Your Medicare Advantage Plan is administered by Blue Medicare Advantage.
Blue Medicare Advantage Help Lines
2023 Evidence of Coverage
Prescription Drug Costs at Participating Pharmacies
Generic Medications
30 Day Supply
$5.00 Co-Pay
90 Day Supply
$10.00 Co-Pay
Preferred Brand Medications
30 Day Supply
25% Co-Pay
- or no more than $75.00 Maximum Co-pay
90 Day Supply
25% Co-Pay
- or no more than $150.00 Maximum Co-pay
40% of total cost of medication
- No Maximum Co-Pay
25% of total cost of medication
- No Maximum Co-Pay