Enter the first few letters of the drug's name to find your drug.

Click on the blue drug name to find your co-pay.  In the pop-up window, select the tier of your drug displayed in Step 1 and your plan name.

if you would like to see if there is a less expensive alternate in the Formulary, click on  the blue "More" in the same row as your drug.

IMPORTANT: Please note that in 2010, after your yearly out-of-pocket drug costs reach $4,550, you pay the greater of: $2.50 co-pay for generic (including brand name drugs treated as generic) and $6.30 co-pay for all other drugs. This is called Catastrophic Coverage.  The threshold for this level of coverage is the sum of all your expenditures for Medicare covered drugs including any deductibles, co-pays and gap coverage payments.  This is called your True Out of Pocket Expenses, TrOOP.  You may find out your TrOOP expenses on a daily basis by calling toll free:

1-877-889-6510

*If the search returns "ENHANCED", this is a non covered Medicare Part D drug.  The amount you pay when you fill a prescription for this drug does not count towards your total drug costs (this is, the amount you pay does not help you qualify for catastrophic coverage).  In addition, if you are receiving extra help to pay for your prescriptions, you will not get any extra help to pay for this drug.  These medications are only covered for members of Quality Health Plans as an enhanced benefit.

Co-pays for Members of our dual eligible SNP plans, Value One Florida and Advantage Value One New York, and those eligible for Extra Help are based on member's level of Medicare eligibility.  Please see your Summary of Benefits for more information.