Page 14 - Cover Letter and Evaluation for Susan Marx

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
Rite Aid usually get the lowest prices at one of your plan's preferred

pharmacies. Some plans, though, do not have preferred
Mail Order pharmacies.

What are this plan's preferred pharmacies?

Humana Walmart Value Rx Prescription
Drug Plan Walmart

Aetna Medicare Value PPO Plan CVS

UPMC for Life HMO Premier Rx Plan Rite Aid

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The lowest-cost Part D stand-alone plan for your drugs

If you get a Medigap policy, you will also Humana Walmart Value Rx
need to enroll in a stand-alone drug Prescription Drug Plan
plan. To enroll, call the plan's toll-free
number (800) 706-0872

Est. 8-month costs for mail-order refills $4,538

Est. 8-month costs for monthly refills at $4,679
Rite Aid

This plan's Medicare quality rating 3 out of 5 stars

Medicare Advantage plans' costs for your drugs

This Medicare Advantage plan includes Aetna Medicare Value PPO UPMC for Life HMO Premier Rx
prescription drug and medical coverage Plan Plan

Est. 8-month costs for mail-order refills $4,483 $4,401

Est. 8-month costs for monthly refills at $4,532 $4,456
Rite Aid

This plan's Medicare quality rating 4.5 out of 5 stars 4.5 out of 5 stars

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