Drug Cost Estimator

The Drug Cost Estimator prices a year of a client's prescriptions on every Medicare Advantage and Part D plan serving a county: each plan's premium plus the estimated drug out-of-pocket under its formulary tiers, deductible and the Part D out-of-pocket cap, all from the CMS public formulary, pricing and landscape files.

It is free for licensed insurance agents. Enter your email and National Producer Number and the tool opens, with nothing to install and no account to create. Every figure is an estimate from public files, not a quote; verify against the plan documents before advising a client.

What you enter

ZIP code, resolved to a county
Plan year
Up to 15 drugs, by name
Preferred or standard retail pharmacy

What you get

Monthly and annual premium for every plan in the county
Estimated annual drug cost and total annual cost per plan
Which drugs each plan covers, and any prior authorization, step therapy or quantity limits
Deductible and the month the out-of-pocket cap is reached
A printable client summary

Free tools for licensed insurance agents. Not for use by Medicare beneficiaries. Data from CMS public files; verify with plan documents before advising a client.

Medicare plans by county · All Agent Tools