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Page Updated On 11/04/2021

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.

2022 Part D Prescription Drug Coverage

Available with Quartz Medicare Advantage (HMO) Core 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

2021 Part D Prescription Drug Coverage

Available with Quartz Medicare Advantage (HMO) Core 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$94 $141 $118 
 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
Initial Coverage Gap begins at: $4,130 | Catastrophic Coverage begins at: $6,550

Medicare Advantage Drug Information

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