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FREE Prescription Drug Plan Analysis

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Each year between October 15 and December 7, individuals have an opportunity to change their Prescription Drug Coverage with Medicare Part D.


Other than initial enrollment in Part D of Medicare, this is the only time throughout the year that you can change Part D (Prescription Drug Plan) of Medicare.


During each Annual Enrollment, it is critical to review your drug card to make sure you have the best drug card based on your specific drug lists.  There are about 30 different drug cards to choose from and the coverages, premiums, deductibles, change each year.


For all of our Medicare supplement customers, we offer a FREE Annual review of their drug coverage to make sure they have the best drug cards available.

Example of Medicare.gov RX analysis tool



​If you are curious, here is a short video on how to use the Medicare.gov tool to enter your drug information and complete the Part D Prescription Analysis.

Online RX Entry Form

​​Submit the form below to have your drugs analyzed to identify the right drug card for your specific needs. 
  • FOR FORMS SUBMITTED AFTER 11/15, THERE IS NO GUARANTEE WE WILL HAVE A CHANCE TO REVIEW & RESPOND BY DECEMBER 7 DEADLINE.  WE WILL GIVE BEST EFFORTS, BUT WE CANNOT GUARANTEE A RESPONSE BY DECEMBER 7 DUE TO THE VOLUME OF REQUESTS.
  • ​Do NOT include Vitamins, Supplements, or OTC drugs since these are not covered by Part D.   Please ONLY list Prescribed Medications in the form.  

  • Also do NOT include diabetic supplies (e.g. test strips, needles, etc.) since these are covered by Part B of Medicare under Durable Medical Equipment not under Part D of Medicare.  The exception to this rule is the Omnipod "pods" since these are covered under Part D (not Part B).
  • If you are not taking any medications, complete the fields below and select "No" for "Do you currently take any medication?", skip the Drug Info fields, and click Submit.
  • If you drug list has not changed from the prior year, we still need you to complete the RX form to make sure we have all the correct RX information.
  • If you are taking prescribed medications that are NOT pill form (e.g. Insulin, Eye Drops, Creams, Lotions, Inhalers), in the "times per day" field below please just enter the amount per month that you fill (e.g. 5 pens per month, 1 bottle per month, 1 inhaler per month, etc.)
As of September 2019, the New Medicare Plan Finder does not calculate the Total Cost (Premium + Drug Costs).  The government has agreed to resolve this Total Cost issue by October 15, 2019.
If this issue is not resolved, we will not be able to complete the 2020 Part D Cost Comparisons.




Part D RX Information
Plan Year* ?
First Name*
Last Name*
Phone Number*
Email*
Current Part D Plan* ?
Existing Client?* ?
Select Your Agent* ?
Pharmacy - First Choice*?
Pharmacy - Second Choice
Mail Order Drugs?* ?
Do you currently take medications?*
Drug 1?
Drug 1 - Dosage?
Drug 1 - times per day?
Drug 1 - Willing to take Generic??
Drug 2
Drug 2 - Dosage
Drug 2 - times per day
Drug 2 - Willing to take generic?
Drug 3
Drug 3 - Dosage
Drug 3 - times per day
Drug 3 - Willing to take generic?
Drug 4
Drug 4 - Dosage
Drug 4 - times per day
Drug 4 - Willing to take generic?
Drug 5
Drug 5 - Dosage
Drug 5 - times per day
Drug 5 - Willing to take generic?
Drug 6
Drug 6 - Dosage
Drug 6 - times per day
Drug 6 - Willing to take generic?
Drug 7
Drug 7 - Dosage
Drug 7 - times per day
Drug 7 - Willing to take generic?
Drug 8
Drug 8 - Dosage
Drug 8 - times per day
Drug 8 - Willing to take generic?
Drug 9
Drug 9 - Dosage
Drug 9 - times per day
Drug 9 - Willing to take generic?
Drug 10
Drug 10 - Dosage
Drug 10 - times per day
Drug 10 - Willing to take generic?
Additional Drugs/Info
Authorization for creation myMedicare.gov account* ?
Full Name on Medicare Card*?
Medicare Number (NO DASHES)*?
Part A Effective Date*?
Part B Effective Date*?
Date of Birth*?
Street Address*
City*
State*
Zip Code*
Secret Question*
Secret Answer*
myMedicare.gov Username?
myMedicare.gov Password?
If you have more than 10 drugs to enter, put the additional drugs (Drug 11, 12, etc.) in "Additional Drugs/Info" field.

Please do not click the SUBMIT button more than one time - since this will create duplicate submissions.