2021
2022

Silverscript SmartRx – S5601-205

Premium: $6.30

Deductible: $445 (Tiers 2-5)

Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

Silverscript Choice – S5601-060

Premium: $31.30

Deductible: $260 (Tiers 2-5)

Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

SilverScript Plus – S5601-061

Premium: $75.00

Deductible: $0

Summary of Benefits

Evidence of Coverage

Comprehensive Formulary


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

Official Medicare Resources