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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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