PacificSource 2014 Rx Copay Information

The following is specific for PacificSource Medicare Advantage plans with drug coverage:

PacificSource has announced a change in how Medicare requires plans to administer their prescription drug benefits.  This change may likely mean clients will be paying slightly lower copayments for a one-month supply of their medications, and may differ from plan documents.

A new Medicare rule for 2014 mandates prorated copayments to be applied to prescriptions written for less than a one month supply.  That means you will have to pay a prorated amount for any prescription lasting less than 31 days.

So, PacificSource has announced that it will cover 31 days of medication as a one-month supply.

Please see the table below for detailed copayment amounts.


Listed Copayment Copayment that will
be charged for a
‘30’ day supply
Tier 1 $4.00 $3.87
Tier 2 $10.00 $9.68
Tier 3 $45.00 $43.55
Tier 4 $95.00 $91.94



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