Wellcare Value Script 2026 | Plan Highlights

For 2026, the Wellcare Value Script (PDP) has undergone significant changes, most notably merging with the former “Wellcare Medicare Rx Value Plus” plan.

It remains one of the lowest-premium standalone prescription drug plans on the market, designed primarily for people who take generic maintenance medications.

At a Glance: 2026 Plan Highlights

  • Best For: People who take mostly generic drugs (Tier 1 & 2) and want the lowest possible monthly premium.

  • Star Rating: 3.5 out of 5 Stars (Average to Above Average).

  • Network: Nationwide coverage, including major preferred pharmacies like Walgreens, CVS, and many grocery chains.

  • Key Feature: $0 Copay for Tier 1 preferred generic drugs at preferred retail pharmacies.


1. 2026 Costs & Premiums

  • Monthly Premium: Varies by state.

    • In many areas, it is approximately $0.00 to $5.70 per month.

    • Note: Even if the plan premium is $0, you must still pay your Medicare Part B premium.

  • Annual Deductible: $615 (Standard Medicare Part D deductible).

    • Important: The deductible usually does not apply to Tier 1 and Tier 2 drugs. You get immediate coverage for these cheap generics. You generally only pay the deductible if you need Tier 3, 4, or 5 brand-name/specialty drugs.

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2. Copays & Drug Tiers

Costs can vary slightly by region, but the standard structure for 2026 is:

Drug TierDrug TypeCost (Preferred Pharmacy)Cost (Standard Pharmacy)
Tier 1Preferred Generic$0~$10 – $15
Tier 2Generic$5 – $10~$15 – $20
Tier 3Preferred Brand15% – 25% Coinsurance25% Coinsurance
Tier 4Non-Preferred Drug36% – 50% Coinsurance36% – 50% Coinsurance
Tier 5Specialty Tier25% Coinsurance25% Coinsurance
InsulinCovered Insulin$35 max (per month)$35 max (per month)
  • Mail Order: Tier 1 drugs are often available for $0 for a 90-day supply through Express Scripts.


3. What Changed for 2026?

  • Plan Merger: If you were previously on “Wellcare Medicare Rx Value Plus,” you have likely been moved to this Value Script plan automatically.

  • Formulary Updates: There have been shifts in covered drugs. notably, high-cost brands like Humira may have been replaced by biosimilars (generic-like alternatives) on the formulary.

  • Catastrophic Coverage: Thanks to the Inflation Reduction Act, once you reach the “Catastrophic Coverage” phase (after spending ~$8,000 out-of-pocket), you will pay $0 for covered Part D drugs for the rest of the year.


4. Pros and Cons

ProsCons
Extremely low premium (often lowest in the area).High Deductible ($615) for Brand names.
$0 Copays for common generics (Tier 1).Coinsurance (percentage costs) for Tier 3 & 4 drugs can be expensive compared to flat copays.
Insulin Savings: Capped at $35/month.Prior Authorization is common for expensive drugs.

Verdict: Is it right for you?

  • YES, if: You take common medications like Metformin, Lisinopril, Atorvastatin, or Levothyroxine. You will likely pay close to nothing for your prescriptions and a very low monthly premium.

  • NO, if: You take expensive Brand Name medications (like Eliquis, Xarelto, or inhalers that are on Tier 3 or 4). The 17-25% coinsurance and the $615 deductible could end up costing you much more than a plan with a higher premium but better brand coverage (like the Wellcare Classic or AARP/UnitedHealthcare plans).

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