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Page Updated On 08/18/2022

Medicare Advantage

Medicare Advantage Pharmacy Benefits

Get more from your Medicare plan.
Choose Quartz Medicare Advantage for more support, more benefits, more extras, more doctors, and more experience.

2023 Part D Prescription Drug Coverage

Available with Quartz Medicare Advantage (HMO) Code D, Value D, and Elite D plans.

Retail 30-dayRetail 60-DayRetail 90-Day Mail Order
90-Day
 Tier 1 (Preferred Generic) $0 $0 $0 $0
 Tier 2 (Generic) $12$24 $36 $30 
 Tier 3 (Preferred Brand)$47 $94 $141 $118 
 Tier 4 (Non-Preferred Drug)   $100 $200 $300 $300
 Tier 5 (Specialty) 33% of costN/A N/A N/A
Tier 6 (Vaccines)$0N/AN/AN/A

Initial Coverage Gap begins at: $4,660 | Catastrophic Coverage begins at: $7,400
Formularies

2022 Part D Prescription Drug Coverage

Available with Quartz Medicare Advantage (HMO) Code D, Value D, and Elite D plans.

30-dayRetail
60-Day
90-Day Mail Order
90-Day
 Yearly Deductible$150 Tiers 4-5$150 Tiers 4-5$150 Tiers 4-5$150 Tiers 4-5
 Tier 1 (Preferred Generic)$0$0$0$0
 Tier 2 (Generic)$12$24 $36 $30 
 Tier 3 (Preferred Brand)$47
$35 for select insulins
$94 
$70 for select insulins
$141 
$105 for select insulins
$118 
$87 for select insulins
 Tier 4 (Non-Preferred Drug)  30% of cost 30% of cost 30% of cost 30% of cost
 Tier 5 (Specialty) 30% of cost N/A N/A N/A
Tier 6 (Vaccines)$0$0$0$0
Initial Coverage Gap begins at: $4,430 | Catastrophic Coverage begins at: $7,050
Formularies
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Medicare Advantage Drug Information

Looking for information on your drug plan? Find answers to your questions and view the drug list.