Anthem MediBlue Rx Enhanced (PDP)


Medicare Plan Details

2021 Plan
Monthly Premium
(select county for price)

 

by Anthem / Anthem or Blue KC in Missouri
Additional Coverage

(none)

Overall Government Star Rating
 3.5
out of 5 stars

State: Maine

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Plan Type

Prescription Drug (Part D)

 

$20
$350.00
No

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phase1Catastrophic coverage phase
Preferred Generic$5.00 copay$5.00 copay


Generic drugs :
$3.70 copay or 5% (whichever costs more)

Brand-name drugs :
$9.20 copay or 5% (whichever costs more)

Generic$7.00 copay$7.00 copay
Preferred Brand22%
Non-Preferred Drug41%
Specialty Tier26%
1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.

Part B Drugs

Not covered
Not covered
 3.5
 3
 5
 4
 4

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