SilverScript is a Part D prescription drug program. The comprehensive program provides extensive drug coverage and low premiums.
More than 5 million people are members of the SilverScript family. Many benefits come with this drug program, and we’ll take a look at those benefits below.
SilverScript Part D Drug Plans
SilverScript offers three different Part D plans; the SmartRx, Choice, and the Plus plan.
When you begin to compare drug plans, there are some things you’ll want to keep in mind.
- What type of medications you take
- How often you take your medication
- Out-of-pocket expenses such as copays
- How much you’re willing to pay in annual deductibles
By creating a game plan at the start of your drug plan search, you can make sure you get the coverage you need.
SilverScript Formulary for 2022
You’ll want to be aware of covered medications when you begin shopping for drug plans. Once released, you’ll find the updated formulary for 2022 in the SilverScripts document library.
They provide you with an up-to-date drug formulary every year. The formulary is a master list of prescription drugs that have coverage.
Sometimes Medicare may not cover your specific medication. But a formulary alternative might be available. Your doctor might consider a replacement if they feel it’s appropriate.
They may make occasional changes to its formulary. Also, they may move a drug from one tier to another or remove a medication if necessary.
You’ll receive a notice if they do end up shifting drugs.
SilverScript SmartRx
The SilverScript SmartRx plan is a lower premium option with a $0 Tier 1 deductible. Also, Tier 1 is a $0 copay, making this a great choice for those with only generic medications. There is no gap coverage but, chances are that if you’re enrolling in this policy you only take low-cost generics. If you’re taking low-cost generics it’s unlikely you’ll need gap coverage.
SilverScript Choice
The Choice plan offers extensive drug coverage. The policy provides a $0 deductible for medications that are on Tier 1 and 2. SilverScript Choice also includes delivery of your Tier 1, 2, and 3 prescriptions. Pharmacies throughout the United States accept the Choice plan.
SilverScript Plus
The SilverScript Plus plan offers a $0 deductible on medications in all tiers. The policy has even more drug coverage than the Choice. You can get your med delivered to you and may also have $0 copays for those prescriptions.
SilverScript Pharmacies
More than 65,000 pharmacies are available in the U.S. for members. You’ll find most of your big-name pharmacies will accept your insurance. Walmart, CVS, Wegmans, and Walgreens are a few of the most popular pharmacy choices. Many local pharmacies also accept SilverScript coverage.
SilverScript Preferred Pharmacies
SilverScript has a network of preferred pharmacies with over 23,000 network pharmacies. The preferred pharmacies tend to have lower coinsurances and copayments. CVS, Publix, Walmart, and Kroger are a few of the preferred pharmacies available.
SilverScript Mail Order Services
Many times, people may like to use mail order pharmacy services. Mail order can be beneficial for those who aren’t able to leave their house. You can choose to have your medication sent to your home or place of employment. Both Choice and Plus members can use this service.
Another remarkable benefit is the ability to receive 90-day supplies at one time. Talk about convenient!
SilverScript Drug Prices
SilverScript has different tiers when referring to drug prices. Lower tiers tend to have lower prescription prices.
SilverScript has a total of five tiers:
- Preferred Generics: Tier 1 has the lowest costs for preferred generic medications. Copays for level 1 drugs are $0.
- Generic: Copays for level 2 medications can range from $1-2.
- Preferred Brand Prescriptions: Both non-preferred generics and preferred brand drugs.
- Non-Preferred Drug: Non-preferred generics and non-preferred brand name drugs.
- Specialty Medications: The highest of all levels. The medications within this tier are both brand and generic, but very high cost.
SilverScript Caremark Portal
SilverScript has a unique and convenient online portal through Caremark. The portal helps you check your pharmacy benefits.
The portal allows you to:
- Review current prescriptions.
- Check on the status of your orders.
- Review your drug coverage.
- Check on medication costs.
The Caremark portal will let you gain valuable information with ease.
SilverScript Reviews
SilverScript has a Medicare Star Rating of 4 stars, which is a fantastic score. Medicare scores prescription plans on their performance and quality every year.
They have excellent customer service, that’s available 24 hours for members. The drug plan also has a wealth of online tools.
FAQs
How to Enroll in SilverScript
When you're ready to sign up for SilverScript, you'll be able to do so with ease. Make sure to have your Medicare I.D. card with you. You can apply online in a matter of minutes.
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I am on Silverscript and have been using local CVS pharmacy. But customer service there has fallen terribly and I would like to switch my pharmacy to Safeway or Walgreens. How do I do this? Thank you
Daniel, I am sorry to hear about your negative experience at the pharmacy. Changing pharmacies is simple. All you need to do is request an Rx transfer for prescriptions at your current pharmacy and notify your doctors for future scripts. However, it is very important to be sure the pharmacy you are switching to is covered under your drug plan. To do this, you can contact Silverscript directly or use the Part D plan finder on Medicare.gov.
need a full list of pharmacy that Aetna silverscrip drug plan administered by cvc caremart Medicare RX covers
Barbara, Silverscript offers multiple Part D plans that each have a formulary of their own. Meaning each plan covers drugs differently. If you need information about your specific plan, it is best to call the number listed on the back of your RX card to receive a full list of drugs covered by your plan
I currently have Silverscript. I can not find my new premium rate for 2022. where do I go to find this rate?
