Page 62 - Appendices to Donald Pender's Evaluation
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ESTIMATED DRUG COSTS DURING COVERAGE PHASES
The drug prices shown may vary based on the plan and pharmacy you've selected. Contact the plan if you have
speci c questions about drug costs.
Learn more about coverage phases.
RITE AID PHARMACY 05766
Retail Cost after Cost in Cost after
cost deductible coverage gap coverage gap
Dutasteride
0.5mg capsule $16.95 $0.00 $0.00 $3.95
Monthly totals $16.95 $0.00 $0.00 $3.95
MAIL ORDER PHARMACY
Retail Cost after Cost in Cost after
cost deductible coverage gap coverage gap
Dutasteride
0.5mg capsule $23.40 $0.00 $0.00 $3.95
Monthly totals $23.40 $0.00 $0.00 $3.95
COSTS BY DRUG TIER
Plans group their drug lists into tiers. The drug costs below show how much you'll pay for drugs in each tier
based on the coverage phase you're in.
Learn more about drug tiers.
