Wellcare Value Script (PDP)

WellCare Health Plans, Inc.
Wellcare Value Script (PDP) S4802-132 Plan Details
3 out of 5 stars

Wellcare Value Script (PDP) is a plan offered by WellCare Health Plans, Inc..
Plan ID: S4802-132.

$9.60
Monthly Premium

Wellcare Value Script (PDP) is a plan offered by WellCare Health Plans, Inc..
Plan ID: S4802-132.

WellCare Health Plans, Inc.
Wellcare Value Script (PDP) S4802-132 Plan Details
3 out of 5 stars

Wellcare Value Script (PDP) is a plan offered by WellCare Health Plans, Inc..
Plan ID: S4802-132.

$9.60
Monthly Premium

Basic Costs and Coverage

Coverage Cost
Monthly Deductible $505
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 Wellcare Value Script (PDP) plan offers the following prescription drug coverage, with an annual drug deductible of $505 (excludes Tiers 1 and 2) per year.

Coverage
Cost
Coverage & Cost
Annual Drug Deductible $505 (excludes Tiers 1 and 2)
Preferred Generic
  • Preferred cost-share retail $0.00
  • Standard retail $8.00
  • Preferred cost-share mail order $0.00
  • Standard mail order $8.00
Generic
  • Preferred cost-share retail $5.00
  • Standard retail $15.00
  • Preferred cost-share mail order $5.00
  • Standard mail order $15.00
Annual Drug Deductible $505 (excludes Tiers 1 and 2)
Preferred Generic
  • Preferred cost-share retail $0.00
  • Standard retail $16.00
  • Preferred cost-share mail order $0.00
  • Standard mail order $16.00
Generic
  • Preferred cost-share retail $10.00
  • Standard retail $30.00
  • Preferred cost-share mail order $10.00
  • Standard mail order $30.00
Annual Drug Deductible $505 (excludes Tiers 1 and 2)
Preferred Generic
  • Preferred cost-share retail $0.00
  • Standard retail $24.00
  • Preferred cost-share mail order $0.00
  • Standard mail order $24.00
Generic
  • Preferred cost-share retail $15.00
  • Standard retail $45.00
  • Preferred cost-share mail order $15.00
  • Standard mail order $45.00