Medicare Part D · OR

Pacificsource Community Health Plans PacificSource Medicare Explorer Rx 4 (PPO)

Monthly premium

$88.70

Yearly drug deductible

$499

Out-of-pocket maximum

$2,100

set by law, 2026

Plan type

Medicare Advantage (local)

Insurer

PACIFICSOURCE COMMUNITY HEALTH PLANS

This plan publishes a drug list (its formulary) saying which medications it covers and what conditions it attaches. Pick a medication below to see whether Pacificsource Community Health Plans PacificSource Medicare Explorer Rx 4 (PPO) covers it, and whether your plan needs to approve it first — or search your own from the app.