Page 10 - Cover Letter and Evaluation for Russell Wild

Your Prescription Drug Costs

These costs for your prescription drugs are based on the dosages and monthly quantities that you use.
These costs include each plan's premiums, deductible, and co-payments.

Pharmacy Information

Client pharmacy: CVS, Walgreens When you need a retail prescription filled or refilled, you will
usually get the lowest prices at one of your plan's preferred
pharmacies. A few plans, though, do not have preferred
Monthly Refills
pharmacies.

Are CVS or Walgreens preferred pharmacies in these plan's networks? Other preferred pharmacies

Both CVS and Walgreens are
in this plan's network, but
Humana Walmart Value Rx Plan Walmart
neither of them is a preferred
pharmacy.
CVS is a preferred pharmacy
Clear Spring Health Premier Rx and Walgreens is a standard Walmart
Prescription Drug Plan pharmacy in this plan's
network. g

y
Lowest-cost stand-alone drug plan for 2021

Humana Walmart Value Rx Clear Spring Health Premier Rx
If you get a Medigap policy, you will also
need to enroll in a stand-alone drug Plan Prescription Drug Plan
plan. To enroll, call the plan's toll-free
number (800) 706-0872 (877) 317-6082

Monthly premium $17.20 $13.60

Est. annual costs for monthly refills at a $505 $481
CVS pharmacy

Est. annual costs for monthly refills at a $534 $648
Walgreens pharmacy

Est. annual costs for monthly refills at a
Walmart pharmacy $366 $489

Est. annual costs for mail order refills $359 $445

This plan's Medicare quality rating 3.5 out of 5 stars Plan too new to be measured

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