Built to go with a Medicare supplement policy, Mutual of Omaha Rx is a national prescription drug plan that affordably covers the prescriptions that matter most to clients.

See Plan outlay below:

Product details for North Carolina

Plan designs, premiums and service areas are pending government approval and subject to change.

Mutual of Omaha
Rx Value

A national prescription drug plan with a low monthly premium and $0 deductibles.

Mutual of Omaha
Rx Plus

Our basic plan with broader choice of prescription drugs and low-cost generic drugs.

Premium

$28.00

per month for NC

$45.60

per month for NC

Deductible

Tiers 1, 2:
$0

Tiers 3-5:
$415

Tiers 1-5:
$415

Initial Coverage Limit

$3,820 per year

$3,820 per year

Gap Coverage

Defined Standard

Defined Standard

Cost Sharing

Tier 1: Preferred Generic

Preferred:
$1

Standard:
$5

90-day Mail:
$2

Preferred:
$3

Standard:
$8

90-day Mail:
$8

Cost Sharing

Tier 2: Generic

Preferred:
$4

Standard:
$10

90-day Mail:
$8

Preferred:
$5-7

Standard:
$11-13

90-day Mail:
$12-18

Cost Sharing

Tier 3: Preferred Brand

Preferred:
15%

Standard:
18%

90-day Mail:
18%

Preferred:
$21-37

Standard:
$31-47

90-day Mail:
$58-106

Cost Sharing

Tier 4: Non-preferred Brand

Preferred:
32-38%

Standard:
35-41%

30-day Mail:
35-41%

Preferred:
48%

Standard:
50%

30-day Mail:
48%

Cost Sharing

Tier 5: Specialty

Preferred:
25%

Standard:
25%

30-day Mail:
25%

Preferred:
25%

Standard:
25%

30-day Mail:
25%