Page 100 - Appendices to Heidi Bathon's Evaluation
P. 100
ESTIMATED TOTAL DRUG + PREMIUM COST
CVS
Pharmacy Walmart Pharmacy Walgreens #19577 Mail Order
Pharmacy
10-3720
#05381 Preferred Preferred Preferred Preferred Preferred Preferred
Standard in- in- in-
in- network network network
network pharmacy
pharmacy pharmacy pharmacy
Total yearly
drug + $5,507.55 $5,219.81 $5,224.25 $4,849.57
premium
cost
When
you'll
enter the May 2022 May 2022 May 2022 April 2022
coverage
gap
When you'll
You won't get
get out of out of the You won't get out of You won't get out of You won't get out of
the coverage gap the coverage gap in the coverage gap in the coverage gap in
coverage in 2022 2022 2022 2022
gap
