Blue MedicareRxSM (PDP) is a Prescription Drug Plan with a Medicare contract. Enrollment in Blue MedicareRx depends on contract renewal. Coverage is offered by Blue Cross Blue Shield of Arizona, an independent licensee of the Blue Cross and Blue Shield Association.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, co-payments, and restrictions may apply. You must continue to pay your Medicare Part B premium.
Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Medicare evaluates plans based on a 5-Star Rating system. Star Ratings are calculated each year and may change from one year to the next.
For a variety of reasons (e.g., because you visit an out-of-network pharmacy), actual pricing may vary. The formulary and pharmacy network may change at any time. You will receive notice when necessary.
Certain information on this website is available for free in another language. Please call our Customer Service number at 1-877-853-7693, TTY users call 711, from 8 a.m. to 8 p.m., daily, local time. Cierta información en este sitio web está disponible de forma gratuita en otro idioma. Comuniquese con nuestro Servicio al Cliente al 1-877-853-7693 (los usuarios de TTY deben llamar al 711) de 8 a.m. a 8 p.m., hora local, todos los días.
S6506_092816_B02 CMS Approved 11/10/2016
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