Arkansas prescription Drug Plans

Plan Name and ID Numbers Company Name Monthly Premium $0 Premium with Full Low Income Subsidy 1 Annual Deductible Coverage in the Gap 2 Customer Service
Phone Number
[ What is this? ] [ What is this? ] [ What is this? ]
SilverScript
(S5601-038)

Available nationwide?

SilverScript Insurance Company $13.00 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-552-6106
TTY Users should call:
1-866-552-6288

Click to expand or collapse this sectionMembers

1-866-235-5660
TTY Users should call:
1-866-236-1069
First Health Part D-Secure
(S5768-101)

Available nationwide?

First Health Part D $16.40 No $175 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-588-3322
TTY Users should call:
1-800-508-9548

Click to expand or collapse this sectionMembers

1-866-865-0662
TTY Users should call:
1-866-236-1069
AR Blue Cross – Medi-Pak Rx Basic
(S5795-003)
Arkansas Blue Cross and Blue Shield $17.30 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-698-8397

Click to expand or collapse this sectionMembers

1-866-390-3369
TTY Users should call:
1-888-844-5530
WellCare Classic
(S5967-156)

Available nationwide?

WellCare $20.20 Yes $250 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-888-423-5252

Click to expand or collapse this sectionMembers

1-888-550-5252
MedicareRx Rewards Standard
(S5960-125)

Available nationwide?

UniCare $20.30 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-892-5334
TTY Users should call:
1-800-297-1538

Click to expand or collapse this sectionMembers

1-800-928-6201
TTY Users should call:
1-877-247-1657
HealthSpring Prescription Drug Plan-Reg 19
(S5932-018)

Available nationwide?

HealthSpring Prescription Drug Plan $20.60 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-331-6293
TTY Users should call:
1-866-845-7230

Click to expand or collapse this sectionMembers

1-800-331-6293
TTY Users should call:
1-866-845-7230
AdvantraRx Value
(S5670-099)

Available nationwide?

Coventry AdvantraRx $22.70 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-882-3822
TTY Users should call:
1-800-508-9548

Click to expand or collapse this sectionMembers

1-866-823-5177
TTY Users should call:
1-866-236-1069
Humana PDP Enhanced S5884-017
(S5884-017)

Available nationwide?

Humana Insurance Company $22.70 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-706-0872
TTY Users should call:
1-877-833-4486

Click to expand or collapse this sectionMembers

1-800-281-6918
TTY Users should call:
1-800-833-3301
Prescription Pathway Bronze Plan Reg 19
(S5597-084)

Available nationwide?

Pennsylvania Life Insurance Company $22.90 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-978-9500
TTY Users should call:
1-866-222-3904

Click to expand or collapse this sectionMembers

1-866-566-3050
TTY Users should call:
1-800-754-5171
CIGNA Medicare Rx Plan One
(S5617-093)

Available nationwide?

CIGNA Medicare Rx $23.40 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-735-1459

Click to expand or collapse this sectionMembers

1-800-222-6700
Humana PDP Standard S5884-077
(S5884-077)

Available nationwide?

Humana Insurance Company $23.70 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-706-0872
TTY Users should call:
1-877-833-4486

Click to expand or collapse this sectionMembers

1-800-281-6918
TTY Users should call:
1-800-833-3301
Medco Medicare Prescription Plan – Value
(S5660-121)

Available nationwide?

Medco Medicare Prescription Plan $25.20 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-758-3605
TTY Users should call:
1-800-716-3231

Click to expand or collapse this sectionMembers

1-800-758-4574
TTY Users should call:
1-800-716-3231
UnitedHealth Rx Value
(S5820-122)

Available nationwide?

UnitedHealthcare $25.40 No $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-888-867-5561
TTY Users should call:
1-877-730-4203

Click to expand or collapse this sectionMembers

1-888-867-5562
TTY Users should call:
1-877-730-4203
Advantage Star Plan by RxAmerica
(S5644-194)

Available nationwide?

RxAmerica $25.70 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-429-6686

Click to expand or collapse this sectionMembers

1-800-429-6686
Aetna Medicare Rx Essentials
(S5810-053)

Available nationwide?

Aetna Medicare $25.70 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-213-4599
TTY Users should call:
1-800-628-3323

Click to expand or collapse this sectionMembers

1-877-238-6211
TTY Users should call:
1-888-760-4748
Community CCRx Basic
(S5803-088)

Available nationwide?

