Estimating Prescription Drug Costs
How our software figures out what you'll pay for prescriptions this year.
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Prescription Drug Plan (PDP) Components
Monthly Premium
Drug Tiers
- Tier 1: Preferred Generic
- Tier 2: Generic
- Tier 3: Preferred Brand
- Tier 4: Non-Preferred Drug
- Tier 5: Specialty.
Deductible
Coverage Phases
- Deductible: Between 0 and $590
- Initial Coverage: You pay copays and coinsurance as outlined in the plan, up to $2,000.
- Catastrophic Phase: You're done. The plan pays the rest of our drug costs.
Putting It All Together
- Your premium
- What you'll spend on each prescription. We do this by cross-referencing your prescriptions with the plan's formulary. We estimate the retail price of the drug using data from GoodRx. Depending on your TrOOP, the amount of coverage your plan will provide for a given drug will vary.
- We then suggest the plan with the lowest estimated total expenditure (premium and drug costs).
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Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
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