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Page Updated On 07/27/2022

Medicare Advantage

UW Health 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) $3 $6 $9 $7
 Tier 2 (Generic) $15$30 $45 $38 
 Tier 3 (Preferred Brand)$45 $90$135 $113 
 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$0$0$0$0
 Tier 1 (Preferred Generic)$3$6$9 $7
 Tier 2 (Generic)$15$30$45$38
 Tier 3 (Preferred Brand)$45
$35 for select insulins
$90
$70 for select insulins
$135 
$105 for select insulins
$113 
$87 for select insulins
 Tier 4 (Non-Preferred Drug)  40% of cost 40% of cost 40% of cost40% 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

Welcome. We're Happy You're Here!

Thank you for choosing Quartz Medicare Advantage. We are honored that you have entrusted us with your health insurance needs, and we are committed to making your experience be the best it can be.