Page 2 - Cover memo and appendices for Mila Tewell

Comparison of Medicare prescription drug plans (PDP)

To change plans, you must enroll in your new plan no later than December 7
Est. annual costs in Est. annual costs in
2020 at Millbrook 2020 at CVS
Pharmacy Pharmacy

Your current Medicare
prescription drug plan SilverScript Choice PDP $4,722 $4,722

The lowest-cost plan for Wellcare Wellness Rx PDP $4,482 $4,505
your Rx drugs

Enrollment number (888) 293-5151

Potential savings $240 $217

Note 1: Millbrook Pharmacy and CVS Pharmacy are both listed as standard in-network pharmacies in
the Wellcare Wellness Rx PDP. This plan does not list any preferred pharmacies in Dutchess County, but
you can check with the plan to see if there are preferred pharmacies in NYC or other areas where you
might get lower prices.

Note 2: if you remain in the SilverScript Choice PDP, Millbrook Pharmacy and CVS Pharmacy are both
preferred pharmacies.

Note 3: Vagifem is listed as a non-formulary drug in both plans, and the costs shown for each plan
assume that it is not covered. If you have obtained a formulary exception in your current plan, your
costs in that plan will likely be much lower than the costs shown above.