Quartz Dual Eligible Members

Drug Coverage

The copay is the amount you pay when you get a prescription filled. A copay may be a flat-dollar amount or a percentage of the total cost of a drug.

Drug maintenance

Prescriptions are often sold in 30-day supplies. However, you can buy up to a 90-day supply of medications in tiers 1 through 4. Each 30-day supply will take one copay at a retail pharmacy. A 90-day supply equals three copays.

If you live in a long-term care facility, your copay is the same as in a retail pharmacy.

You can get prescriptions from an out-of-network pharmacy, but you may pay more.

2023 Copay Amounts

Part D vaccines are covered at no cost to you.  You won’t pay more than $35 for a one-month supply of covered insulin, no matter what cost-sharing tier it’s on.

Quartz Medicare Advantage Dual Eligible plans
DeductibleRetail 30-dayRetail 60-DayRetail 90-Day Mail Order
 Tier 1 (Preferred Generic)$505 25% of cost 25% of cost 25% of cost 25% of cost
 Tier 2 (Generic)$505 25% of cost25% of cost25% of cost25% of cost
 Tier 3 (Preferred Brand)$50525% of cost25% of cost25% of cost25% of cost
 Tier 4 (Non-Preferred Drug) $505  25% of cost 25% of cost 25% of cost 25% of cost
 Tier 5 (Specialty)$505 25% of costNot offered Not offered Not offered
Tier 6 (Vaccines)$0$0Not offeredNot offeredNot offered

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

Quartz Dual Eligible Drug Information

We're here to help. Please review our Medicare Advantage drug FAQs for more details on your drug coverage.