Page 18 - Cover letter and evaluation for Thomas Barr
P. 18
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
Client's pharmacy:
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Broadneck Pharmacy
pharmacies.
Is Broadneck Pharmacy a preferred pharmacy in the following plans' pharmacy networks?
Walmart Pharmacies are the
Envision Rx Plus Prescription Drug Plan No
only preferred pharmacies
Aetne Medicare Rx Select Prescription CVS is a preferred pharmacy in
Drug Plan No this plan's network
This plan does not have
Johns Hopkins Advantage MD PPO Plan No preferred pharmacies
y g
The two lowest-cost Part D stand-alone plans for your drugs
Stand-alone plans provide Part D
coverage for people who have Medigap Envision Rx Plus Prescription Aetna Medicare Rx Select
policies or who are enrolled in Drug Plan Prescription Drug Plan
Advantage plans that do not include Rx
benefits. 866-250-2005 855-338-7030
Annual costs at Broadneck Pharmacy $196 $392
Annual costs at CVS Pharmacy $163 $212
Annual costs with mail-order refills $151 NA
This plan's Medicare quality rating 3 stars 3.5 stars
Medicare Advantage plans' costs for your drugs
This Medicare Advantage plan includes Johns Hopkins Advantage MD
prescription drug coverage PPO Plan
Annual Rx costs at Broadneck or CVS $512
Pharmacy
Annual Rx costs with mail-order refills $503
This plan's Medicare quality rating 2.5 stars
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