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SilverScript SilverScript SmartRX PDP

State Availability

Current as of 09/14/2020

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Plan Information

Current as of 09/14/2020

Average monthly premium is $7.15 Preferred pharmacy network includes Albertsons, Costco, Publix, Walmart and more – 18,500 + preferred pharmacies and 43,500 + total pharmacies.

  • Annual deductible: $0 for Tier 1 and $445 for Tiers 2 – 5.
  • Preferred retail copay: $0 for Tier 1 and $19 for Tier 2.
  • CVS Caremark Mail Service Pharmacy: 3x preferred copay.
  • Gap Coverage: Standard
  • Formulary Coverage: 98

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