Page 14 - Cover Letter and Evaluation for Melanie
P. 14

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
               Monthly and mail-order refills
                                                    usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                       CVS Pharmacy
                                                                           pharmacies.
                               Is CVS a preferred pharmacy in the following plans' networks


              Express Scripts Medicare - Saver                  Yes               CVS is a preferred pharmacy in
                   Prescription Drug Plan                                                   this plan.

                                                                                    Walgreens, Apollo, Scott &
              Express Scripts Medicare - Value                  No                    White, and others are
                   Prescription Drug Plan
                                                                                      preferred pharmacies



                                  No Advantage plans were compared in this evaluation


                                                                    y       g
                          The two lowest-cost Part D stand-alone plans for your drugs

                                                     Express Scripts Medicare -     Express Scripts Medicare -
                                                    Saver Prescription Drug Plan   Value Prescription Drug Plan
                To enroll in a plan, call its toll-free
                                          number          (866) 477-5704                 (866) 477-5704

               Est. annual costs for monthly refills       $1,547 at CVS               $1,571 at Walgreens

             Est. annual costs for mail-order refills         $1,882                         $2,553


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

                                   Medicare Advantage plans' costs for your drugs







                              No Medicare Advantage plans are compared in this evaluation.









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