MEMBERHEALTH $26.00 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-684-5353
TTY Users should call:
1-866-684-5351

Click to expand or collapse this sectionMembers

1-866-684-5353
TTY Users should call:
1-866-684-5351
Fox Value Plan
(S5557-006)
Fox Insurance Company $26.00 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-888-369-7979
TTY Users should call:
1-866-369-7373

Click to expand or collapse this sectionMembers

1-888-369-7979
TTY Users should call:
1-866-369-7373
First Health Part D-Premier
(S5768-043)

Available nationwide?

First Health Part D $26.30 Yes $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-588-3322
TTY Users should call:
1-800-508-9548

Click to expand or collapse this sectionMembers

1-866-865-0662
TTY Users should call:
1-866-236-1069
WellCare Signature
(S5967-053)

Available nationwide?

WellCare $26.30 Yes $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-888-423-5252

Click to expand or collapse this sectionMembers

1-888-550-5252
Windsor Rx
(S2505-003)
Windsor Rx $26.30 Yes $150 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-811-8482
TTY Users should call:
1-800-848-0298

Click to expand or collapse this sectionMembers

1-800-875-4068
TTY Users should call:
1-800-848-0298
UA Medicare Part D Rx Covg – Silver Plan
(S5755-057)

Available nationwide?

United American Insurance Company $27.30 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-299-3406
TTY Users should call:
1-866-524-4170

Click to expand or collapse this sectionMembers

1-866-299-3406
TTY Users should call:
1-866-524-4170
Health Net Orange Option 1
(S5678-044)

Available nationwide?

Health Net $28.00 Yes $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-606-3604
TTY Users should call:
1-800-929-9955

Click to expand or collapse this sectionMembers

1-800-806-8811
TTY Users should call:
1-800-929-9955
MedicareRx Rewards Value
(S5960-019)

Available nationwide?

UniCare $29.70 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-892-5334
TTY Users should call:
1-800-297-1538

Click to expand or collapse this sectionMembers

1-800-928-6201
TTY Users should call:
1-877-247-1657
AARP MedicareRx Saver
(S5921-311)

Available nationwide?

UnitedHealthcare $29.90 No $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-745-0922
TTY Users should call:
1-877-730-4192

Click to expand or collapse this sectionMembers

1-888-867-5575
TTY Users should call:
1-877-730-4192
Fox Grand Plan
(S5557-011)
Fox Insurance Company $30.00 No $275 All Preferred Generics Click to expand or collapse this sectionNon-Members

1-888-369-7979
TTY Users should call:
1-866-369-7373

Click to expand or collapse this sectionMembers

1-888-369-7979
TTY Users should call:
1-866-369-7373
Advantage Freedom Plan by RxAmerica
(S5644-180)

Available nationwide?

RxAmerica $30.60 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-429-6686

Click to expand or collapse this sectionMembers

1-800-429-6686
Health Net Value Orange Option 2
(S5678-043)

Available nationwide?

Health Net $30.70 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-606-3604
TTY Users should call:
1-800-929-9955

Click to expand or collapse this sectionMembers

1-800-806-8811
TTY Users should call:
1-800-929-9955
Prescription Pathway Gold Plan Reg 19
(S5597-051)

Available nationwide?

Pennsylvania Life Insurance Company $30.80 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-978-9500
TTY Users should call:
1-866-222-3904

Click to expand or collapse this sectionMembers

1-866-566-3050
TTY Users should call:
1-800-754-5171
Sterling Rx
(S4802-011)

Available nationwide?

Sterling Life Insurance Company $31.50 No $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-888-909-1713
TTY Users should call:
1-888-858-8567

Click to expand or collapse this sectionMembers

1-866-364-8012
TTY Users should call:
1-866-236-1069
AARP MedicareRx Preferred
(S5820-018)

Available nationwide?

UnitedHealthcare $33.50 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-888-867-5564
TTY Users should call:
1-877-730-4192

Click to expand or collapse this sectionMembers

1-888-867-5575
TTY Users should call:
1-877-730-4192
CIGNA Medicare Rx Plan Two
(S5617-095)

Available nationwide?

CIGNA Medicare Rx $33.90 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-735-1459

Click to expand or collapse this sectionMembers

1-800-222-6700
Medco Medicare Prescription Plan – Choice
(S5660-019)

Available nationwide?

