Page 18 - Rx Drug Plan review for John
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   UNITEDHEALTHCARE
   AARP MedicareRx Walgreens (PDP)                                                 call this number to

                                                                                   enroll
   Plan type: Drug plan (Part D)

   Plan ID: S5921-413-0

   Plan website     Non-members: 1-800-753-8004           Members: 1-866-870-3470
                                                                                         This is the total of
                                                                                         your co-payments.

   What you'll pay                                                                       After adding $366 for
                                                                                         your total premiums
                                                                                         (12 months x $30.50
                                                                                         a month), the overall
   Total monthly premium                                         Retail pharmacy: 2022 estimated total drug costs
                                                                                         total is $3,423.26.
   $30.50                                                        $3,057.26               These costs include

                                                                 Covers 9 of 10 drugs    multaq.




   Overview



   PREMIUMS




       Total monthly premium                                      $30.50



   DEDUCTIBLES

   The amount you must pay each year before your plan starts to pay for covered services or drugs.





       Drug deductible                                            $310.00



   CONTACT INFORMATION




       Plan address                                               P.O. Box 30770
                                                                  Salt Lake City, UT 84130
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