2019 PriorityMedicare SelectSM drug costs
The higher a drug's cost level or "tier," the higher the cost. In the chart below, you'll see what you'll pay for each drug tier for a 30-day supply at a preferred retail pharmacy and at a standard pharmacy, and for a 90-day supply through mail order (with free shipping). Costs may vary when your plan is provided by an employer.
Your drug copays/coinsurance
This is what you'll pay until you reach $3,820 in total drug costs for the year (the combined total of what you have paid plus what Priority Health has paid for your prescriptions).
This plan has no Part D deductible, so you'll only pay these amounts for your drugs.
Tier 1 Preferred generic |
Tier 2 Generic |
Tier 3 Preferred brand |
Tier 4 Non-preferred drug |
Tier 5 Specialty |
$1 (preferred retail) $6 (standard retail) $0 (90-day mail order) |
$7 (preferred retail) $12 (standard retail) $0 (90-day mail order) |
$37 (preferred retail) $42 (standard retail) $92.50 (90-day mail order) |
40% coinsurance (preferred retail) 45% coinsurance (standard retail) 40% coinsurance (90-day mail order) |
33% coinsurance |
After you reach $3,820 in drug costs
Once you and Priority Health combined spend $3,820 for your drugs during the year, then you enter what's called a "coverage gap." During this gap, you'll pay:
- 37% of the cost of your generic drugs
- 25% of the cost of your brand drugs, plus dispensing fee
Then, once your out-of-pocket Part D drug costs reach $5,100, for the rest of the year you pay the greater of:
- 5% of the cost OR
- $3.40 for generic drugs
- $8.50 for all other drugs
- Covered drugs
- See what your drugs will cost
- Requirements for coverage
- If your drug is not covered
- Drugs never covered list
Compare & save on your prescriptions
Log in to your member account to use the Cost Estimator tool to see the costs of drugs at pharmacies near you.