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Medicare Part D Prescription Drug Plans In Missouri

With an Anthem Medicare Part D plan in Missouri, you receive coverage for prescription drugs, which are not covered by Original Medicare. Anthem offers several Part D options to help you save money on your medications.

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Choose The Right Prescription Plan For You

Original Medicare doesn’t include drug coverage. In Missouri, Part D standalone plans or Medicare Advantage plans with prescription drug benefits offer comprehensive medication and vaccine coverage, low copays, competitive premiums, a national pharmacy network, and more.

Standalone Part D Plans

Whether you have Original Medicare or a Medicare Supplement plan, you can purchase a stand-alone Part D plan to complement your coverage.

This could be a good fit if you’re satisfied with your Original Medicare or Medicare Supplement coverage and want to cover your medications and lower your prescription costs. 

All-In-One Plans

You also can purchase a Medicare Advantage (Part C) plan that includes Part D prescription drug benefits, plus hospital, medical, dental, vision, and hearing coverage – all in one plan.

 

Many prefer Medicare Advantage plus Part D to conveniently manage their healthcare and prescriptions with a single plan.

 

Compare Part D Blue MedicareRx Plan Options

If you’re considering a standalone Part D plan in Missouri, use this overview to help you decide which one is right for you.



 


Anthem MediBlue Rx
Standard Part D Plan*

 


Anthem MediBlue Rx Plus
Part D Plan*
 

 

Recommended For …

 

 

Those who take fewer medications

 

Those who take multiple medications

 

Monthly Premium

 

 

$70

 

 

$69

 

 

Annual Prescription Deductible

 

 

Tiers 1 and 2

$0

 

Tiers 3-5

$545

 

 

Tiers 1-5

$0

 

 

Copay Costs

 

 

Low copays for most generic drugs at preferred pharmacies

 

 

Low copays for most generic drugs at preferred pharmacies

 

Covered Drugs

 

 

Many brand-name and generics

 

Wider range of brand-name and generics

 

Network Pharmacies

 

 

Nationwide

65,000 +

 

Preferred Cost-Sharing Pharmacies (Lower Drug Costs)

27,000+

 

 

Nationwide

65,000 +

 

Preferred Cost-Sharing Pharmacies (Lower Drug Costs)

27,000+

 

 

Preferred Retail Chains

 

 

Includes Albertsons, CVS Pharmacy, Costco, Giant Eagle Pharmacy, Harris Teeter Pharmacy, H-E-B Pharmacy, Kinney Drugs, Kroger, Publix, Roundy's, Safeway, and Walmart 

 

 

Includes Albertsons, CVS Pharmacy, Costco, Giant Eagle Pharmacy, Harris Teeter Pharmacy, H-E-B Pharmacy, Kinney Drugs, Kroger, Publix, Roundy's, Safeway, and Walmart 

 

 

Mail Order Option

 

 

yes

 

 

yes

 

Network details, deductibles, copays, and premiums may change year to year. Costs reflect 2024 rates.

Smart Tip: If you need financial assistance, check to see if you qualify for Extra Help , a federal program that helps you pay for drug coverage.

Check Prescriptions, Costs, And Pharmacies

 

Before you enroll, use our tool to look up your prescriptions and their costs. You can customize your search selections to fit your specific needs and find out which pharmacies are nearby.

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Avoid A Late Enrollment Penalty

 

Be sure to consider your Part D enrollment options in Missouri during your Initial Enrollment Period or when you're first eligible for Medicare. If you don’t have creditable prescription coverage via an employer or another source, you could receive a monthly Part D late enrollment penalty.

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Medication Therapy Management

 

If you’re managing complex medical needs and take multiple medications, you might be eligible for the Medication Therapy Management program. It’s a free program that will help you and your doctor make sure you’re getting the best results from your medications.

     

Explore Anthem’s MediBlue Rx Part D plans or learn more about Medicare Part D coverage.

Medicare Part D Glossary Of Terms

 

Here are common terms you may run into when comparing Medicare Part D plans.

Drug Plan Exceptions

You and your doctor have the right to request exceptions set by your drug plan. You can request exceptions from step therapy and quantity limits, or request a lower cost-sharing amount for some drugs.

Drug Tiers

All drugs covered by your plan are divided into pricing tiers. Generally, generic drugs fall into the lowest tiers and are the most affordable. Brand name and specialty drugs are in higher tiers that cost more.

Formulary

Most plans have a formulary, which is a list of drugs the plan covers. While there are many drugs Medicare requires Part D plans to cover, you still want a plan that fits your personal prescription needs.

Prior Authorization

Some drugs, and certain amounts of some drugs, require your doctor to obtain prior approval and submit documentation of medical necessity before they can be covered by your plan.

Quantity Limits

For safety reasons, your plan may limit the amount of medication you can receive at one time. If your prescription is in excess of safety guidelines or refilled too soon, your doctor may need to contact us for approval.

Step Therapy

Step therapy helps keep costs down while ensuring you get effective drugs. For some health conditions, the plan requires you to try a less costly, clinically effective drug before “stepping up” to a more costly one.

Frequently Asked Questions About Part D

If you are 65 or older or already enrolled in Medicare, you are eligible for Medicare Part D.

When reviewing Part D plans, you might want to consider whether:

  • Your preferred pharmacy is in the plan network
  • Your medications are covered by the plan formulary (covered list) and if they offer generic options
  • The plan offers generic options for cost savings
  • The plan fits your budget when it comes to premiums, deductibles, copays, and out-of-pocket maximums
  • You can save on mail-order medications with 30-day or 90-day supplies 

If you have Original Medicare or a Medicare Supplement plan, you can sign up for a Medicare Part D plan during:

  • Your Initial Enrollment Period, which starts three months before your 65th birthday month and ends three months after it
  •  The General Enrollment Period: January 1 to March 31
  • The Annual Enrollment Period: October 15 to December 7

You can add, change, or drop your Medicare Part D plan during the Medicare Annual Enrollment Period. You could also qualify for a special enrollment period.

Learn More About Medicare Enrollment Periods 

Most Medicare Part D plans have a coverage gap – the “donut hole – that puts a temporary limit on how much the plan pays for prescription drugs. It starts once you and the plan have spent a certain amount on prescription drugs. When you’re in the coverage gap, you will pay a higher cost share on your prescriptions. Once your spending reaches the upper limit of the coverage gap, you shift back down to pay a lower cost share for your prescriptions. The coverage gap is scheduled to close in 2025. 

Need Help Or Ready To Shop?

Enter your Zip code below to find plans available in your area.

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Read Our Medicare Articles

Get more details about Medicare Part D and important cost considerations. You can also take a deeper dive into other articles offering detailed information about Medicare plans, benefits, eligibility, enrollment, and more.

Attend A Free Event

Sign up to learn how Anthem Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual webinar, or a live seminar where a Medicare licensed agent will be present to answer your questions.

Learn About Plans In Your State

If your state isn't listed, visit www.bcbs.com for other coverage options.

Anthem Blue Cross and Blue Shield is a PDP plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.