Page 10 - Cover letter and evaluation for Jay Newman
P. 10

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
                 Refill Schedule: Monthly
                                                    usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                  C. O Bigelow Pharmacy
                                                                           pharmacies.
                               Is CVS a preferred pharmacy in the following plans' networks

                                                                                   CVS, Rite-Aid, Salisbury, and
           Envision Rx Plus Prescription Drug Plan              No                     others are preferred
                                                                                     pharmacies in this plan.

              Express Scripts Medicare - Saver                  No                CVS is a preferred pharmacy in
                   Prescription Drug Plan                                                   this plan.




                                   No Advantage plans are compared in this evaluation


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

                                                    Envision Rx Plus Prescription   Express Scripts Medicare -
                                                             Drug Plan             Saver Prescription Drug Plan
                To enroll in a plan, call its toll-free
                                          number          (888) 377-1439                 (866) 477-5704
               Estimated annual costs for monthly              $326                           $333
                            refills at C. O. Bigelow
               Estimated annual costs for monthly
                                      refills at CVS           $223                           $387
             Estimated annual costs for mail-order             $187                           $538
                                            refills
                This plan's Medicare quality rating       3 out of 5 stars              3.5 out of 5 stars


                                   Medicare Advantage plans' costs for your drugs




                              No Medicare Advantage plans are compared in this evaluation.







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