Page 12 - Cover Letter and Evaluation for Gary Caskey
P. 12

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 refills
                                                      usually get the lowest prices at one of your plan's preferred
                                                        pharmacies. Some plans, though, do not have preferred
                              CVS
                                                                             pharmacies.
                                 Is CVS a preferred pharmacy in the following plans' networks?


                 First Health Part D Value Plus                   Yes
                     Prescription Drug Plan                                            These prices do not
                                                                                       reflect dosage
             Aetna Medicare Rx Select Prescription                                     revisions made on
                           Drug Plan                              Yes                  May 11.



                                    No Advantage plans were compared in this evaluation

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


                                                     First Health Part D Value Plus   Aetna Medicare Rx Select
                                                         Prescription Drug Plan         Prescription Drug Plan
                  To enroll in a plan, call its toll-free
                                            number          (855) 389-9668                 (855) 338-7030
             Est. annual costs for monthly refills at a
                                      CVS Pharmacy              $5,309                         $7,992

               Est. annual costs for mail-order refills         $5,221                           NA

                  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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