Page 12 - Evaluation for Jerri Zerlaut
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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
Refill Schedule: Mail-order
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Client's pharmacy: CVS
pharmacies.
Is CVS a preferred pharmacy in the following plans' pharmacy networks?
CVS is a preferred pharmacy in
Envision Rx Plus Prescription Drug Plan Yes
this plan
Express Scripts Medicare Value Walgreens and Harris Teeter
Prescription Drug Plan No are preferred pharmacies
Estimated retail costs for your drugs
The two lowest-cost Part D stand-alone plans for your drugs
Envision Rx Plus Prescription Express Scripts Medicare Value
Lowest-cost stand-alone option
Drug Plan Prescription Drug Plan
To enroll in a plan, call its toll-free
number (866) 250-2005 (866) 477-5704
Costs for monthly refills $1,263 $1,249
Costs for mail-order refills $1,162 $1,254
This plan's Medicare quality rating 3 stars 4 stars
Medicare Advantage plans' costs for your drugs
No Medicare Advantage plans are compared in this evaluation.
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