Medicare has neither reviewed nor endorsed the information on our site.The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ The Monthly Premium is Split as Follows: ❔ Number of Members enrolled in this plan nationally: Number of Members enrolled in this plan in Illinois: See cost-sharing for all pharmacies and tiers.īIN: 011552 PCN: PDPIL See BIN/PCNs for all plans (See premiums for partial LIS subsidy below.)īrowse the Blue Cross MedicareRx Value (PDP) Formulary No, this plan does NOT qualify for the $0 Premium.
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