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    Horizon Medicare Prescription Drug Plans

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Drugs that Require Prior Auth, Step Therapy and Quantity Limits (Part D)
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Comparison

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Part D Prescription Drug Coverage from Horizon Blue Cross Blue Shield of New Jersey

When you join one of these plans, Medicare helps pay a portion of the costs. That allows Horizon Blue Cross Blue Shield of New Jersey to offer you more coverage for less money.

Horizon Medicare Blue Rx Standard (PDP)

Featuring Easy-to-Budget Prescription Drug Copays and Savings of 50% on Generic Drug Copays with our Mail Order Service

With the Horizon Medicare Blue Rx Standard (PDP) Plan option, coverage begins after you meet your $310 deductible. The Horizon Medicare Blue Rx Standard (PDP) Plan features a copay of just $8 for generic drugs, $36 copay for covered preferred brand drugs, and $72 copay for non-preferred brand drugs until your total annual prescription costs reach $2,830. You pay 100% of the annual costs you incur between $2,830 and $4,550 (out-of pocket maximum); however, Horizon Blue Cross Blue Shield of New Jersey's special negotiated rates for prescription drugs apply. Once your annual drug costs exceed $4,550, you pay just $2.50 per generic/preferred or $6.30 for all others or 5% of the drug's cost, whichever is greater.

Horizon Medicare Blue Rx Enhanced (PDP)

Featuring No Deductible and Savings of 50% on Generic Drug Copays with our Mail Order Service

The Horizon Medicare Blue Rx Enhanced (PDP) Plan option features no deductible and a copay of $8 for covered generic drugs, a $36 copay for covered preferred brand drugs, and a $72 copay for non-preferred brand drugs until your total annual prescription costs reach $2,830. You then pay $8 for generic drugs and 100% of the costs for all other drugs when your annual drug costs are between $2,830 and $4,550 (out-of-pocket maximum). However, Horizon Blue Cross Blue Shield of New Jersey's special negotiated rates for prescription drugs apply. Once your annual drug costs exceed $4,550, you pay just $2.50 per generic/preferred or $6.30 for all others or 5% of the drug's cost, whichever is greater.

Plan Options at a Glance


Horizon Medicare
Blue Rx Standard (PDP)
Horizon Medicare
Blue Rx Enhanced (PDP)
Deductible $310 No deductible
Annual drug costs between $0 and $2,830 You pay an $8 copay per covered generic, a $36 copay per covered preferred brand and a $72 copay per non-preferred brand prescription. You pay an $8 copay per covered generic, a $36 copay per covered preferred brand and a $72 copay per covered non-preferred brand prescription.
Annual drug costs exceeding $2,830 (up to $4,550 out-of-pocket maximum) You pay 100% of our special negotiated rates for prescription drugs. You pay $8 for generic only; all others at 100% of our special negotiated rates for prescription drugs.
After your annual drug costs reach $4,550 You pay the greater of 5% coinsurance or $2.50 per generic/preferred or $6.30 for all others. You pay the greater of 5% coinsurance or $2.50 per generic/preferred or $6.30 for all others.
Monthly Plan Premium

$45.80†

$83.50†

You could save an average of $1,200 a year on your prescription drug costs!*


* Centers for Medicare & Medicaid Services Press Release, January 2007.

† You must continue to pay Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

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Last Updated: July 22, 2010