United healthcare drug formulary

A formulary is a list of covered drugs selected by Simply Healthcare in consultation with a team of health care providers. It represents the prescription ...

Learn about prescription drug lists (PDLs) or formularies and how to determine if a health insurance plan covers your medications and prescriptions.Our formulary is a comprehensive list of commonly prescribed drugs that are covered by your Medicare Advantage (MA) or Part D Prescription Drug (PDP) plan.UnitedHealthcare's pharmacy programs allow you to get the medication you need at a low cost. Learn about our prescription benefits and health networks now.A wide range of medication options. We realize that this formulary may not include every drug from every manufacturer. However, you can provide access to the medications your patients need to stay healthy, at a cost that is more affordable, when you choose a generic or preferred drug as appropriate. DOWNLOAD PDF. Top.Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers.Contact Optum Rx any time at 1-888-658-0539 / TTY 711. 2 You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all drug payment stages except the Catastrophic drug payment stage where you pay $0. 3 AARP® Medicare Rx Walgreens from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies in ... Contact Optum Rx any time at 1-888-658-0539 / TTY 711. 2 You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all drug payment stages except the Catastrophic drug payment stage where you pay $0. 3 AARP® Medicare Rx Walgreens from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies in ...Providing 2021 Medicare Advantage Plan (MAPD) Drug Cost-Sharing Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for …

A Drug List, or Formulary, is a list of prescription drugs covered by your plan. Your plan and a team of health care providers work together in selecting drugs that are needed for well-rounded care and treatment. Your plan will generally cover the drugs listed in our Drug List as long as: l The drug is used for a medically accepted indication Oct 6, 2023 · Average monthly premium (weighted by enrollment): $111.00. $1 copay for preferred generics, $10 copay for other generics. $40 copay for preferred brands. The national average monthly premium for Medicare Part D plans in 2023 is $43.25. Plan prices can vary by location, so be sure to compare plans online or call to speak with a licensed ... Oct 1, 2023 · UnitedHealthcare® today introduced its 2024 Medicare Advantage plans, delivering a simpler member experience with enhanced benefits, broad network access and cost-savings through valuable specialty and prescription drug coverage. There are three AARP/UnitedHealthcare Part D prescription drug plan options available in 2023: AARP MedicareRx Walgreens. According to AARP/UnitedHealthcare, this plan is a good fit if you “use ...2023 Prescription Drug List Introduction The UnitedHealthcare Prescription Drug List (PDL)1 provides a list of the most commonly prescribed medications in various therapeutic classes. This list is intended for use with UnitedHealthcare health plans and affiliated companies’ pharmacy benefit plan designs. ANALGESICS - DRUGS FOR PAIN acetaminophen-codeine #2 1 QL acetaminophen-codeine #3 1 QL acetaminophen-codeine #4 1 QL acetaminophen-codeine oral tablet 300-15 mg, 300-60 mgOptumRx® is a pharmacy services manager and is committed to helping Oxford members find cost-effective ways to get medications.The Caterpillar Drug Formulary is the list of medications covered by the plan. If a medication isn't on the formulary, it's not covered, which means you pay 100% of the cost (another idea: ask your doctor for an alternative option). CLICK HERE for the Caterpillar Drug Formulary Search Tool. CLICK HERE for the Caterpillar Drug Formulary ...

A Texas court's decision to rescind the approval of mifepristone, an abortion medication, could have dire consequences for healthcare. Hi Quartz Africa Weekly readers! We miss you! Here’s the latest of your free Weekend Briefs—normally a me...Prescription Drug List Traditional 4-Tier Effective September 1, 2022 This Prescription Drug List (PDL) is accurate as of September 1, 2022 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare and Student Resources medical plans with a pharmacy benefit subject to the Traditional 4-Tier PDL.‎In the US, a formulary is a list of prescription drugs available to enrollees, and a tiered formulary provide financial incentives for patients to select lower-cost drugs. This app …When it refers to. “plan,” “our plan,” or “your plan,” it means UnitedHealthcare MedicareRx for Groups (PDP). ... outpatient health care) or Medicare Part D ( ...The appearance of a health service (e.g., test, drug, device or procedure) in the Medical Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the health service. In the event of an inconsistency or conflict between the information provided in the Medical Policy Update Bulletin and the posted policy, the provisions of the posted …Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers.

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Aug 3, 2022 ... Updated UHC/Oxford Prescription Drug List (PDL) Effective 9/1/22 ... Click on the links below to access the updated PDL and supporting materials ...Mar 1, 2023 · 2023 List of Covered Drugs (Formulary) Introduction This document is called the List of Covered Drugs (also known as the Drug List). It tells you which prescription drugs and over-the-counter (OTC) drugs are covered by UnitedHealthcare Dual Complete ONE. The Drug List also tells you if there are any special rules or restrictions on any The drugs on the Drug List are the drugs covered by UnitedHealthcare Community Plan. These drugs are available at pharmacies within our network. A pharmacy is in our network if we have an agreement with them to work with us and provide you services. We refer to these pharmacies as “network pharmacies”. UnitedHealthcare will cover all medically …Prescription Drug List Access 3-Tier Effective January 1, 2024 This Prescription Drug List (PDL) is accurate as of January 1, 2024 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, Neighborhood Health Partnership Plan, River Valley and Oxford medical plans with a pharmacy Members or their providers may be required to provide additional information to UnitedHealthcare to determine if the medication is covered under the member's pharmacy benefit. The criteria used to determine benefit coverage for the Notification program is based on FDA approved uses of the medication and medication labeling, which look at drug ... Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers.

Get one-on-one help from UnitedHealthcare. Call 1-877-596-3258 / TTY 711. 8 a.m. to 8 p.m., 7 days a week. Find a sales agent in your area. Learn more about AARP MedicareRx Preferred (PDP) from UnitedHealthcare. You can check eligibility, explore benefits, and enroll today.Learn about medical drug lists for fully insured medical plans, including high level detail of all benefits provided, including prescription benefits. Prescription Drug List Traditional 3-Tier Effective January 1, 2024 This Prescription Drug List (PDL) is accurate as of January 1, 2024 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, River Valley, Oxford, and Student Resources medical plans with a pharmacy benefit subject to the Traditional 3-Tier ...Providing 2023 Medicare Advantage Plan (MAPD) Drug Cost-Sharing Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for …UnitedHealthcare® NorthernLightHealth Dual Complete® (PPO D-SNP) Complete Drug List (Formulary) 2023 Important notes: This document has information about the drugs covered by this plan. For more up-to-date information or if you have any questions, please call Customer Service at:Medicare plan appeal & grievance form (PDF) (760.53 KB) – (for use by members) Medication Therapy Management (MTM) program. 60-day formulary change notice. UnitedHealthcare prescription drug transition process. Get help with prescription drugs costs (Extra Help) Commitment to quality (PDF) (974.67 KB) Member rights and …Jul 1, 2022 · A formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for their safety, cost, and effectiveness. Medications are listed by categories or classes and are placed into cost levels known as Contact Optum Rx any time at 1-888-658-0539 / TTY 711. 2 You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all drug payment stages except the Catastrophic drug payment stage where you pay $0. 3 AARP® Medicare Rx Walgreens from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies …Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: • Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. • Your drug’s tier. Each covered drug is in 1 of 4 drug tiers.The Caterpillar Drug Formulary is the list of medications covered by the plan. If a medication isn't on the formulary, it's not covered, which means you pay 100% of the cost (another idea: ask your doctor for an alternative option). CLICK HERE for the Caterpillar Drug Formulary Search Tool. CLICK HERE for the Caterpillar Drug Formulary ... Learn about Prescription Drug Lists (PDLs) for fully insured commercial plans (non-exchange), including brand and generic medications separated into tiers.

Learn about prescription drug lists (PDLs) or formularies and how to determine if a health insurance plan covers your medications and prescriptions.

A formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for their safety, cost, and effectiveness. Medications are listed by categories or classes and are placed into cost levels known as ... This group of doctors and pharmacists reviews which medications will be covered, how well the drugs …A Drug List, or Formulary, is a list of prescription drugs covered by your plan. Your plan and a team of health care providers work together in selecting drugs that are needed for well-rounded care and treatment. Your plan will generally cover the drugs listed in our Drug List as long as: l The drug is used for a medically accepted indicationThe 2023 National Preferred Formulary drug list is shown below. The formulary is the list of drugs included in your prescription plan. Inclusion on the list does not guarantee coverage. The following list is not a complete list of over-the-counter [OTC] products and prescription medical supplies that are on the formulary. The only OTC products andDrug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers.2023 List of Covered Drugs (Formulary) Introduction This document is called the List of Covered Drugs (also known as the Drug List). It tells you which prescription drugs and over-the-counter (OTC) drugs are covered by UnitedHealthcare Dual Complete ONE. The Drug List also tells you if there are any special rules or restrictions on anyCall 1-877-699-5710 / TTY 711, 8 a.m. to 8 p.m., 7 days a week, for more information. Optum Rx is an affiliate of UnitedHealthcare Insurance Company. Optum Home delivery is a service of Optum Rx pharmacy. You are not required to use Optum Home Delivery for a 90-/100-day supply of your maintenance medication If you have not used Optum Home ...Contact Optum Rx any time at 1-888-658-0539 / TTY 711. 2 You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all drug payment stages except the Catastrophic drug payment stage where you pay $0. 3 AARP® Medicare Rx Walgreens from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies in ... Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers.

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UnitedHealthcare Community Plan is pleased to provide this Preferred Drug List (PDL) to be used when prescribing for patients covered by the pharmacy benefit plan offered by UnitedHealthcare Community Plan. The drugs listed in this PDL are intended to provide sufficient options to treat patients who require treatment with a drug from that The Florida Medicaid Preferred Drug List is subject to revision following consideration and recommendations by the Pharmaceutical and Therapeutics (P&T) Committee and the Agency for Health Care Administration. The Changes Summary Report lists only changes made to the Preferred Drug List as a result of the P&T Committee …Therapeutic Drug Classes Requirements & Limits. B g B g g B B B g g B. 2023 Vital Medication Program. This is a list of drugs in the . Vital Medication Program. If your plan elects to participate in the 2023 Vital Medication Program these drugs will be available to members at a $0 cost share without the member having to satisfy their deductible ... GEHA Standard Option, High Option, HDHP Drug List - Chart This list only applies to Standard Option, High Option and HDHP members. ... High Option, HDHP Drug List - Chart is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is ...A Drug List, or Formulary, is a list of prescription drugs covered by your plan. Your plan and a team of health care providers work together in selecting drugs that are needed for well-rounded care and treatment. Your plan will generally cover the drugs listed in our Drug List as long as: l The drug is used for a medically accepted indicationTherapeutic Equivalent Medications – Excluded Drugs and the corresponding excluded drug list with preferred alternatives. Note: For requests that require medical necessity review also refer to the General Requirements and Diagnosis-Specific sectionThe appearance of a health service (e.g., test, drug, device or procedure) in the Medical Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the health service. In the event of an inconsistency or conflict between the information provided in the Medical Policy Update Bulletin and the posted policy, the provisions of the posted …Contact Optum Rx any time at 1-888-658-0539 / TTY 711. 2 You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all drug payment stages except the Catastrophic drug payment stage where you pay $0. 3 AARP® Medicare Rx Walgreens from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies …UnitedHealthcare MAPD (Core) formulary and Chronic SNP formulary – Downtiering/Additions Drug name Common use 2023 tier UM edit* Raloxifene Osteoporosis 2 QL Dental downtiers Chlorhexidine gluconate Antibiotic, oral rinse 1 – Lidocaine viscous Pain, oral topical 1 – Sodium fluoride (Various formulations) Fluoride 1 – Periogard ... ….

