Blue Cross and Blue Shield of North Carolina
Blue Medicare Rx Standard (PDP)
Medicare plan ID S5540-002-000 · 2027 benefits. Every benefit the plan filed with Medicare, from the same data as the comparison grid. Other years: 2026 · 2027
To compare plans, we need to know where you live: plans and their prices differ from place to place.
Choose where you live to compare this plan Back to the plan list
| Benefit | Blue Medicare Rx Standard (PDP) |
|---|---|
| The plan What the plan costs before any drug is dispensed. | |
| Monthly premium | $92.10/mo |
| Yearly drug deductible | $700Applies to tiers 2, 3, 4, 5 |
| Star rating (2027) | 2.5 out of 5 |
| Drugs on the plan's list | 3,151 |
| After the yearly cap | $0 for covered drugs |
| Every tier What each tier costs in the initial coverage phase, at a one-month supply and a three-month supply. | |
| Tier 1 | Preferred Generic: $5 preferred · $15 standard$15 for 3 months by mail |
| Tier 2 | Generic: $10 preferred · $20 standard$30 for 3 months by mail |
| Tier 3 | Preferred Brand: 19% preferred · 19% standard19% for 3 months by mail |
| Tier 4 | Non-Preferred Drug: 29% preferred · 29% standard29% for 3 months by mail |
| Tier 5 (specialty) | Specialty Tier: 25% preferred · 25% standard |
| Tier 6 | Select Care Drugs: $4 preferred · $11 standard$12 for 3 months by mail |
Add your drugs on the plan list to see how this plan covers them. Figures are what the plan filed with Medicare for 2027; check the plan's Evidence of Coverage before you enroll.