Page 14 - Evaluation for Norm Ross
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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
Client's pharmacy:
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Walgreens
pharmacies.
Is Walgreens Pharmacy a preferred pharmacy in the following plans' networks?
Aetna Medicare Rx Select Prescription You will pay full retail cost at CVS is a preferred pharmacy in
Drug Plan Walgreens this plan's network
Walgreens is one of this plan's
SilverScript Plus Prescription Drug Plan Yes
preferred pharmacies
Johns Hopkins Advantage MD Plus PPO This plan does not have
Plan No preferred pharmacies
Estimated retail costs for your drugs
The two lowest-cost Part D stand-alone plans for your drugs
Stand-alone plans provide Part D Aetna Medicare Rx Select SilverScript Plus Prescription
coverage for people who have Medigap Prescription Drug Plan Drug Plan
policies or who are enrolled in
Advantage plans that do not include Rx
benefits. (855) 338-7030 (866) 552-6106
Annual costs at Walgreens Not in network $2,311
Annual costs at CVS $2,032 $2,303
Annual costs with mail-order refills NA $2,148
This plan's Medicare quality rating 3.5 stars 4 stars
Medicare Advantage plans' costs for your drugs
This Medicare Advantage plan includes Johns Hopkins Advantage MD
prescription drug coverage Plus PPO Plan
Annual Rx costs at Walgreens Pharmacy $1,764
Annual Rx costs with mail-order refills $1,334
This plan's Medicare quality rating 2.5 stars
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