Page 3 - Rx Drug Evaluation for Mrs. Irene Ellsworth
P. 3
Comparison of Part D stand-alone plans
These four plans are compared on this page and the following page.
Lowest costs for Humana-Walmart Mutual of Omaha Express-Scripts
monthly refills at CVS Rx Prescription Rx Value Medicare Saver Humana Preferred
or for mail-order Plan Name Drug Plan cription Drug Prescription Drug Rx Prescription Drug
Pres
refills. (your current plan) Plan Plan Plan
Toll-Free Number (800) 281-6918 (800) 961-9006 (866) 477-5704 (800) 706-0872
QuaSection Heading
Estimated 2019 costs in 4 plans (premiums + deductible + co-payments)
lity ratings from
Monthly refills at a
Safeway pharmacy $4,141 $1,399 $1,507 $3,831
Monthly refills at a CVS
Pharmacy $4,194 $1,135 $1,129 $3,847
Mail-order refills $1,606 $1,114 $1,083 $1,457
What are Medicare's Plan too new to be
ratings for this plan? 3.5 out of 5 stars rated 3.5 out of 5 stars 3.5 out of 5 stars
Do any of your Rx drugs
require prior Ondansetron Ondansetron Ondansetron Ondansetron
authorization?
