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CommunityCare is here for you. We are dedicated to taking care of our members and ensuring you have access to health care services.

Prescription Drug Plan

Part D Benefits Only

Plan Premium$28.20 per month
Deductible$445
Preferred Pharmacy - Initial Coverage Level Copays formulary search30-day Supply
Tier 1 - Preferred Generic$0
Tier 2 - Generic$4
Tier 3 - Preferred Brand Name10%
Tier 4 - non-Preferred Drugs25%
Tier 5 - Specialty Tier25%
Standard Pharmacy - Initial Coverage Level Copays formulary search30-day Supply
Tier 1 - Preferred Generic$2
Tier 2 - Generic$8
Tier 3 - Preferred Brand Name25%
Tier 4 - non-Preferred Drugs25%
Tier 5 - Specialty Tier25%

You can call our Medicare team at 918-594-5275 for more information on this plan or other options. We are available Monday through Friday from 8:00 to 6:00.

Directories and Searches

Enrollment Options

If you are not sure which plan best suits you, please give us a call at 918-594-5275. One of our representatives will help you select the right plan for you.

Plan Documents

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