Page 14 - Evaluation for Dirk Huybrechts
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Your Prescription Drug Costs
These costs are for your prescription drugs and are based on the dosages and monthly quantities that
you use. These costs include premiums, deductible, and co-payments.
Pharmacy Information
When you need a retail prescription filled or refilled, you will
Client's pharmacy:
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
CVS
pharmacies.
Is CVS a preferred pharmacy in the following plans' pharmacy networks?
Walmart Pharmacies are the
Humana-Walmart Rx Plan No
only preferred pharmacies
Silverscript Choice Prescription Drug No This plan does not have any
Plan preferred pharmacies
You get slightly lower prices at
Aetna Medicare Choice PPO Plan (an No Walgreens and some
Advantage plan)
y g independent pharmacies
The two lowest-cost Part D stand-alone plans for your drugs
Silverscript Choice Prescription
Humana-Walmart Rx Plan
Drug Plan
To enroll in a plan, call its toll-free
number (800) 706-0872 (866) 552-6106
Annual costs at CVS Pharmacy $410 $496
Annual costs with mail-order refills $268 $484
This plan's Medicare quality rating 3 stars 4 stars
Medicare Advantage plans' costs for your drugs
Most Medicare Advantage plans include Aetna Medicare Choice PPO
prescription drug and medical coverage Advantage Plan
Annual costs at CVS Pharmacy $296
Annual costs with mail-order refills $173
This plan's Medicare quality rating 4 stars
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