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2/24/2017                                             Your Plan Results
           Estimated Annual  Monthly  Deductibles: [?] and Drug  Drug Coverage [?] , Drug  Overall Star
           Drug Costs: [?]  Premium:  Copay [?] / Coinsurance:  Restrictions [?] and Other  Rating: [?]
                            [?]       [?]                   Programs:
           Retail           $39.60    Annual Drug Deductible: $0  All Your Drugs on Formulary:    Enroll
                                                            Yes
           Pharmacy Status:           Drug Copay/ Coinsurance:                     3.5 out of 5 stars
           Preferred Cost­            $2 ­ $47, 33% ­ 50%   Drug Restrictions: Yes
           Sharing                                          Lower Your Drug Costs
           Cost as of Today:                                MTM Program [?] : Yes
           $1,141

           Mail Order
           Cost as of Today:
           $1,282
               BlueMedicare Rx­Option 1 (PDP) (S5904­001­0)
               Organization: Florida Blue
           Estimated Annual  Monthly  Deductibles: [?] and Drug  Drug Coverage [?] , Drug  Overall Star
           Drug Costs: [?]  Premium:  Copay [?] / Coinsurance:  Restrictions [?] and Other  Rating: [?]
                            [?]       [?]                   Programs:
           Retail           $79.40    Annual Drug Deductible:  All Your Drugs on Formulary:       Enroll
                                      $335                  Yes
           Pharmacy Status:                                                        3.5 out of 5 stars
           Preferred Cost­            Drug Copay/ Coinsurance:  Drug Restrictions: Yes
           Sharing                    $2 ­ $93, 26%         Lower Your Drug Costs
           Cost as of Today:                                MTM Program [?] : Yes
           $1,454
           Mail Order
           Cost as of Today:
           $1,508
               First Health Part D Premier Plus (PDP) (S5768­188­0)
               Organization: First Health Part D
           Estimated Annual  Monthly  Deductibles: [?] and Drug  Drug Coverage [?] , Drug  Overall Star
           Drug Costs: [?]  Premium:  Copay [?] / Coinsurance:  Restrictions [?] and Other  Rating: [?]
                            [?]       [?]                   Programs:
           Retail           $99.10    Annual Drug Deductible: $0  All Your Drugs on Formulary:    Enroll
                                                            Yes
           Pharmacy Status:           Drug Copay/ Coinsurance:                     3.5 out of 5 stars
           Preferred Cost­            $1 ­ $34, 33% ­ 50%   Drug Restrictions: Yes
           Sharing                                          Lower Your Drug Costs
           Cost as of Today:                                MTM Program [?] : Yes
           $1,596
           Mail Order
           Cost as of Today:
           $1,709
               Express Scripts Medicare ­ Value (PDP) (S5660­113­0)
               Organization: Express Scripts Medicare
           Estimated Annual  Monthly  Deductibles: [?] and Drug  Drug Coverage [?] , Drug  Overall Star
           Drug Costs: [?]  Premium:  Copay [?] / Coinsurance:  Restrictions [?] and Other  Rating: [?]
                            [?]       [?]                   Programs:
           Retail           $75.10    Annual Drug Deductible:  All Your Drugs on Formulary:       Enroll
                                      $400                  Yes
           Pharmacy Status:                                                        4 out of 5 stars
           Standard Cost­             Drug Copay/ Coinsurance:  Drug Restrictions: Yes
           Sharing                    $0 ­ $40, 25% ­ 48%   Lower Your Drug Costs
           Cost as of Today:                                MTM Program [?] : Yes
           $1,921
           Mail Order
           Cost as of Today:
           $3,486
               BlueMedicare Rx­Option 2 (PDP) (S5904­002­0)
               Organization: Florida Blue
           Estimated Annual  Monthly  Deductibles: [?] and Drug  Drug Coverage [?] , Drug  Overall Star
           Drug Costs: [?]  Premium:  Copay [?] / Coinsurance:  Restrictions [?] and Other  Rating: [?]
                            [?]       [?]                   Programs:




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