Page 12 - Cover Letter and Evaluation for Mr. Fred Falten

Your Prescription Drug Costs

These costs for your prescription drugs are based on the dosages and monthly quantities that you use.
These costs include each plan's premiums and co-payments.

Pharmacy Information

Client pharmacy: CVS When you need a retail prescription filled or refilled, you will
usually get the lowest prices at one of your plan's preferred
pharmacies. A few plans, though, do not have preferred
Retail refills (90 days)
pharmacies.

Is CVS a preferred pharmacy in these plans' networks?

Anthem MediBlue Rx Enhanced Yes
Prescription Drug Plan (PDP) There may be other preferred
Martin's Point Generations Advantage Yes pharmacies in these plans
Prime (HMO-POS)

Humana Choice PPO Plan Yes
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Lowest-cost stand-alone drug plans for 2021

If you get a Medigap policy, you will also Anthem MediBlue Rx
need to enroll in a stand-alone drug Enhanced Prescription Drug
plan. To enroll, call the plan's toll-free Plan (PDP)
number (855) 793-1938

Est. nine-month costs for mail-order
refills $212
Est. nine-month costs for monthly refills $212
at a CVS pharmacy

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

Your Rx drugs costs in the Advantage plans

Advantage plans combine medical and Martin's Point Generations Humana Choice PPO Plan
prescription drug coverage Advantage Prime (HMO-POS)

Est. nine-month costs for mail-order $110 $0
refills
Est. nine-month costs for monthly refills $0 $102
at a CVS pharmacy

This plan's Medicare quality rating 5 out of 5 stars 4 out of 5 stars

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