2025 Medicare Part D stand-alone prescription drug plans.
WA state is in-network & contracted so will have lower copay, but not preferred:
1. Aetna Medicare Caremark
Silver Script Choice (PDP) – MEDDADV/RXCVSD bin# 004336
2. Express Scripts:
Cigna Healthcare Extra Rx (PDP) – CIMCARE/bin# 017010
Cigna Healthcare Saver Rx (PDP) – CIMCARE/bin# 017010
Cigna Healthcare Assurance Rx (PDP) – CIMCARE/bin# 017010
3. United Healthcare Optum:
AARP Medicare Rx Preferred from UHC (PDP) – Optum/bin# 610097 or 610494/9999
AARP Medicare Rx Saver From UHC (PDP) – Optum/bin# 610097,610494/9999
4. Wellcare Express Scripts:
Wellcare Classic (PDP) – bin# 610014 or 003858/MEDDPRIME
Wellcare Medicare Rx Value Plus (PDP) – bin#610014 or 003858/MEDDPRIME
Wellcare Value Scrips (PDP) – bin# 610014 or 003858/MEDDPRIME
2025 Non-preferred/in-network (MA-PD)Medicare Advantage Drug Plans
we will be accepting:
1. Express Scripts – Allwell /ph# 800-225-8017:
Wellcare Dual Liberty (HMO-POS D-SNP) – Local HMO (Dual Eligible)
Wellcare Dual Access (HMO-POS D-SNP) – Local HMO (Dual Eligible)
Wellcare Giveback (HMO-POS) – Local HMO
Wellcare Dual Reserve (HMO-POS D-SNP) – Local HMO (Dual Eligible)
Wellcare Simple (HMO-POS) – Local HMO
2. Express Scripts – Community Health Plan of WA / ph# 800-944-1247:
Community Health Plan of WA MA Plan 4 (HMO) – Local HMO
Community Health Plan of WA MA Plan 2 (HMO) – Local HMO
Community Health Plan of WA Dual Complete (HMO D-SNP) – Local HMO dual eligible
Community Health Plan of WA Dual Select (HMO D-SNP) – Local HMO dual eligible
3. Caremark – Molina Healthcare of Washington, Inc/ ph# 866-403-8293:
Molina Medicare Complete Care (HMO D-SNP) – Local HMO dual eligible
Molina Medicare Complete Care Select (HMO D-SNP) – Local HMO dual eligible
4. Optum – United Healthcare (AARP)/ph# 800-555-5757:
AARP Medicare Advantage from UHC WA-12 (PPO) – Local PPO
AARP Medicare Advantage from UHC WA-16 (PPO) – Local PPO
AARP Medicare Advantage from UHC WA-0005 (HMO-POS) – Local HMO
AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS) – Local HMO
AARP Medicare Advantage from UHC WA-0010 (HMO-POS) – Local HMO
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) – Local HMO
5. Optum – United Healthcare/ph# 877-596-3258:
UHC Dual Complete WA-S5 (PPO D-SNP) – Local PPO dual eligible
UHC Dual Complete WA-Q1 (PPO D-SNP) – Local PPO dual eligible
UHC Dual Complete WA-V2 (PPO D-SNP) – Local PPO dual eligible
UHC Dual Complete WA – V001 (HMO-POS D-SNP) – Local PPO dual eligible
UHC Dual Complete WA-Q2 – (HMO-POS D-SNP) – Local HMO dual eligible
6. Express Scripts – WellCare/ ph# 800-225-8017:
Wellcare Mutual of Omaha Simple Open (PPO) – Local PPO
Wellcare Patriot Giveback Open (PPO) – Local PPO (no drug coverage)**
Wellcare Dual Liberty Open (PPO D-SNP) – Local PPO dual eligible
Wellcare Dual Access Open (PPO D-SNP) – Local PPO dual eligible
Wellcare Mutual of Omaha Premium Enhanced Open (PPO) – Local PPO
7. Carelon – Wellpoint/ ph# 833-668-0683
Wellpoint Full Dual Advantage (HMO D-SNP) – Local HMO dual eligible
Wellpoint Full Dual Advantage (HMO D-SNP) – Local HMO dual eligible
**Please note: If you receive home health equipment and supplies from Jim’s Pharmacy’s
Home Health Department, Regence and Premera are exiting our market in 2025. The only
Medicare Advantage Plans we will be accepting is Molina.
