Page 32 - Appendices for Michael Hartzmark
P. 32

uƒ@„?… N†…‡Jˆ  Z  Wp ‚     mkX lVW X X WYZ[\35]^_`a  8b3cd3eyŽgfijZ  kl m\ nZ o lXk[  pt  8ew
             	
 	 
         
     	     7  89    6	   :   ;PQRSTUTST 3cd3 u5v^xygxiefxxg i b du^cz`bexxfgii{ W Y  |  X   o\ }mWY  W l WpW   lXk[ ~ |X  Yk   pmWW   lXk[ ~ |X  Yk   pmW
    VW X X WYZ[\35]^_`a  8b3cd3efghabr8`a  8ds t  8Xk[ l lk WY‚       v
 	
  _    7  ‰„?@>E H I@?J KLM NRŠ‹Rq X [ b3cd3 u5v^hhgwŽ{ W Y  |  X   o\ }mWY  W l WpW   lXk[ ~ |X  Yk   pmW
                 !"#$%& '( ") *+ ,-.& /01%23       4 56 <=>=?@ AB CD?E? FG H I@?J KLM NOijZ  kl m\ nZ o lXk[  pq X [bew Y €pXl X |  X   o\ }mWY  W l Wp  6	   89 :   ;STŒOST
         Z Wppabr8`a  8ds
                                                                             These are the lowest-cost stand-alone
                                                                             drug plans in 2021 for the Rx drugs that
                                                                             you take. This list is sorted so that the
                                                                             lowest-cost plans are listed first. Costs
                                                                             shown are estimated total costs, including
                                                                             premiums and co-payment.s








                                                                                            next year's lowest-
                                                                                            cost plan is not
                                               2.5 stars is a below-                        available in your
                                               average quality                              county for the
                                               rating.                                      month of December,
                                                                                            2020.







































                                                                                      This plan is also new
                                                                                      in 2021.
   27   28   29   30   31   32   33   34   35   36   37