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Medicare Part D
Formulary Tiers

The Brand-Name and Generic drugs included in the SilverScript formulary are categorized into cost-sharing Tiers that are numbered from 1 to 4. SilverScript Medicare Part D formulary tiers indicate the level of cost sharing for a covered drug. SilverScript plans use a system with four Medicare formulary tiers. The higher the tier, the higher the member’s out-of-pocket cost for the covered drug.

Cost Sharing Tier 1: Generic Drugs

Tier 1 is your lowest-cost Tier. Most generic drugs on the formulary are included in this Tier. Generic drugs contain the same active ingredients as brand drugs and are equally safe and effective. We have also included some preferred brands in this Tier.

Cost Sharing Tier 2: Preferred Brand Drugs

This is your middle-cost Tier, and includes preferred-brand drugs and some non-preferred generic drugs.

Cost Sharing Tier 3: Non-Preferred Brand Drugs

This is your higher-cost Tier and includes non-preferred brand drugs and some non-preferred generic drugs.

Cost Sharing Tier 4: Specialty Tier Drugs

The Specialty Tier is your highest-cost Tier among the Medicare formulary tiers. A Specialty Tier drug is a very high cost or unique prescription drug which may require special handling and/or close monitoring. Specialty drugs may be brand or generic.

Helpful Links on Medicare Formulary Tiers:

  • Have Questions? 1-866-362-6212

  • Call us toll-free, 24 hours a day, 7 days a week. TTY users call 1-866-552-6288
    FAQsContact Us

SilverScript Email Reminders

Sign up to get personalized enrollment reminders and Medicare Part D information about prescription drug plans right in your inbox:

  • Important Enrollment Period Notifications
  • Detailed SilverScript Plan Information
  • Monthly Health and Wellness Newsletters
  • Other Important Medicare Part D Information

We don’t want you to forget about enrolling in a Medicare Prescription Drug Plan now that you’re turning 65. But even if you do, SilverScript will make sure to remind you that your Initial Enrollment Period begins three months before the month you turn 65, during your birthday month and continues up to three months after your birthday month.

Your information will never be sold, and how we
treat your information conforms to our privacy
policy found here. You can control the content
of your email reminders using the SilverScript
Preference Center at any time. Your opt-in status
remains active until you unsubscribe to
communications from SilverScript. You can
unsubscribe from these messages at any time.

Thank you for joining our e-mail program
Be sure to check your inbox for enrollment reminders
and Medicare Part D information from SilverScript.

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Use the Plan Advisor to help you choose the right plan. Begin by selecting the statement below that best describes what you want from your Medicare prescription drug plan. Based on the statement you choose, the Plan Advisor will highlight the recommended SilverScript plan so you may compare it to the remaining SilverScript plans.

Plan Advisor
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Thank you for using the Plan Advisor. Based on the statement you selected, the most appropriate SilverScript plan is highlighted based on your specific needs. The key differences highlighted by the Plan Advisor are intended only as a basic guideline. Because there are other factors to consider, please review each plan before deciding on the plan that’s right for you and your budget.

See Plan Details

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