Medco Medicare Prescription Plan $34.10 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-758-3605
TTY Users should call:
1-800-716-3231

Click to expand or collapse this sectionMembers

1-800-758-4574
TTY Users should call:
1-800-716-3231
AdvantraRx Premier
(S5670-100)

Available nationwide?

Coventry AdvantraRx $37.10 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-882-3822
TTY Users should call:
1-800-508-9548

Click to expand or collapse this sectionMembers

1-866-823-5177
TTY Users should call:
1-866-236-1069
SilverScript Plus
(S5601-039)

Available nationwide?

SilverScript Insurance Company $37.10 No $0 All Generics Click to expand or collapse this sectionNon-Members

1-866-552-6106
TTY Users should call:
1-866-552-6288

Click to expand or collapse this sectionMembers

1-866-235-5660
TTY Users should call:
1-866-236-1069
AR Blue Cross – Medi-Pak Rx Classic
(S5795-006)
Arkansas Blue Cross and Blue Shield $38.20 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-698-8397

Click to expand or collapse this sectionMembers

1-866-390-3369
TTY Users should call:
1-888-844-5530
SierraRx Basic
(S5917-021)
Sierra Health and Life Insurance Company, Inc. $39.70 No $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-789-0565
TTY Users should call:
1-866-789-1530

Click to expand or collapse this sectionMembers

1-866-789-1522
TTY Users should call:
1-866-789-1530
UA Medicare Part D Prescription Drug Cov
(S5755-022)

Available nationwide?

United American Insurance Company $42.20 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-524-4169
TTY Users should call:
1-866-524-4170

Click to expand or collapse this sectionMembers

1-866-524-4169
TTY Users should call:
1-866-524-4170
Aetna Medicare Rx Plus
(S5810-155)

Available nationwide?

Aetna Medicare $42.40 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-800-213-4599
TTY Users should call:
1-800-628-3323

Click to expand or collapse this sectionMembers

1-877-238-6211
TTY Users should call:
1-888-760-4748
Community CCRx Choice
(S5803-156)

Available nationwide?

MEMBERHEALTH $44.20 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-684-5353
TTY Users should call:
1-866-684-5351

Click to expand or collapse this sectionMembers

1-866-684-5353
TTY Users should call:
1-866-684-5351
First Health Part D-Select
(S5768-066)

Available nationwide?

First Health Part D $44.80 No $0 All Preferred Generics Click to expand or collapse this sectionNon-Members

1-800-588-3322
TTY Users should call:
1-800-508-9548

Click to expand or collapse this sectionMembers

1-866-865-0662
TTY Users should call:
1-866-236-1069
Advantage Allegiance Plan by RxAmerica
(S5644-304)

Available nationwide?

RxAmerica $45.40 No $0 All Preferred Generics Click to expand or collapse this sectionNon-Members

1-800-429-6686

Click to expand or collapse this sectionMembers

1-800-429-6686
UnitedHealth Rx Basic
(S5921-312)

Available nationwide?

UnitedHealthcare $46.10 No $0 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-888-867-5561
TTY Users should call:
1-877-730-4203

Click to expand or collapse this sectionMembers

1-888-867-5562
TTY Users should call:
1-877-730-4203
SilverScript Complete
(S5601-090)

Available nationwide?

SilverScript Insurance Company $47.50 No $0 All Generics Click to expand or collapse this sectionNon-Members

1-866-552-6106
TTY Users should call:
1-866-552-6288

Click to expand or collapse this sectionMembers

1-866-235-5660
TTY Users should call:
1-866-236-1069
AdvantraRx Premier Plus
(S5670-102)

Available nationwide?

Coventry AdvantraRx $49.70 No $0 All Preferred Generics Click to expand or collapse this sectionNon-Members

1-800-882-3822
TTY Users should call:
1-800-508-9548

Click to expand or collapse this sectionMembers

1-866-823-5177
TTY Users should call:
1-866-236-1069
Community CCRx Gold
(S5803-236)

Available nationwide?

MEMBERHEALTH $52.20 No $0 All Generics Click to expand or collapse this sectionNon-Members

1-866-684-5353
TTY Users should call:
1-866-684-5351

Click to expand or collapse this sectionMembers

1-866-684-5353
TTY Users should call:
1-866-684-5351
CIGNA Medicare Rx Plan Three
(S5617-189)

Available nationwide?

