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Standalone Part D · PDP
SILVERSCRIPT INSURANCE COMPANY
Plan year 2026
SilverScript Choice S5601-006 (PDP)
Monthly premium
$116
per month
Annual deductible
$615
Check which tiers it applies to
Generic copay
$0
Tier 1 preferred
Drug out-of-pocket limit
$2,100
then $0 for covered Part D drugs
Drug costsHow your drug costs work in 2026Part D uses a deductible (when applicable), initial coverage, and catastrophic coverage.
Three coverage phases during the year
- Deductible (when it applies). The $615 deductible applies to Tiers 1, 2, 3, 4, and 5.
- Initial coverage.After any applicable deductible, you pay the copay or coinsurance shown for your drug's tier. The amount can differ by pharmacy and supply length.
- Catastrophic coverage. After $2,100 in qualifying out-of-pocket costs for covered Part D drugs, you pay $0 for covered Part D drugs through December 31. Premiums and drugs that are not on the plan's formulary do not count toward this limit.
Covered insulin costs no more than $35 for a month's supply, and recommended vaccines (like shingles) are $0 all year. If a big pharmacy bill would be tough to handle at once, you can spread your costs into equal monthly payments at no extra charge — ask about the Medicare Prescription Payment Plan.
Your plan's drug tiers30-day supply at a standard network pharmacy · deductible applies to Tiers 1, 2, 3, 4, and 5 · covered insulin capped at $35
Tier 1
$0
Preferred Generic· after deductible
Tier 2
$6
Generic· after deductible
Tier 3
18%
Preferred Brand· after deductible
Tier 4
33%
Non-Preferred Drug· after deductible
Tier 5
25%
Specialty· after deductible
Plan and formulary data: CMS, 2026 plan year. Coverage, restrictions, and pharmacy costs can change; verify current details with the plan.
Your coverageCheck your coverageFrom the prescriptions and pharmacy you added
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)
Plan documents
Summary of Benefits (PDF)
Download the plan's official Summary of Benefits document
Check your prescriptions
Use our tool to check your drugs against this plan
Documentos en español
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