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Drug costs for 2027

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
  • A 30-day supply at a standard pharmacy, and
  • A 90-day supply through our preferred mail order pharmacy, Express Scripts or Amazon (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 $2,400 in out-of-pocket Part D drug costs for the year.

Important Message About What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible (if your plan has a deductible). Call Customer Care for more information.

Important Message About What You Pay for Insulin – You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible (if your plan has a deductible).

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*
Preferred retail$1 ($0 for 100-day)$825% coinsurance28% coinsurance33% coinsurance
Standard retail$6$1325% coinsurance33% coinsurance33% coinsurance
90-day preferred
mail order		$0$025% coinsurance28% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for all tiers are what you'll pay after you meet the $700 Part D deductible.

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail$0$825% coinsurance
29% coinsurance25% coinsurance
Standard retail$0$1525% coinsurance
34% coinsurance25% coinsurance
90-day preferred
mail order		$0$2425% coinsurance
29% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $300 Part D deductible. There is no deductible for drugs in tiers 1 or 2

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail$2 ($0 for 100-day)$822% coinsurance
25% coinsurance30% coinsurance
Standard retail$7$1525% coinsurance
30% coinsurance30% coinsurance
90-day preferred
mail order		$0$022% coinsurance
25% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $300 Part D deductible. There is no deductible for drugs in tiers 1 or 2.

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail $2 ($0 for 100-day)$822% coinsurance
25% coinsurance30% coinsurance
Standard retail$7$1525% coinsurance
30% coinsurance30% coinsurance
90-day preferred
mail order		$0$022% coinsurance
25% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $300 Part D deductible. There is no deductible for drugs in tiers 1 or 2.

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail$2$822% coinsurance
25% coinsurance28% coinsurance
Standard retail$7$1525% coinsurance
30% coinsurance28% coinsurance
90-day preferred
mail order		$0$2422% coinsurance
25% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

This plan has no Part D deductible, so you'll 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*
Preferred retail$2 ($0 for 100-day)$1025% coinsurance
29% coinsurance33% coinsurance
Standard retail$7$1525% coinsurance
34% coinsurance33% coinsurance
90-day preferred
mail order		$0$025% coinsurance
29% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $700 Part D deductible. There is no deductible for drugs in tiers 1 or 2.

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail$1 ($0 for 100-day)$7$4225% coinsurance25% coinsurance
Standard retail$6$12$4725% coinsurance25% coinsurance
90-day preferred
mail order		$0$0$10525% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $400 Part D deductible. There is no deductible for drugs in tiers 1 or 2.

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail$1 ($0 for 100-day)$729% coinsurance
25% coinsurance29% coinsurance
Standard retail$6$1229% coinsurance
25% coinsurance29% coinsurance
90-day preferred
mail order		$0$021% coinsurance
25% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $225 Part D deductible. There is no deductible for drugs in tiers 1 or 2.

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail$1 ($0 for 100-day)$722% coinsurance31% coinsurance30% coinsurance
Standard retail$6$1225% coinsurance
36% coinsurance30% coinsurance
90-day preferred
mail order		$0$022% coinsurance
31% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $225 Part D deductible. There is no deductible for drugs in tiers 1 or 2.

 Tier 1
Preferred generic		Tier 2
Generic		Tier 3
Preferred brand		Tier 4
Non-preferred drug		Tier 5
Specialty*
Preferred retail$2 ($0 for 100-day)$1022% coinsurance
29% coinsurance30% coinsurance
Standard retail$7$1525% coinsurance
34% coinsurance30% coinsurance
90-day preferred
mail order		$0$022% coinsurance
29% coinsuranceN/A

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

After you reach $2,400 in drug costs

Once you spend $2,400 out-of-pocket for your Part D drugs during the year, then you enter what's called the "catastrophic stage," and you'll pay $0 for your Part D prescription drugs for the remainder of the plan year.

Learn more about CMS policy for Part D costs

Think you're getting charged too much for medications?

If you qualify for Extra Help, the Best Available Evidence (BAE) Policy can help us help you pay the right amount for your prescription drug costs.

Learn more about BAE

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