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Anthem MediBlue Rx Standard (PDP) - S5596-013-000
$101.80
Monthly Premium
Anthem MediBlue Rx Standard (PDP) is a Medicare Part D Prescription Drug Plan offered by Anthem Inc.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$101.80
Monthly Premium
Ohio Medicare beneficiaries may want to consider reviewing their Medicare prescription drug coverage options, such as a standalone Part D prescription drug plan (PDP) or a Medicare Advantage (Medicare Part C) plan that includes drug coverage.
A Part D plan can be used alongside your Original Medicare (Part A and Part B) coverage. A Medicare Advantage plan that includes drug coverage combines your Part A, Part B and Part D benefits into a single plan
Learn more about Ohio Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.
Anthem MediBlue Rx Standard (PDP) - S5596-013-000 Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $101.80 |
| Annual deductible | $590.00 |
| Preferred pharmacies? | Yes |
| Accepts Mail Order? | Yes |
| Star Rating | 3.5 out of 5 stars |
Prescription Drug Costs and Coverage
The Anthem MediBlue Rx Standard (PDP) is a prescription drug plan which offers the following coverage:
Initial Coverage Level
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Preferred retail | $1.00 | $4.00 | 17% | 49% | 25% |
| Standard retail | $4.00 | $7.00 | 17% | 49% | 25% |
| Standard mail order | $1.00 | $4.00 | 17% | 49% | 25% |
Plan Documents
| Links to plan documents |
Ohio Counties Served
- Adams
- Allen
- Ashland
- Ashtabula
- Athens
- Auglaize
- Belmont
- Brown
- Butler
- Carroll
- Champaign
- Clark
- Clermont
- Clinton
- Columbiana
- Coshocton
- Crawford
- Cuyahoga
- Darke
- Defiance
- Delaware
- Erie
- Fairfield
- Fayette
- Franklin
- Fulton
- Gallia
- Geauga
- Greene
- Guernsey
- Hamilton
- Hancock
- Hardin
- Harrison
- Henry
- Highland
- Hocking
- Holmes
- Huron
- Jackson
- Jefferson
- Knox
- Lake
- Lawrence
- Licking
- Logan
- Lorain
- Lucas
- Madison
- Mahoning
- Marion
- Medina
- Meigs
- Mercer
- Miami
- Monroe
- Montgomery
- Morgan
- Morrow
- Muskingum
- Noble
- Ottawa
- Paulding
- Perry
- Pickaway
- Pike
- Portage
- Preble
- Putnam
- Richland
- Ross
- Sandusky
- Scioto
- Seneca
- Shelby
- Stark
- Summit
- Trumbull
- Tuscarawas
- Union
- Van Wert
- Vinton
- Warren
- Washington
- Wayne
- Williams
- Wood
- Wyandot