2021 Elixir RxPlus (PDP) S7694-025-000 in IA from ELIXIR INSURANCE COMPANY | HealthPocket

Elixir RxPlus (PDP)

$54/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Prescription Drug Plan (Part D)
Insurance ProviderELIXIR INSURANCE COMPANY
Plan IDS7694-025-000
Plan Year2021
CMS Rating
Plan TypePDP
Annual Deductible$445.00
Out-of-Pocket MaximumN/A

What To Know About This Plan
  • This is a drug coverage only plan

Why We Like This Plan
  • has a copay of $1 for Tier 1 preferred generic drugs (30 day supply, preferred retail pharmacies)

Costs and Other Important Information

Plan Year2021
Prescription Drugs Covered?Yes
Health Plan Deductible$445
Monthly Drug Plan Premium$54.9
Monthly Health Plan Premium$0

All cost-sharing assumes in-network healthcare providers.
Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit


30 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$1 copay$18 copay$1 copay$18 copay
Tier 2: Generic$7 copay$19 copay$7 copay$19 copay
Tier 3: Preferred Brand15% coinsurance20% coinsurance15% coinsurance20% coinsurance
Tier 4: Non-Preferred Drug33% coinsurance38% coinsurance33% coinsurance38% coinsurance
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance25% coinsurance

60 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$2 copay$36 copay$2 copay$36 copay
Tier 2: Generic$14 copay$38 copay$14 copay$38 copay
Tier 3: Preferred Brand15% coinsurance20% coinsurance15% coinsurance20% coinsurance
Tier 4: Non-Preferred Drug33% coinsurance38% coinsurance33% coinsurance38% coinsurance
Tier 5: Specialty Tier
90 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$3 copay$54 copay$0 copay$54 copay
Tier 2: Generic$21 copay$57 copay$10.5 copay$57 copay
Tier 3: Preferred Brand15% coinsurance20% coinsurance15% coinsurance20% coinsurance
Tier 4: Non-Preferred Drug33% coinsurance38% coinsurance33% coinsurance38% coinsurance
Tier 5: Specialty Tier

Drug Plan Customer Service

Call center – foreign language interpreter and TTY availability
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
Medication adherence for diabetes medications
Medication adherence for hypertension - RAS antagonists
Medication adherence for cholesterol - Statins
MTM program completion rate for CMR
Statin use in persons with diabetes - SUPD

Pharmacies that accept Elixir RxPlus (PDP) Prescription Drug Plan for Iowa

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HealthPocket.com is a free information source. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. While on our site, if you click on a plan or link, you may be directed to one of our partners who offers health insurance products. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies.