SilverScript is a Medicare Part D carrier with plans available in all 50 states. SilverScript offers comprehensive Medicare Part D plans with extensive prescription drug coverage and low premiums.
Millions of Medicare beneficiaries take advantage of SilverScript prescription drug plans each year. With one of the lowest premiums on the market, these SilverScript prescription drug plans are ideal for beneficiaries looking for prescription drug coverage that doesn’t break the bank.
SilverScript Medicare Part D Drug Plans
SilverScript offers three different Medicare Part D plans.
- SilverScript Smart Rx
- SilverScript Choice
- SilverScript Plus
When you begin to compare SilverScript drug plans, there are some things you’ll want to keep in mind.
- The medication(s) you are prescribed
- How often you take your medication(s)
- 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 Medicare Part D plan search, you can make sure you get the prescription drug coverage you need.
SilverScript Formulary 2022
When you begin shopping for prescription drug coverage, you’ll want to be aware of your medications and how they are covered by the various Medicare Part D plans available to you. This way, you can enroll in a plan that covers the prescriptions you need.
A formulary is a master list of prescription drugs that have coverage under a specific policy. You can find the formulary for each plan on SilverScript’s website or contact a licensed Medicare agent to help you make sense of plan details.
Sometimes a Medicare Part D plan may not cover your specific medication. However, a formulary alternative could be available. Your doctor may consider a replacement if they feel it’s appropriate. Otherwise, you could request a formulary exception, which means your drug could receive coverage from the plan if approved.
SilverScript may make occasional changes to its formularies, so reviewing your prescription drug coverage each year during the Annual Enrollment Period is essential. Doing so will ensure you are on the best coverage year after year.
| Tier 1 | Initial Coverage | Coverage Gap (Donut Hole) | Catastrophic Coverage | ||||
| Generic | Brand | ||||||
| SmartRx | $1 Copay | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5% (whichever is more) | |||
| Choice | $0 Copay | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
| Plus | $0 Copay | $0 Copay | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
| Tier 2 | Initial Coverage | Coverage Gap (Donut Hole) | Catastrophic Coverage | ||||
| Generic | Brand | ||||||
| SmartRx | $19 Copay | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5% (whichever is more) | |||
| Choice | $5 Copay | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
| Plus | $2 Copay | $2 Copay | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
| Tier 3 | Initial Coverage | Coverage Gap (Donut Hole) | Catastrophic Coverage | ||||
| Generic | Brand | ||||||
| SmartRx | $46 Copay | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5% (whichever is more) | |||
| Choice | 17% of Retail Cost | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5% (whichever is more) | |||
| Plus | $47 Copay | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
| Tier 4 | Initial Coverage | Coverage Gap (Donut Hole) | Catastrophic Coverage | ||||
| Generic | Brand | ||||||
| SmartRx | 49% of Retail Cost | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5% (whichever is more) | |||
| Choice | 35% of Retail Cost | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
| Plus | 50% of Retail Cost | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
| Tier 5 | Initial Coverage | Coverage Gap (Donut Hole) | Catastrophic Coverage | ||||
| Generic | Brand | ||||||
| SmartRx | 25% of Retail Cost | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5% (whichever is more) | |||
| Choice | 25% of Retail Cost | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5% (whichever is more) | |||
| Plus | 33% of Retail Cost | 25% of Retail Cost | $3.95 or 5% (whichever is more) | $9.85 or 5%(whichever is more) | |||
SilverScript SmartRx
The SilverScript SmartRx plan is a lower premium option with a $0 Tier 1 deductible. Also, Tier 1 drugs require a $0 copay on this plan, making it an excellent choice for those with only generic medications.
Key takeaways about the SilverScript Smart Rx plan:
- Lowest national average Medicare Part D premium
- $0 deductibles and copays as low as $1 for 30-day supplies
SilverScript Choice
The SilverScript Choice plan offers extensive prescription drug coverage. This policy provides a $0 deductible for Tier 1 and 2 medications. SilverScript Choice also includes delivering your Tier 1, 2, and 3 prescriptions. This is an excellent plan for those taking generic to mid-tier medications.
Key takeaways about the SilverScript Choice plan:
- Copays as low as $0
- Deductible for tier 1 and 2 drugs $0
- $0 premium and low cost-sharing if you qualify for Extra Help
SilverScript Plus
The SilverScript Plus plan offers a $0 deductible for medications on all tiers. The policy has even more drug coverage than the Choice plan, and you can get your prescription drugs delivered to you at no additional cost. This SilverScript Plus plan is a fantastic option for those who take high-tier drugs.
Key takeaways about the SilverScript Plus plan:
- More covered drugs on the formulary
- A variety of prescription minerals, vitamins, and erectile dysfunction drugs
- Savings on certain insulins with a max copay of $35 during the initial coverage phase and coverage gap
SilverScript Preferred Pharmacies
The SilverScript pharmacy network includes over 65,000 pharmacies in the U.S. Most chain pharmacies accept your SilverScript Medicare Part D coverage.