Hi Wendy – you’ll find this information in your Annual Notice of Change letter that you should have received from your plan in September. You can also contact your plan for the information.
I currently have Silverscript Choice PDP plan, I’m paying so much more then in 2020 since Aetna became a part of the plan. I was looking at AARP Medicare Saver Plus, do you suggest I change since it is so much lower in cost. Is there a hidden secret?
Hi Dorothy – what you pay for Medicare Advantage depends upon your location. We would advise you to make sure you choose a plan that includes your preferred providers and has your medications and dosages on its formulary. That is the best way to keep costs down, as well as taking note of the maximum out-of-pocket amount as well as the premium.
What is the cost of generic duesix
Hi Brenda. I would need to know which generic you’re referring to in order to answer your question.
I had SilverScript and I had to pay for my shingles shot.
Hi Judy! I would reach out to the billing department to have this corrected. All Part D plans are required to cover the Shingles vaccine.
My husband has just enrolled in SilverScript Plus (PDP). He takes an expensive Rx for Rybelsus, but with no deductible, the monthly cost is very reasonable in this plan. I don’t understand what costs contribute to him reaching the coverage gap stage and what it will cost him next year if/when he hits that stage. Could you help with that answer?
Hi Patricia! We have a great video that explains how the donut hole works and goes over all four phases in detail.
Will Silverscript choice cover hormone replacement prescription my Dr has suggested that I start taking it.
Hi Brenda! You would want to check your drug plan formulary to see if your specific prescription is covered.
My father has been prescribed Eliquis. At CVS today, the cost is $531. He is unable to pay for this every month. What can be done to lower this cost???
Thank you so much
Hi Michelle! I would reach out to SilverScript directly to find out why it cost so much now. It could be the deductible has not been met for the calendar year. Eliquis is covered by 99% of Part D plans.
how do I change from picking up my prescriptions at Wallgreens to ordering them by mail
Hi Margaret! If you contact Walgreens they should be able to help you set it up.
I’m trying to find out if Vons pharmacy is accepted by SilverScript and there is no where for me to access a list of participating pharmacy.
Hi D! I would ask your pharmacy if they accept SilverScript.
I have only approx $24 left to fulfill my deductible, and I am paying more, especially for one, the price doubled since 2020. On 4/1/2020 I paid $201, on 3/23/2021 that price doubled to $422. I understand about the deductible, but double in price?. I am being charged the full yearly cost of this med, it is a 90day supply every 3 months, I don’t expect to be charged for any auto-refills for the remainder of 2021. I also note that the plan I am enrolled in, I am paying more than the plan is paying, this is not a very good plan, and I am strongly considering finding another company to enroll with.
Hi Lou! We’re so sorry you’re not happy with your current Part D plan. You are not the first to voice your concerns. It sounds like you should not have to pay that much once you hit the deductible. If there is a generic available, I would ask your doctor if you can switch. Unfortunately, unless you qualify for a Special Enrollment Period, you will have to wait until the Fall Annual Enrollment Period to change your Part D plan. You should be able to go onto Medicares plan finder tool and put in what Part D plan you have to see what your estimated costs will be out of pocket for all your medications for the entire year.
My local pharmacy recently changed ownership and is no longer a preferred pharmacy with Silver Script. What a shock when I went to get my latest prescriptions. They were almost 10 times more money than when I got them in December. I’m 76 and on a fixed income and the preferred pharmacy closest to me is a Walmart 25 miles away. In addition to the normal blood pressure and other heart drugs I take Entresto and Pradaxa both very high priced drugs. I guess I’ll be doing some traveling. Bummer.
Hi Gary! I’m so sorry you’re dealing with this issue. Is there a chance you’re now in the deductible phase of your prescription drug plan, and that’s why you’re paying more for your prescriptions? The plans reset annually at the beginning of the year. Also, have you looked into mail-order pharmacies? You may be able to get your prescription mailed to you.
do you have a page where i can type in our medication and it will tell m what you will pay on each, if so where do i find it,
Hi Sharon! We do not, however, Medicare has a comparison tool. You would just need to select your SilverScript plan and input your medications.
Does Sikver Script cover the Shingles shots?
Hi Carolyn! Yes, your Part D plan will cover the Shingles vaccine.
I have friends that have silver script and they had to pay for their shingles shots. I also have Silver Script and need to get the shots, but can’t afford to pay $200 for each shot.
Hi Shirley! Part D plans do come with an annual deductible, it sounds like in both scenarios that deducible may not have been met yet. We have more information on coverage for the Shingles vaccine that may help answer your question.