Medicare is a federal health insurance program that provides coverage for millions of Americans aged 65 and older, as well as certain younger individuals with disabilities. One crucial aspect of Medicare is its prescription drug coverage, a...United Healthcare Medicare Advantage plans may cover medications like Mounjaro for weight loss or diabetes. However, the coverage and cost-sharing details can vary depending on the specific United Healthcare Medicare Advantage plan you have. ... (list of covered drugs) or contact United Healthcare directly to understand the coverage details, …AARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company (UnitedHealthcare) or UnitedHealthcare Insurance Company of America (UnitedHealthcare) Now’s the time to enroll. The Annual Enrollment Period for Medicare Advantage and prescription drug plans goes through December 7. Find …There are two ways to find a drug: · You can search by medical condition. To search by medical condition, find the section labeled “List of drugs by medical condition” on pages <4 –229>. The drugs in this section are grouped into categories depending on the type of medical conditions they are used to treat.You can take Claritin and Benadryl together, but the effect of both drugs overlap, according to BJC HealthCare. Both Claritin and Benadryl are antihistamines, which means that taking them together would be duplicating the active drug of eac...Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers.Formulary Guidance. This page provides important information on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads. Click the selection that best matches your informational needs.Copays as low as $2 when you fill your prescription at a Preferred Retail Network pharmacy 1,3, 6. Copays as low as $2 when you fill your prescription at a Preferred Retail Network pharmacy 1,3, 6. Optum Home Delivery. $6 copay for a 90-day supply of Tier 1 medication (typically generic drugs) 5.Effective Date: October 1, 2023 TennCare Preferred Drug List (PDL))| Page 2 Preferred Drugs Non -Preferred Drugs I. A NALGESICS Short-Acting Narcotics QL codeine/APAP PA (< 19 years old), QL QLoxycodone tabs Apadaz® QL PA, Qmeperidine L Endocet® QL PA, Q oxycodone/APAP QL benzhydrocodone/APAP PA, QL morphine suppositories L United healthcare drug formulary, Lower-cost options are available and covered. + Brand may be excluded from coverage. Lower-cost options are available and covered. ... drugs included in these programs or call the member phone number listed on your member ID card. ... M52574-E 10/17 ©2017 United HealthCare Services, Inc. Author: UHC Graphics Department Created Date: …, Complete Drug List (Formulary) 2023 Important notes: This document has information about the drugs covered by this plan. For more up-to-date information or if you have any questions, please call UnitedHealthcare Customer Service at: Toll-free 1-844-808-4553, TTY 711 24 hours a day, 7 days a week myAARPMedicare.com Formulary ID Number 00023003 ... , Complete Drug List (Formulary) 2024 UnitedHealthcare® Group Medicare Advantage (PPO) UC Medicare Choice Important notes: This document has information about the drugs covered by this plan. For more up-to-date information or if you have any questions, please call Customer Service at: , The drugs on Preferred Drug List are the drugs covered by the UnitedHealthcare Community Plan. These drugs are available at pharmacies within our network. A pharmacy is in our network if we have an agreement with them to work with us and provide you services. We refer to these pharmacies as “network pharmacies.” UnitedHealthcare will cover ... , The drugs on the Drug List that starts on page 12 are the drugs covered by UnitedHealthcare Dual Complete ONE. These drugs are available at pharmacies within our network. A pharmacy is in our network if we have an agreement with them to work with us and provide you services. We refer to, Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers., Learn more about Prescription Drug Lists (PDLs) for exchange health plans available through the Health Insurance Marketplace., Evidence-Based Care. Pharmacy is one of the most highly used benefits. Our goal is to provide members with wide-ranging, cost-effective medication choices. We review clinical and pharmacoeconomic evidence when developing our prescription drug list (PDL) and clinical programs. This evidence helps us determine a medication's overall value ..., Oct 1, 2023 · This document is called the List of Covered Drugs (also known as the Drug List). It tells you which prescription drugs and over-the-counter (OTC) drugs are covered by UnitedHealthcare Dual Complete. The Drug List also tells you if there are any special rules or restrictions on any drugs covered by UnitedHealthcare Dual Complete. , Complete Drug List (Formulary) 2024 UnitedHealthcare® Group Medicare Advantage (PPO) UC Medicare Choice Important notes: This document has information about the drugs covered by this plan. For more up-to-date information or if you have any questions, please call Customer Service at: , Be sure to verify that your specialty medication is covered with Vermont Blue Rx prior to having it filled. Pharmacy Name. Phone Number. Optum Rx. (844) 693-0163. Dartmouth-Hitchcock Medical Center (DHMC) Pharmacy. (603) 653-3785. University of Vermont Medical Center (UVMMC) Pharmacy. (802) 847-3784., The appearance of a health service (e.g., test, drug, device or procedure) in the Medical Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the