Page 56 - APPENDICES for Mr. Henry Stiepel
P. 56
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This is a list of the stand-alone drug plans
that have the lowest est. annual costs for
your Rx drugs. This list is sorted by the
plans' costs for monthly refills, with the
lowest-cost plans listed first. Costs shown
include premiums, deductible, and co-
payments.
This plan is the lowest-
cost plan. Its benefit
summary and costs for
your Rx drugs are in
Appendix C3.
