Page 24 - Rx Drug Plan review for John
P. 24
Costco CVS Pharmacy
Walgreens #6126 Pharmacy #746 #05267
Preferred Preferred in-
network Out-of- Standard in-
pharmacy network network
pharmacy pharmacy
December $265.51 $2,136.34 $288.43
ESTIMATED DRUG COSTS DURING COVERAGE PHASES
The drug prices shown may vary based on the plan and pharmacy you've selected. Contact the plan if you have
speci c questions about drug costs.
Learn more about coverage phases.
