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2/24/2017 Your Plan Results
Retail $172.00 Annual Drug Deductible: $0 All Your Drugs on Formulary: Enroll
Yes
Pharmacy Status: Drug Copay/ Coinsurance: 3.5 out of 5 stars
Preferred Cost­ $3 ­ $93, 33% Drug Restrictions: Yes
Sharing Lower Your Drug Costs
Cost as of Today: MTM Program [?] : Yes
$2,020

Mail Order
Cost as of Today:
$2,080
EnvisionRxPlus (PDP) (S7694­011­0)
Organization: EnvisionRx Plus
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $93.70 Annual Drug Deductible: All Your Drugs on Formulary: Enroll
$400 Yes
Pharmacy Status: 3 out of 5 stars
Preferred Cost­ Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing 10% ­ 33% Lower Your Drug Costs
Cost as of Today: MTM Program [?] : Yes
$2,041
Mail Order
Cost as of Today:
$2,003
Express Scripts Medicare ­ Choice (PDP) (S5660­181­0)
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 $91.40 Annual Drug Deductible: All Your Drugs on Formulary: Enroll
$350 Yes
Pharmacy Status: 4 out of 5 stars
Standard Cost­ Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $2 ­ $7, 23% ­ 48% Lower Your Drug Costs
Cost as of Today: MTM Program [?] : Yes
$2,207
Mail Order
Cost as of Today:
$3,520
AARP MedicareRx Walgreens (PDP) (S5921­383­0)
Organization: UnitedHealthcare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $22.50 Annual Drug Deductible: All Your Drugs on Formulary: Enroll
$400 No
Pharmacy Status: 3 out of 5 stars
Preferred Cost­ Drug Copay/ Coinsurance: Drug Restrictions: No
Sharing $0 ­ $27, 25% ­ 32% Lower Your Drug Costs
Cost as of Today: MTM Program [?] : Yes
$2,726
Mail Order
Cost as of Today:
$3,216
Humana Walmart Rx Plan (PDP) (S5884­157­0)
Organization: Humana Insurance Company
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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