Silver Pharmacy Coverage
Prescriptions can be even cheaper at the Silver level.Pharmacy Copays for 2025
For Silver 70 plans, once you’ve spent a certain amount for the year at the pharmacy, you’ll pay a discounted flat rate for prescriptions. With Silver 73, 87 and 94 plans, you never have to meet a deductible first — you’ll always pay the “after deductible” cost.
Deductible Amounts for 2025
$0 to $50
Individual
$0 to $100
Family
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Tier 1: Generic Prescriptions
$3 to $18
After Deductible
(if applicable)
(if applicable)
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Tier 2: Preferred Prescriptions
Full Cost
Before Deductible
(Silver 70 only)
(Silver 70 only)
$10 to $60
After Deductible
(if applicable)
(if applicable)
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Tier 3: Non-Preferred Prescriptions
Full Cost
Before Deductible
(Silver 70 only)
(Silver 70 only)
$15 to $90
After Deductible
(if applicable)
(if applicable)
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Tier 4: Specialty Prescriptions
Full Cost
Before Deductible
(Silver 70 only)
(Silver 70 only)
10% to 20%
of Bill After Deductible
(if applicable)
(if applicable)
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Things to Know
Need help applying?
You can get help from a certified enrollment counselor right away. It’s always free and confidential. Talk to someone about your options and have them guide you through the process. You can enroll in person, by phone or online.
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