Page 62 - APPENDICES for Diane Falten
P. 62
ESTIMATED TOTAL DRUG + PREMIUM COST
CVS Pharmacy #10463
Preferred Preferred in-network pharmacy
Total yearly drug + premium cost $225.60
When you'll meet your You won't meet your deductible in 2022
deductible
When you'll enter the You won't enter the coverage gap in 2022
coverage gap
