Page 51 - Appendices for Eric Hartman
P. 51
ESTIMATED TOTAL DRUG + PREMIUM COST
CVS Pharmacy Walgreens Mail Order
#09373 #12140 Pharmacy
Preferred In-network Preferred
Total yearly drug +
$0.00 $327.30 $0.00
premium cost
You won't enter You won't enter You won't enter
When you'll enter the coverage gap the coverage gap the coverage gap
the coverage gap
in 2023 in 2023 in 2023
