Page 22 - Rx Drug Plan review for John
P. 22
ESTIMATED TOTAL DRUG + PREMIUM COST
Costco
Walgreens #6126 Pharmacy CVS Pharmacy #05267
Preferred Preferred #746
in-network Out-of- Standard in-
pharmacy network network pharmacy
pharmacy
Total yearly
drug + $3,423.26 $26,031.12 $3,954.70
premium
cost
When you'll
meet your January 2022 January 2022 January 2022
deductible
When
you'll
enter the June 2022 March 2022 May 2022
coverage
gap
When you'll You won't get out of the You won't get out of the
get out of the April 2022
coverage gap coverage gap in 2022 coverage gap in 2022
