Browser Upgrade Recommended

We have noticed that you are using a browser that will prevent you from accessing all of the features on this website. We recommend that you update your browser to improve your experience.

Need Help? Call (888) 902-5707 or TTY 800-955-8770

Florida Blue Medicare Prescription Drug

BlueMedicare Premier Rx (PDP) 2024

Get a Price
Back to BlueMedicare Rx Plan List

Initial Coverage:

 
tooltip_Until yearly drug costs reach $3,310, you'll pay..._2021

Coverage Gap

 
tooltip_After costs paid by you and the drug plan are greater than $3,310 and your out-of-pocket is less than $4,850, you'll pay..._2021

Catastrophic Coverage

 
tooltip_After your out-of-pocket costs plus the amount of the drug manufacturer's discounts reach $4,850, you'll pay…_2021

Prescription Drug Coverage

Prescription Drug Deductible

$405 (applies to tiers 3, 4, 5)
In-Network Prescription Drug Coverage - Initial Coverage

Tier 1 - Preferred Generics

Standard Retail (31-day supply): $0 copay
Standard Retail (90-day supply): $0 copay
Mail Order (90-day supply): $0 copay

Tier 2 - Generics

Standard Retail (31-day supply): $11 copay
Standard Retail (90-day supply): $33 copay
Mail Order (90-day supply): $33 copay

Tier 3 - Preferred Brands

Standard Retail (31-day supply): $47 copay
Standard Retail (90-day supply): $141 copay
Mail Order (90-day supply): $141 copay

Tier 4 - Non-Preferred Drugs

All Locations (31-day supply): 50% of the costs
All Locations (90-day supply): 50% of the costs

Tier 5 - Speciality Drugs

All Locations (31-day supply): 25% of the costs
Coverage in the coverage gap

You pay no more than 25% of the costs for preferred generic, generic and generic specialty drugs. You pay no more than 25% of the costs for brand name drugs and non-generic specialty drugs in the coverage gap.
Catastrophic Coverage

You pay the greater of $3.70 or 5% for generic drugs and drugs treated like generics. You pay the greater of $9.20 or 5% for brand name drugs.

Out of Network Coverage

Prescription Drugs This plan does not cover drugs filled at an out-of-network pharmacy.

Plan Documents

  Summary of Benefits (PDF)
  Evidence of Coverage (PDF)
  Plan Rating (PDF)
  General Transition Notice (PDF)
  Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF)
  Comprehensive Formulary (PDF)
  Annual Notice of Change
  Service Area Map
  Enrollment Form

Why Choose Blue

See more reasons why you should choose Blue

Member Account

A secure members-only website that keeps you in control of your health and wellness with a variety of easy-to-use tools.

Health Club Discounts

Special Blue365 member discounted enrollment and membership at fitness centers across the state.

Care Coordination Team

A dedicated consultant to assist with coordinating appointments, in or outpatient stays, management of chronic conditions and help with finding the best price on procedures and prescriptions.

Florida Blue Retail Centers

Enjoy face-to-face customer service, wellness events and educational seminars at one of our unique retail centers.

Why Choose Blue
Back to BlueMedicare Rx Plan List