Preferred Pharmacies For 2015 Medicare Prescription Drug Plans

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Preferred Pharmacies for2015 Medicare Prescription Drug PlansMany of the Medicare Prescription Drug Plans (PDP) for 2015 have preferred pharmacypricing—meaning members will pay a reduced (or sometimes no) co-payment for prescriptionsfilled at one of the plan’s preferred pharmacies. Below you will find the plans that havepreferred pharmacy pricing, the corresponding preferred pharmacies, and breakdowns of howco-payments differ between preferred and non-preferred pharmacies. If a PDP is not listedbelow, it does not use preferred pharmacy pricing. When referencing SHINE’s MassachusettsStand Alone Medicare Drug Plans chart, please note that the co-payments given reflect thepreferred pharmacy pricing if the plan has preferred pharmacies.Aetna MedicarePreferred Pharmacies: CVS pharmaciesAetna Medicare RX SaverTier 1: GenericTier 2: Preferred BrandTier 3: Non-preferred BrandTier 4: SpecialtyTier 5: Select Care DrugsPreferredPharmacies 0 3 4537%25%Other NetworkPharmacies 2 5 4537%25%All AARP PlansPreferred Pharmacies: Walgreens, Safeway, Kroger, Target, Stop and Shop, Publix, Hannaford,Wegmans, Sam’s Club, WalmartAARP MedicareRx PreferredTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 3 5 40 7533%Other NetworkPharmacies 5 9 45 9533%Rev. 10/10/14

PreferredPharmacies 1 2 20 4025%Other NetworkPharmacies 2 4 35 5025%PreferredPharmacies 1 6 3540%25%Other networkpharmacies 6 16 4550%25%Any PharmacyOther networkpharmaciesAARP MedicareRx Saver PlusTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyBlue Medicare Rx ValuePreferred Pharmacies: CVS Pharmacy, Stop & ShopBlue Medicare Rx Value PlusTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyBlue Medicare Rx - PremierTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: Specialty 4 9 30 7025%Cigna HealthSpringPreferred Pharmacies: K-Mart, Kroger, Stop & Shop, Target, Walmart and many othersCigna-HealthSpring Rx SecureTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyCigna-HealthSpring Rx Secure-XtraTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 1-2 3-720%30-40%Other networkpharmacies 4-6 9-1522-24%35-45%25%25%PreferredPharmacies 1 420%35%33%Other networkpharmacies 4 1022%40%33%Rev. 10/10/14

Cigna-HealthSpring Secure-MaxTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 1 2 30 8533%Other networkpharmacies 4 8 40 9533%EnvisionPreferred Pharmacies: Big Y, Medicine Shoppe, OscoEnvision Rx Plus SilverTier 1: GenericTier 2: Preferred BrandTier 3: Non-Preferred BrandTier 4: SpecialtyPreferredPharmacies 215%37%25%Other networkpharmacies 1025%42%25%PreferredPharmacies 0 2-817-23%48%25%Other NetworkPharmacies 3 8-1419-25%50%25%PreferredPharmacies 1 5 4048%31%Other NetworkPharmacies 8 16 4550%31%Express ScriptsPreferred Pharmacies: WalgreensExpress Scripts Medicare ValueTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyExpress Scripts Medicare ChoiceTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyRev. 10/10/14

First Health Part DFirst Health Part D EssentialsPreferred Pharmacies: CVS and various independent pharmaciesFirst Health Part D Premiere PlusTier 1: Preferred GenericTier 2: Preferred BrandTier 3: Non-Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 0 3 4550%33%Other NetworkPharmacies 4 7 4550%33%PreferredPharmacies 0 3 3550%25%Other NetworkPharmacies 3 7 3550%25%First Health Part D Value PlusPreferred Pharmacies: CVS, WalmartFirst Health Part D Value PlusTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyHumanaNote: Each Humana Plan uses a different network of preferred pharmaciesHumana Walmart Rx Preferred Pharmacies: Walmart, Sam’s ClubHumana Walmart RxTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 1 420%35%25%Other NetworkPharmacies 10 3325%50%25%Rev. 10/10/14

Humana Enhanced Preferred Pharmacies: Walgreens, Walmart, Sam’s ClubHumana EnhancedTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 3 7 4244%33%Other networkpharmacies 7 12 4550%33%Humana Preferred Rx Preferred Pharmacies: Walmart, Sam’s ClubHumana Preferred RxTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 1 220%35%25%Other networkpharmacies 2 425%36%25%SilverScriptPreferred Pharmacies: CVS/pharmacy, Wal-Mart, Walgreens, Target, Kroger, Rite Aid, DuaneReade, Costco, Publix, Safeway, Sam’s Club, Big Y, Shaws & many more various independentpharmaciesSilverScript PlusTier 1: GenericTier 2: Preferred BrandTier 3: Non-Preferred BrandTier 4: SpecialtyPreferredPharmacies 0 2440%33%Other networkpharmacies 7 3150%33%Transamerica Medicare RxPreferred Pharmacies: None for 2015Transamerica Medicare Rx ValueClassicTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyNetworkPharmacies 0 8 4550%25%Rev. 10/10/14

Transamerica Medicare Rx ChoiceTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyNetwork Pharmacy 0 18 45 9533%United AmericanPreferred Pharmacies: CVS/pharmacy, Walmart, Sam’s Club, KrogerUnited America SelectTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyUnited America EnhancedTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyUnited America EssentialTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 0 317%27%25%Other networkpharmacies 9 1122%32%25%PreferredPharmacies 0 7 3740%30%Other networkpharmacies 9 15 4550%30%PreferredPharmacies 0 3 3540%27%Other networkpharmacies 0 33 4550%27%Rev. 10/10/14

WellcarePreferred Pharmacies: Walgreens, Walmart, Sam’s Club, Kmart, Duane Reade, KrogerWellcare ClassicTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyWellcare ExtraTier 1: Preferred GenericTier 2: Non-Preferred GenericTier 3: Preferred BrandTier 4: Non-Preferred BrandTier 5: SpecialtyPreferredPharmacies 0 15 40 9033%Other networkpharmacies 9 29 45 9520%PreferredPharmacies 0 0 38 7333%Other networkpharmacies 9 29 45 9533%Rev. 10/10/14

Cigna-HealthSpring Rx Secure-Xtra Preferred Pharmacies Other network pharmacies Tier 1: Preferred Generic 1 4 Tier 2: Non-Preferred Generic 4 10 Tier 3: Preferred Brand 20% 22% Tier 4: Non-Preferred Brand 35% 40% Tier 5: Specialty 33% 33% . Rev.

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