Blue Cross MedicareRx Choice (PDP)
Medicare Plan Details (2023 Plan)
Monthly Premium
by Blue Cross and Blue Shield of IL, NM, OK, TX
Additional Coverage
(none)
Overall Government Star Rating
3.5out of 5 stars
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Plan Type
Prescription Drug (Part D)
Plan Details
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $15.00 copay |
Brand-name drugs :
|
Brand-name drugs :
|
| Generic | $20.00 copay | ||
| Preferred Brand | $47.00 copay | ||
| Non-Preferred Drug | 32% | ||
| Specialty Tier | 25% |
Part B Drugs
Not covered
Not covered
Prescription Drug Plan Star Ratings
(government star ratings are out of 5 stars)
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