier 4), and n/a (Tier 5).

Humana Preferred Rx Plan -- $28.20 monthly cost with $415 deductible and 2,968 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $0 (Tier 1), $1 (Tier 2),  25% (Tier 3),  37% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $0 (Tier 1), $3 (Tier 2),  25% (Tier 3),  37% (Tier 4), and n/a (Tier 5).

Humana Walmart Rx Plan -- $26.10 monthly cost with $415 deductible and 3,154 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $4 (Tier 2),  20% (Tier 3),  35% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $12 (Tier 2),  20% (Tier 3),  35% (Tier 4), and n/a (Tier 5).

Mutual Of Omaha Rx Value -- $27.00 monthly cost with $415 deductible and 2,806 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $4 (Tier 2),  15% (Tier 3),  37% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $12 (Tier 2),  15% (Tier 3),  n/a (Tier 4), and n/a (Tier 5).

Mutual Of Omaha Rx Plus -- $41.50 monthly cost with $415 deductible and 2,987 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $3 (Tier 1), $6 (Tier 2),  $35 (Tier 3),  48% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $9 (Tier 1), $18 (Tier 2),  $105 (Tier 3),  n/a (Tier 4), and n/a (Tier 5).

Virginia AARP Plans

 

 

AARP MedicareRx Saver Plus -- $27.30 monthly cost with $415 deductible and 2,954 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $7 (Tier 2),  $25 (Tier 3),  33% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $21 (Tier 2),  $75 (Tier 3),  33% (Tier 4), and 25% (Tier 5).

AARP MedicareRx Walgreens -- $28.00 monthly cost with $415 deductible and 2,884 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $0 (Tier 1), $5 (Tier 2),  $30 (Tier 3),  32% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $0 (Tier 1), $15 (Tier 2),  $90 (Tier 3),  32% (Tier 4), and 25% (Tier 5).

AARP MedicareRx Preferred -- $73.50 monthly cost with $0 deductible and 3,367 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $5 (Tier 1), $10 (Tier 2),  $40 (Tier 3),  40% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $15 (Tier 1), $30 (Tier 2),  $120 (Tier 3),  40% (Tier 4), and 33% (Tier 5).

Humana Preferred Rx Plan -- $28.20 monthly cost with $415 deductible and 2,968 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $0 (Tier 1), $1 (Tier 2),  25% (Tier 3),  37% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $0  (Tier 1), $3 (Tier 2),  25% (Tier 3),  37% (Tier 4), and n/a (Tier 5).

Humana Enhanced -- $75.10 monthly cost with $0 deductible and 3,174 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $5 (Tier 1), $10 (Tier 2),  $47 (Tier 3),  50% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $15  (Tier 1), $30 (Tier 2),  $141 (Tier 3),  50% (Tier 4), and n/a (Tier 5).

Magellan Rx Medicare Basic -- $28.70 monthly cost with $415 deductible and 2,977 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $2 (Tier 2),  19% (Tier 3),  45% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $2.50 (Tier 1), $5 (Tier 2),  19% (Tier 3),  45% (Tier 4), and n/a (Tier 5).

SilverScript Choice -- $29.20 monthly cost with $0 deductible and 2,995 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $9 (Tier 1), $19 (Tier 2),  $46 (Tier 3),  49% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $27 (Tier 1), $57 (Tier 2),  $138 (Tier 3),  49% (Tier 4), and n/a (Tier 5).

SilverScript Plus -- $50.40 monthly cost with $0 deductible and 3,011 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $5 (Tier 2),  $35 (Tier 3),  40% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $15 (Tier 2),  $105 (Tier 3),  40% (Tier 4), and n/a (Tier 5).

SilverScript Allure -- $80.00 monthly cost with $0 deductible and 3,011 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $5 (Tier 2),  $20 (Tier 3),  40% (Tier 4), and 33% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $15 (Tier 2),  20% (Tier 3),  40% (Tier 4), and n/a (Tier 5).

EnvisionRxPlus -- $46.80 monthly cost with $415 deductible and 2,987 available formulary drugs. Preferred pharmacy copays for a 30-day supply are $1 (Tier 1), $3 (Tier 2),  $15 (Tier 3),  29% (Tier 4), and 25% (Tier 5). The preferred pharmacy copays for a 90-day supply are $3 (Tier 1), $9 (Tier 2),  15% (Tier 3),  29% (Tier 4), and n/a (Tier 5).

Medicare Part D Prescription drug plans in Virginia are an optional benefit. You can enroll online or by using a paper application. Your Medicare number and the dates your Parts A and B benefits began may be needed.