Page 16 - Cover Letter and Evaluation for Raquelle Myers

Your Prescription Drug Costs

These costs are for your prescription drugs and are based on the dosages and monthly quantities that
you use. These costs include premiums, deductible, and co-payments.

Pharmacy Information

When you need a retail prescription filled or refilled, you will
Client pharmacy: Olympic Pharmacy
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Mail-Order Refills pharmacies.

Is Olympic Pharmacy a preferred pharmacy in this plan's network?

Cigna-HealthSpring Rx Secure Essential Olympic and Walgreens
Prescription Drug Plan (PDP)
pharmacies are preferred
pharmatices in both of these
Cigna-HealthSpring Rx Secure plans.
Prescription Drug Plan (PDP)

Advantage Plans are not compared in this evaluation
y g
Lowest-cost stand-alone drug plans for your Rx drugs

Cigna-HealthSpring Rx Secure
If you get a Medigap policy, you will also Essential Prescription Drug Cigna-HealthSpring Rx Secure
need to enroll in a stand-alone drug Plan (PDP) Prescription Drug Plan (PDP)
plan. To enroll, call the plan's toll-free
number (800) 735-1459 (800) 735-1459
Est. annual costs for monthly refills at $4,035 $4,055
Olympic Pharmacy
Est. annual costs for monthly refills at
Walgreens Pharmacy $4,062 $4,084

Est. annual costs for mail order refills $4,671 $4,694

This plan's Medicare quality rating 3.5 out of 5 stars 3.5 out of 5 stars

Mail-order costs are for six months, and there will be one month's supply remaining at year end.
Medicare Advantage plans are not compared in this evaluation

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