Skip to search Skip to main content

AARP MedicareRx Walgreens (PDP)

UnitedHealthcare
AARP MedicareRx Walgreens (PDP) S5921-404 Plan Details
3 out of 5 stars

AARP MedicareRx Walgreens (PDP) is a plan offered by UnitedHealthcare.
Plan ID: S5921-404.

$28.30
Monthly Premium

AARP MedicareRx Walgreens (PDP) is a plan offered by UnitedHealthcare.
Plan ID: S5921-404.

UnitedHealthcare
AARP MedicareRx Walgreens (PDP) S5921-404 Plan Details
3 out of 5 stars

AARP MedicareRx Walgreens (PDP) is a plan offered by UnitedHealthcare.
Plan ID: S5921-404.

$28.30
Monthly Premium

Oklahoma Counties Served

Adair Atoka Canadian Carter Le Flore Alfalfa Beaver Beckham Blaine Bryan Caddo Cherokee Choctaw Cimarron Cleveland Coal Comanche Cotton Craig Creek Custer Delaware Dewey Ellis Garfield Garvin Grady Grant Greer Harmon Harper Haskell Hughes Jackson Jefferson Johnston Kay Kingfisher Kiowa Latimer Lincoln Logan Love Major Marshall Mayes Mcclain Mccurtain Mcintosh Murray Muskogee Noble Nowata Okfuskee Oklahoma Okmulgee Osage Ottawa Pawnee Payne Pittsburg Pontotoc Pottawatomie Pushmataha Roger Mills Sebastian Seminole Sequoyah Stephens Texas Tillman Tulsa Wagoner Washington Washita Woods Woodward

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
Back to Plans in Oklahoma
A couple uses their laptop computer while having coffee

Find Medicare Advantage Plans

Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. 

Visit site