Horizon Standard Rx Prescription Drug Plan
We've made a list of resources that may be helpful for you to use your new insurance coverage fully.
Your Medicare Plan Details:
- Plan: You enrolled in a Horizon Standard Rx Prescription Drug Plan
- Monthly Premium: $18.40 per month
Helpful Links about your plan:
- Member Services Phone Number - 800-391-1906
- You can create an online account with your insurance to be able to access claims and plan information.
- Summary of Benefits reviews the more popular plan details and the Evidence of Coverage goes through the full details of the coverage.
- The Star Rating of your plan is 3 out of 5 stars
- If you'd like to appoint a representative to speak on your behalf.
- There is a $590 annual deductible prior to medications being covered.
- Medication costs are based on the tier of the prescription.
- Below are pricing for preferred pharmacy
- Tier 1 Preferred Generic- $0
- Tier 2 Generic- $5
- Tier 3 Prefered Brand- 20%
- Tier 3- Covered Insulin- $35
- Tier 4 Non-preferred Brand- 45%
- Tier 5 Specialty- 25%
- Below are pricing for preferred pharmacy
- Medication costs are based on the tier of the prescription.
- In 2025 there is a $2,000 annual out of pocket maximum on covered medications.
- There is a new Medicare Prescription Payment Plan (MPPP) option that allows you to spread your cost‑sharing over the remaining months of the plan year.
Below are online search tools for your Prescription Drug Benefits:
- The Formulary has a complete list of medications covered by your insurance.
- Mail Orders Prescription option is available through AllianceRx Walgreens, Amazon Prime, Express Scripts, or Postal Prescription Services.
- In-Network Pharmacy Search