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.
4