2022
2023

Silverscript SmartRx – S5601-205

Premium: $7.70

Deductible: $480 (Tiers 2-5)


Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

Silverscript Choice – S5601-060

Premium: $32.70

Deductible: $480 (Tiers 3-5)


Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

SilverScript Plus – S5601-061

Premium: $75.30

Deductible: $0


Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

Silverscript SmartSaver – S5601-205

Premium: $1.60

Deductible: $505 (Tiers 2-5)


Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

Silverscript Choice – S5601-060

Premium: $40.50

Deductible: $505 (Tiers 3-5)


Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

SilverScript Plus – S5601-061

Premium: $73.50

Deductible: $0


Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

Official Medicare Resources