Drug costs for 2025

Page last updated on: 1/20/25

The higher a drug's cost level or "tier," the higher the cost. In the chart below, you'll see what you'll pay for each drug tier for:

  • A 30-day supply at a preferred retail pharmacy
  • A 30-day supply at a standard pharmacy, and
  • A 90-day supply through our preferred mail order pharmacy, Express Scripts (with free shipping)

Costs may vary when your plan is provided by an employer.

Your drug copays/coinsurance

This is what you'll pay until you reach $2,000 in out-of-pocket Part D drug costs for the year.

Important Message About What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible (if your plan has a deductible). Call Customer Service for more information.

Important Message About What You Pay for Insulin– Y ou won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible (if your plan has a deductible).

PriorityMedicare EdgeSM (PPO)

This plan has no Part D deductible, so you'll pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$2 ($0 for 90-day)$825% coinsurance40% coinsurance33% coinsurance
Standard retail$7$1525% coinsurance45% coinsurance33% coinsurance
90-day preferred
mail order
$0$025% coinsurance40% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

PriorityMedicare KeySM (HMO-POS)

This plan has no Part D deductible, so you'll pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$4 ($0 for 90-day)$1525% coinsurance45% coinsurance33% coinsurance
Standard retail$10$2025% coinsurance50% coinsurance33% coinsurance
90-day preferred
mail order
$0$025% coinsurance45% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

PriorityMedicare VitalSM (PPO)

Costs shown for tiers 3, 4 and 5 are what you'll pay after you meet the $350 Part D deductible. There is no deductible for drugs in tiers 1 or 2.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$1 ($0 for 90-day)$10$4245% coinsurance28% coinsurance
Standard retail$6$15$4750% coinsurance28% coinsurance
90-day preferred
mail order
$0$0$10545% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

PriorityMedicare Thrive (PPO)

This plan has no part D deductible, so you'll only pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$3 ($0 for 90-day)$10$4225% coinsurance33% coinsurance
Standard retail$11$18$4725% coinsurance33% coinsurance
90-day preferred
mail order
$0$0$10525% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

PriorityMedicare Thrive PlusSM (PPO)

This plan has no part D deductible, so you'll only pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$4 ($0 for 90-day)$1325% coinsurance40% coinsurance33% coinsurance
Standard retail$9$1825% coinsurance45% coinsurance33% coinsurance
90-day preferred
mail order
$0$025% coinsurance40% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

PriorityMedicare ValueSM (HMO-POS)

This plan has no part D deductible, so you'll only pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$2 ($0 for 90-day)$1025% coinsurance50% coinsurance33% coinsurance
Standard retail$7$1525% coinsurance50% coinsurance33% coinsurance
90-day preferred
mail order
$0$025% coinsurance50% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

PriorityMedicare MeritSM (PPO)

This plan has no Part D deductible, so you'll pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$2 ($0 for 90-day)$1025% coinsurance50% coinsurance33% coinsurance
Standard retail$7$1525% coinsurance50% coinsurance33% coinsurance
90-day preferred
mail order
$0$025% coinsurance50% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

PriorityMedicareSM (HMO-POS)

This plan has no Part D deductible, so you'll only pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$1 ($0 for 90-day)$825% coinsurance45% coinsurance33% coinsurance
Standard retail$6$1325% coinsurance45% coinsurance33% coinsurance
90-day preferred
mail order
$0$025% coinsurance45% coinsuranceNA

PriorityMedicare VintageSM (HMO-POS)

This plan has no Part D deductible, so you'll only pay these amounts for your drugs.

Tier 1
Preferred generic
Tier 2 genericTier 3
Preferred brand
Tier 4
Non-preferred drug
Tier 5 Specialty*
Preferred retail$4 ($0 for 90-day)$1525% coinsurance45% coinsurance33% coinsurance
Standard retail$10$2025% coinsurance45% coinsurance33% coinsurance
90-day preferred
mail order
$0$025% coinsurance45% coinsuranceNA

*Tier 5 Specialty drugs are limited to a 30-day supply per fill.

After you reach $2,000 in drug costs

Once you spend $2,000 out-of-pocket for your Part D drugs during the year, then you enter what's called the " catastrophic stage," and, you'll pay $0 for your Part D prescription drugs for the remainder of the plan year.