MedicareBlueSM Rx (PDP) and Group MedicareBlue Rx are Medicare-approved Part D sponsors. Enrollment in MedicareBlue Rx depends on contract renewal and enrollment in Group MedicareBlue Rx depends on renewal of the plan sponsor's contract with Medicare.
Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* and Blue Cross Blue Shield of Wyoming *.
Drug pricing information on this website is intended as an educational tool and is not a promise as to the price we will offer in the future. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Limitations, copayments, and restrictions may apply. This information is not a complete description of benefits. Contact the plan for more information. For a variety of reasons (e.g., because you visit an out-of-network pharmacy), actual pricing may vary. You must continue to pay your Medicare Part B premium. The formulary and pharmacy network may change at any time. You will receive notice when necessary.
Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.
*Independent licensees of the Blue Cross and Blue Shield Association.
S5743_092617_B01_RE CMS Approved 10/04/2017
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