health service. In the event of an inconsistency or conflict between the information provided in the Medical Policy Update Bulletin and the posted policy, the provisions of the posted …, Medicare is a federal health insurance program that provides coverage for millions of Americans aged 65 and older, as well as certain younger individuals with disabilities. One crucial aspect of Medicare is its prescription drug coverage, a..., Prescription Drug List Advantage 4-Tier ... This PDL applies to members of our UnitedHealthcare, Neighborhood Health Plan, River Valley, All Savers and Oxford medical plans with a pharmacy benefit subject to the Advantage 4-Tier PDL. Your estimated coverage and copayment/coinsurance may vary based on the benefit ... a prescription …, 2023 Prescription Drug List Introduction The UnitedHealthcare Prescription Drug List (PDL)1 provides a list of the most commonly prescribed medications in various therapeutic classes. This list is intended for use with UnitedHealthcare health plans and affiliated companies’ pharmacy benefit plan designs. , The UMR Formulary includes brand and generic medication approved by the FDA. Each medication is rated according to its cost. There are three tiers in the rating: Tier 1 is the lowest cost medication; Tier 3 is the highest cost. The Formulary helps you find lower-cost alternatives. When selecting a medication, you and your doctor may wish to ..., Medicare is a federal health insurance program that provides coverage for millions of Americans aged 65 and older, as well as certain younger individuals with disabilities. One crucial aspect of Medicare is its prescription drug coverage, a..., Preferred mail order pharmacy (100-day) $125 copay. Network pharmacy (30-day) $45 copay. Preferred mail order pharmacy (100-day) $125 copay. Tier 3: Covered …, Jan 31, 2022 ... Express Scripts National Preferred Formulary (NPF) · CVS Caremark Commercial · United Healthcare Commercial · PA is unavoidable, but there are ways ..., Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers., Aug 7, 2014 ... A Medicare formulary is a list of brand-name and generic drugs that Medicare Part D prescription plans cover., Complete Drug List (Formulary) 2023 AARP® Medicare Advantage SecureHorizons® Plan 1 (HMO-POS) AARP® Medicare Advantage SecureHorizons® Plan 2 (HMO-POS) Important notes: This document has information about the drugs covered by this plan. For more up-to-date information or if you have any questions, please call UnitedHealthcare Customer ... , Learn about prescription drug coverage determinations and appeals, prior authorization criteria, step therapy criteria and the 60-day formulary change notice. View prescription drug (Part D) coverage determinations and appeals process. View the UnitedHealthcare Prescription Drug Transition Process. Enrollment disclaimer information:, Lower-cost options are available and covered. + Brand may be excluded from coverage. Lower-cost options are available and covered. ... drugs included in these programs or call the member phone number listed on your member ID card. ... M52574-E 10/17 ©2017 United HealthCare Services, Inc. Author: UHC Graphics Department Created Date: …, There are many types of insurance plans in the United States that people use to pay for medical care for both their physical and mental health needs. Among those are Advantage Plans., Oct 1, 2023 · UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) 2023 List of Covered Drugs (Formulary) Introduction This document is called the List of Covered Drugs (also known as the Drug List). It tells you which prescription drugs and over-the-counter (OTC) drugs are covered by UnitedHealthcare Connected for One Care. , Louisiana Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) ... including those covered by one of the managed care organizations (MCOs) and those in the Fee-for-Service (FFS) program. • The PDL is a list of over 100 therapeutic classes reviewed by the Pharmaceutical & Therapeutics (P&T) committee. With the exception of ..., Find out which prescription drugs are covered by your UnitedHealthcare plan with the Advantage 3-Tier PDL. This document provides the most updated information as of September 2022 and helps you compare your options and costs. Download the PDF and learn more about your pharmacy benefits. , A Prescription Drug List (PDL) – also called a formulary – is a list of commonly used medications, organized into cost levels, called tiers., Aug 3, 2022 ... Updated UHC/Oxford Prescription Drug List (PDL) Effective 9/1/22 ... Click on the links below to access the updated PDL and supporting materials ..., Railroad retirement beneficiaries can find additional materials on the Medicare benefits page at RRB.gov, or the Medicare and Palmetto GBA information sources shown below. They can also contact the RRB toll-free at 1-877-772-5772 for general information on their Medicare coverage., S5921 - 409. (4 / 5) AARP MedicareRx Walgreens (PDP) is a Medicare Part D Prescription Drug Plan by UnitedHealthcare. Premium: $27.60. Enroll Now. This page features plan details for 2022 AARP MedicareRx Walgreens (PDP) S5921 – 409., Drug payment stage and drug tiers The amount you pay for a covered prescription drug will depend on: l Your drug payment stage. Your plan has different stages of drug coverage. When you fill a prescription, the amount you pay depends on the coverage stage you’re in. l Your drug’s tier. Each covered drug is in 1 of 5 drug tiers.