Prescription Drug Plan
Offered by Mutual of Omaha Rx
Our Prescription Drug Plan
You want an affordable, easy-to-use prescription drug plan with great coverage. Coverage includes access to more than 65,000 pharmacies and major chains, including local grocery stores, so getting your prescriptions is convenient. Our plans work well with our Medicare supplement insurance plan or as a stand-alone prescription plan to use with your Medicare Part A and Part B coverage.
You are viewing plans in
Mutual of Omaha Rx
Value
Value
Mutual of Omaha Rx
Plus
Plus
$25.80
premium/month
$55.80
premium/month
| Starting with a low monthly premium, our Value plan delivers affordable coverage and a $0 deductible for tier 1-2 drugs. | Our Plus plan is our basic plan that covers a broad choice of prescriptions while offering low-cost generic drug choices. |
Deductible |
Deductible |
|
$0
Tiers 1 & 2 $435
Tiers 3 - 5 |
$435 |
Preferred Network |
Preferred Network |
| CVS, CVS/Target, Walmart, Sam's Club, and regional Rx networks. | CVS, CVS/Target, Walmart, Sam's Club, and regional Rx networks. |
| This plan works best for the cost conscious, healthy population. | This plan works best for people that take multiple medications. |
Cost Share by Tier and Network
| Preferred Retail 30 Days |
Preferred Retail 90 Days |
Preferred Home Delivery 90 Days |
||||
|---|---|---|---|---|---|---|
|
Tier 1: Preferred Generic*
These are the most commonly prescribed and affordable prescriptions.
|
$0 | $0 | $0 | $0 | $0 | $0 |
|
Tier 2: Generic*
These are a little more expensive than Tier 1, but still generic medicines.
|
$2 | $6 | $6 | $10 | $30 | $30 |
|
Tier 3: Preferred Brand*
Tier 3 drugs are brand-name or higher-priced generic prescriptions.
|
$27 | $81 | $81 | $42 | $126 | $126 |
|
Tier 4: Non-Preferred Brand*
These are more expensive brand-name drugs.
|
48% | N/A | 48%** | 48% | N/A | 48%** |
|
Tier 5: Specialty*
These are the most expensive drugs. They treat very complex conditions like cancer.
|
25% | N/A | 25%** | 25% | N/A | 25%** |
|
Tier 1: Preferred Generic*
These are the most commonly prescribed and affordable prescriptions.
|
||||||
|
Preferred Retail 30 Days |
$0 | $0 | ||||
|
Preferred Retail 90 Days |
$0 | $0 | ||||
|
Preferred Home Delivery 90 Days |
$0 | $0 | ||||
|
Tier 2: Generic*
These are a little more expensive than Tier 1, but still generic medicines.
|
||||||
|
Preferred Retail 30 Days |
$2 | $10 | ||||
|
Preferred Retail 90 Days |
$6 | $30 | ||||
|
Preferred Home Delivery 90 Days |
$6 | $30 | ||||
|
Tier 3: Preferred Brand*
Tier 3 drugs are brand-name or higher-priced generic prescriptions.
|
||||||
|
Preferred Retail 30 Days |
$27 | $42 | ||||
|
Preferred Retail 90 Days |
$81 | $126 | ||||
|
Preferred Home Delivery 90 Days |
$81 | $126 | ||||
|
Tier 4: Non-Preferred Brand*
These are more expensive brand-name drugs.
|
||||||
|
Preferred Retail 30 Days |
48% | 48% | ||||
|
Preferred Retail 90 Days |
N/A | N/A | ||||
|
Preferred Home Delivery 90 Days |
48%** | 48%** | ||||
|
Tier 5: Specialty*
These are the most expensive drugs. They treat very complex conditions like cancer.
|
||||||
|
Preferred Retail 30 Days |
25% | 25% | ||||
|
Preferred Retail 90 Days |
N/A | N/A | ||||
|
Preferred Home Delivery 90 Days |
25%** | 25%** | ||||
*The copay and cost-sharing depends on where you get your prescription filled.
** 30 Day Home Delivery Only
** 30 Day Home Delivery Only
Request a FREE Information Kit
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Enter your drug and pharmacy information for a comprehensive cost comparison.
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