Page 97 - APPENDICES for Fred Falten
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$267.30 Mail-order pharmacy: Estimated total drug + premium cost
DEDUCTIBLE
$445.00 Drug deductible
WellCare Value Script (PDP)
WellCare | Plan ID: S4802-136-0
Star rating:
MONTHLY PREMIUM
$17.20 Includes: Only drug coverage
YEARLY DRUG & PREMIUM COST
$280.80 Retail pharmacy: Estimated total drug + premium cost
$259.80 Mail-order pharmacy: Estimated total drug + premium cost
DEDUCTIBLE
$445.00 Drug deductible
Cigna Secure Rx (PDP)
Cigna | Plan ID: S5617-003-0
Star rating:
MONTHLY PREMIUM
$29.30 Includes: Only drug coverage
YEARLY DRUG & PREMIUM COST
$308.70 Retail pharmacy: Estimated total drug + premium cost
