AARP MedicareRx Walgreens (PDP)

UnitedHealthcare
AARP MedicareRx Walgreens (PDP) S5921-397 Plan Details
3 out of 5 stars

AARP MedicareRx Walgreens (PDP) is a plan offered by UnitedHealthcare.
Plan ID: S5921-397.

$21.60
Monthly Premium

AARP MedicareRx Walgreens (PDP) is a plan offered by UnitedHealthcare.
Plan ID: S5921-397.

UnitedHealthcare
AARP MedicareRx Walgreens (PDP) S5921-397 Plan Details
3 out of 5 stars

AARP MedicareRx Walgreens (PDP) is a plan offered by UnitedHealthcare.
Plan ID: S5921-397.

$21.60
Monthly Premium

Basic Costs and Coverage

Coverage Cost
Monthly Deductible $350
Out of Pocket Max In-Network: $-1
Out-of-Network: N/A
Initial Coverage Limit $4660
Catastrophic Coverage Limit $7,400

Prescription Drug Costs and Coverage

The AARP MedicareRx Walgreens (PDP) plan offers the following prescription drug coverage, with an annual drug deductible of $350 (excludes Tier 1) per year.

Coverage
Cost
Coverage & Cost
Annual Drug Deductible $350 (excludes Tier 1)
Preferred Generic
  • Preferred cost-share retail $1.00
  • Standard retail $16.00
  • Preferred cost-share mail order N/A
  • Standard mail order N/A
Annual Drug Deductible $350 (excludes Tier 1)
Preferred Generic
  • Preferred cost-share retail N/A
  • Standard retail N/A
  • Preferred cost-share mail order N/A
  • Standard mail order N/A
Annual Drug Deductible $350 (excludes Tier 1)
Preferred Generic
  • Preferred cost-share retail $3.00
  • Standard retail $48.00
  • Preferred cost-share mail order $3.00
  • Standard mail order $48.00