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Additional Prescription Coverage

Enhanced Drug Coverage

We offer additional coverage of some prescription drugs not normally covered in a Medicare prescription drug plan (enhanced drug coverage).

2024 Tier 2

This includes coverage of the following drugs used for the diagnosis of erectile dysfunction:

  • sildenafil 25 MG - Tier 2, quantity limit of 6 every 30 days
  • sildenafil 50 MG - Tier 2, quantity limit of 6 every 30 days
  • sildenafil 100 MG - Tier 2, quantity limit of 6 every 30 days

In addition to Sildenafil, we also cover these supplements at $0:

  • Folic Acid 1 MG tablet – Tier 2, quantity limit of 30 for 30 days
  • Vitamin B12 1000 MCG/ML solution, Tier 2, quantity limit of 1ml for 30 days
  • Vitamin D (Ergocalciferol) 50000 UNIT capsule, Tier 2, quantity limit of 4 for 28 days

The amount you pay when you fill a prescription for these drugs does not count toward drug costs for entering the Coverage Gap Stage, nor does it contribute to entering the Catastrophic Coverage Stage.

2025 Tier 2

This includes coverage of the following drugs used for the diagnosis of erectile dysfunction:

  • sildenafil 25 MG - Tier 2, quantity limit of 6 every 30 days
  • sildenafil 50 MG - Tier 2, quantity limit of 6 every 30 days
  • sildenafil 100 MG - Tier 2, quantity limit of 6 every 30 days

In addition to Sildenafil, we also cover these supplements:

  • Folic Acid 1 MG tablet – Tier 2, quantity limit of 30 for 30 days
  • Vitamin B12 1000 MCG/ML solution, Tier 2
  • Vitamin D (Ergocalciferol) 50000 UNIT capsule, Tier 2

The amount you pay when you fill a prescription for these drugs does not count toward drug costs for entering the Catastrophic Coverage Stage.

Tier 6

In 2024 and 2025, under Tier 6, generic medications for chronic conditions such as diabetes, cholesterol, and hypertension, will be $0 to help assist with disease prevention and taking your medication regularly.

This change will hopefully help you protect, promote, and maintain your health and well-being!

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Need Answers?

Call our Concierge Team at 713-442-CARE (2273) or Toll-Free at 1-866-535-8343 (TTY: 711)

From October 1 to March 31

8 a.m. - 8 p.m.

7 days a week

From April 1 to September 30

8 a.m. - 8 p.m.

Monday - Friday

Start Your Medicare Enrollment Enroll Now

 
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