Walmart, CVS, Wegmans, Kroger, and Publix are a few of the most popular pharmacy choices. However, many local and independent pharmacies also accept SilverScript coverage.
SilverScript Mail Order Services
Many people prefer utilizing mail-order pharmacy services. Mail-order can be especially beneficial for those who can’t leave their house to pick up their drugs.
You can choose to have your medication sent to your home or place of employment. Both SilverScript Choice and Plus members can use this service.
Another great benefit of SilverScript mail order service is the ability to receive 90-day supplies at one time. Talk about convenience!
SilverScript Caremark Portal
SilverScript has a unique and convenient online portal through Caremark. The portal helps you check your pharmacy benefits.
The portal also allows you to:
- Review current prescriptions
- Check on the status of your order
- 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, 24-hour customer service. The SilverScript Medicare Part D prescription drug plans also come with a wealth of online tools through this carrier.
SilverScript FAQs
How to Enroll in a SilverScript Medicare Part D Plan
When you're ready to sign up for a SilverScript plan, we’re here to help make the process as easy as possible. Our licensed Medicare agents will walk you through the online application to ensure it is done correctly the first time.
To get started with your SilverScript Medicare Part D plan today, give us a call at the number above, or complete our online rate form. We look forward to finding the best Medicare Part D coverage for you!
Sources:
- Silverscript, Aetna. Accessed May 2022.
https://www.silverscript.com/ - Medicare Part D, Aetna . Accessed May 2022.
https://www.aetnamedicare.com/en/compare-plans-enroll/part-d-prescription-drug-plans.html
i currently have silverscript, and have also aetna hi g……………..do i need both???????//
Grace, yes. Both forms of coverage are necessary to receive full health benefits. Silverscript is paying for your prescription drugs while Plan G is covering your healthcare costs.
If I discontinue my enrollment with Silverscript will it effect my other Medicare plans I have?
Walter, disenrolling from your Silverscript Part D plan will not affect your other plans in any way. However, if you disenroll without creditable drug coverage, you may be responsible for the Medicare Part D late enrollment penalty if you decide to reenroll in the future.
I am experiencing high deductibles for my prescriptions. I take Trulicity and changed to Victoza at Silver Scripts suggestion and that was way wrong. Now trying to get answers on how to afford the “new” costs associated with the revised plans.
Karen, I am sorry to hear about your high drug costs. Have you tried applying for Part D Extra Help? If you meet certain income requirements, you could receive help paying for your Medicare Part D costs. If not, you can also contact your plan and ask for a tier exception which lowers the prescription tier and may help with cost, however there is no guarantee the plan will accept this request.
Cvs is Charging me a Copay but Walmart does not. Why? I’ve been disabled since 2009 and have Medicare with Part D and Medicaid.
Each Medicare Part D plan has different copays depending on the pharmacy you use.
Why is it so darn hard to find my co-pay for a tier 3 drug? I have silver-script choice. Have made several calls today and have received different answers! I’ve paid my $480 deductible….so what’s my co-pay?
Hi Sharen, if you have already met your $480 deductible for the year on the SilverScript Choice plan, your copayment for a Tier 3 drug would be 17% of the drugs retail cost. You can find the retail cost of the drug by calling your preferred pharmacy.
Have been on the choice plan for three years, this year the deductible doubled to $480 and tier 3 went from $47 to 17% of cost of medication. So now before deductible my medication will cost almost $500 and after deductible will cost almost $90 per month. So just explain to me how this is a good plan?
Lorraine, unfortunately drug plan costs change annually as do the plan formularies. Therefore, it is important to review your plan each year during the Annual Enrollment Period(link) to ensure the plan you are on is still the best for your needs.
How much is the Solver Script Plus Plan—non-smoker age 67, male?
Victoria, thank you for reaching out! Drug plan cost depends on the area you live in as well as the prescription medications you are taking. To find the silverscript plan cost for your needs, our licensed agents can walk you through the process by completing this online form.
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.
Does Silverscript part D cover the full cost of a shingles shot ?
Arnold, all Medicare Part D plans are required to cover the Shingles vaccine, however, you could be responsible for a deductible or copayment. It is best to contact your plan directly for exact information.
CVS wanted almost $100. For my shingles vaccination x 2 last year. Are you saying the vaccination is free now?
Nancy, this is completely dependent upon the Part D plan you are enrolled in. Deductible and copayment amounts vary from plan to plan.
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.
I couldn’t afford it either and Coumadin did not work for me. My cardiologist put a Workman filter in my heart and I now take a baby aspirin. I love modern medical technology. I was so tired of begging for samples every month.
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.