Medicare Prescription Drug Plan details | Blue Shield Medicare
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WHY BLUE SHIELD FOR

Medicare prescription drug plans

Stand-alone Part D coverage for your prescriptions

Explore Medicare plans in your area

Why Blue Shield for Medicare Prescription Drug Plans?

Our stand-alone Medicare Prescription Drug Plans (PDP) provide a variety of coverage options for your prescription drug costs. Our PDP plans pair well with our Medicare Supplement plans. Explore how adding a Medicare Supplement plan can complement your PDP coverage.

Securing prescription drug coverage is an important step in your Medicare journey.

Call (877) 200-9615 TTY: 711 to learn more!

Medicare prescription drug coverage for every budget

Medicare prescription drug coverage for every budget

With a Blue Shield Medicare Prescription Drug Plan (PDP), you can get the help you need to pay for generic and brand-name drugs not covered by Original Medicare. You may even save money if you obtain a 90-day supply of your maintenance medication¹ at a retail pharmacy that offers preferred cost-sharing or at our mail service pharmacy. Ask your doctor or pharmacist how.  

Blue Shield Medicare Prescription Drug Plan benefits

Explore plans in my area

Find your prescription in our plan

Our formularies (list of covered drugs) offer extensive options for continuing the care you need. 

Prescriptions Covered

Prescriptions when and where you need them

Pick up your prescriptions at your neighborhood pharmacy or have them mailed to you through CVS Caremark, our mail service pharmacy.

Doctor in network

Plan documents in one place

Visit member resources to find your Evidence of Coverage, Summary of Benefits, Pharmacy Directories, and more for your Medicare Prescription Drug plan. 

Our PDP plans are designed to fit your unique coverage needs
and budget, with affordable copayment and coinsurance amounts

 

  Blue Shield Rx Plus (PDP) Blue Shield Rx Enhanced (PDP)
Monthly plan premium $90.20   $160.20
Annual deductible $4802 $0
Formulary Basic Enhanced*
Network pharmacies with preferred cost-sharing Albertsons/Osco/Sav-on, Costco, CVS Pharmacy (including CVS pharmacy at Target), Safeway, Vons, Walmart and Ralphs
Tier 1: Preferred Generic Drugs $4/$12 $2/$11
Tier 2: Generic Drugs $13/$20 $7/$14
Tier 3: Preferred Brand Drugs $43/$47 $43/$47
Tier 4: Non-Preferred Drugs 38%/41% 31%/33%
Tier 5: Specialty Tier Drugs 25%/25% 33%/33%
Coverage Gap 25% brand drugs/25% generic drugs 25% brand drugs/25% generic drugs

                                  All copay and coinsurance amounts reflect 30-day supply obtained from a network preferred cost-sharing
                                  pharmacy or standard cost-sharing pharmacy, respectively.
                                 * Blue Shield Rx Enhanced (PDP) has a more robust formulary than the Blue Shield Rx Plus (PDP)


 

Prescription Drug Plan 101

Medicare Part D helps pay for generic and brand-name drugs not covered by Original Medicare. These plans are provided by private insurance companies or health plans, like Blue Shield of California. Watch this video to learn when you might want to add Part D coverage to your plan and how to use it.

Watch Now

Talk to a Blue Shield Medicare adviser