CIGNA Medicare Rx $56.80 No $0 Some Generics Click to expand or collapse this sectionNon-Members

1-800-735-1459

Click to expand or collapse this sectionMembers

1-800-222-6700
EnvisionRxPlus Standard
(S7694-019)

Available nationwide?

EnvisionRx Plus $63.00 No $275 No Gap Coverage Click to expand or collapse this sectionNon-Members

1-866-250-2005
TTY Users should call:
1-866-763-9630

Click to expand or collapse this sectionMembers

1-866-250-2005
TTY Users should call:
1-866-763-9630
AR Blue Cross – Medi-Pak Rx Premier
(S5795-002)
Arkansas Blue Cross and Blue Shield $63.50 No $0 All Generics Click to expand or collapse this sectionNon-Members

1-800-698-8397

Click to expand or collapse this sectionMembers

1-866-390-3369
TTY Users should call:
1-888-844-5530
AARP MedicareRx Enhanced
(S5921-313)

Available nationwide?

UnitedHealthcare $63.60 No $0 All Preferred Generics Click to expand or collapse this sectionNon-Members

1-888-867-5564
TTY Users should call:
1-877-730-4192

Click to expand or collapse this sectionMembers

1-888-867-5575
TTY Users should call:
1-877-730-4192
Medco Medicare Prescription Plan – Access
(S5660-189)

Available nationwide?

Medco Medicare Prescription Plan $65.30 No $0 All Generics Click to expand or collapse this sectionNon-Members

1-800-758-3605
TTY Users should call:
1-800-716-3231

Click to expand or collapse this sectionMembers

1-800-758-4574
TTY Users should call:
1-800-716-3231
Prescription Pathway Platinum Plan Reg 19
(S5597-216)

Available nationwide?

Pennsylvania Life Insurance Company $65.70 No $0 All Generics Click to expand or collapse this sectionNon-Members

1-800-978-9500
TTY Users should call:
1-866-222-3904

Click to expand or collapse this sectionMembers

1-866-566-3050
TTY Users should call:
1-800-754-5171
Sterling Rx Plus
(S4802-052)

Available nationwide?

Sterling Life Insurance Company $79.40 No $100 All Generics Click to expand or collapse this sectionNon-Members

1-888-909-1713
TTY Users should call:
1-888-858-8567

Click to expand or collapse this sectionMembers

1-866-364-8012
TTY Users should call:
1-866-236-1069
Aetna Medicare Rx Premier
(S5810-189)

Available nationwide?

Aetna Medicare $81.60 No $0 All Generics Click to expand or collapse this sectionNon-Members

1-800-213-4599
TTY Users should call:
1-800-628-3323

Click to expand or collapse this sectionMembers

1-877-238-6211
TTY Users should call:
1-888-760-4748
Humana PDP Complete S5884-047
(S5884-047)

Available nationwide?

Humana Insurance Company $85.00 No $0 All Preferred Generics Click to expand or collapse this sectionNon-Members

1-800-706-0872
TTY Users should call:
1-877-833-4486

Click to expand or collapse this sectionMembers

1-800-281-6918
TTY Users should call:
1-800-833-3301
EnvisionRxPlus Gold
(S7694-053)

Available nationwide?

EnvisionRx Plus $98.00 No $0 All Preferred Generics Click to expand or collapse this sectionNon-Members

1-866-250-2005
TTY Users should call:
1-866-763-9630

Click to expand or collapse this sectionMembers

1-866-250-2005
TTY Users should call:
1-866-763-9630

1 If you are approved for Full Premium Subsidy, you will not pay a monthly premium for the plans with a “Yes” in this column.

2 Plans that provide some form of coverage during the period when you typically would pay 100% of your drug costs are indicated by a “Generics”, “Generics and Preferred Brands”, “Generics and Brands” or “All Formulary Drugs” in the “Coverage in the Gap” column above. To view additional information about the type of coverage available during this period, please click the plan name in the table above and then click on “View important notes and benefit summary” in the window with the plan’s information. If you personalize your search by entering your medications, the drug costs during the “coverage gap” will reflect this coverage.

? The organization that offers this plan offers at least one plan in all fifty states and the District of Columbia. Note: The specific plan(s) offered by this organization may differ from state to state.