Page 70 - Evaluation for Jerri Zerlaut

t<>DB4YD89
NBO9=<M9‡ˆ‰Š
‹ŒŽ


‘‰Œ’‘
¦Q
PWuvQ(TU#
xU##*&R
j('&-T2
w$r
xQ+*p

ybcz{Qh*#'%*p

|=DMD4<6
H98D5<=96C
}~
xUk#U%
€$TR
kp

ycy‚R*p

bxQh*#'%*
xU##*&R
x##*&R
PUvT$+Wp
tB
JK>=<
A9ƒ‚‚z„ cFbyFycb‚&†Q#u'R$Q&
ur
j'TTeQ#+
k'Q#R'&R
9:>D•<>98
5B:>`
–B
OD9Y
•B=9
C6<4:—
:9695>
aD9Y
yc
B=
aD9Y
?66`
s9695>K9:
<48

5B:>:
•<
“B7=
C6<4
=9:76>:
<=9
B=M<4D”98
]^
C6<4
>^C9
<48
<=9
D4D>D<66^
:B=>98
]^
6BY9:>
<4^
C6<4:9695>D4M^
O<=^`
j#*T,#$rR$Q&
k#U%
j('&T
4<•9
ZB=
89><D6:`
NB•C<=9
7C
>B
ƒ
C6<4:
]^
7:D4M
>_9
5_95˜]B7=
<5>7<6<><`
NB•C<=9
;6<4:`
–_9
5B:>:
8D:C6<^98
<=9
9:>D•<>9:™
^Bb‚
C6<4
8
“B7
<=9
4BY
OD9YD4M
ycb
C6<4
8<><`

aD9Y
yc
S*RU#&
RQ
r#*h$QUT
r'%*
š›œ Ÿ
k#U%
S*TR# S'R$&
"#$%$&'(
)*+$,'#*
-.///01//01/2=
;<=>
G
@H98D5<6
34:7=<459E
I
JK56789:
;<=>
L
L=7MgTR$u'R*+&U'(
.*'(R%
xQTRTp"h*#'((
PR'#%p
š›œ
)Q&R(W#*u$Uupœ
jš›
NBO9=<M9+&U'(
k#U%p
š›œ š›œ
gir#*TT
P,#$rRT
)*+$,'#*
1
d'(U*
-jkj2
-P[mm/10/l1/2
š
S*
f&xQR'$ tF?
k*+U,R$v(
'&xQr'WxQ$&š›œ;<=>
G
3456789:
;<=>
?
@AB:CD><6
34:7=<459E
<48FB*Tp+
k#U%
š›œ
žTU#'&,*p.*'(R
V*&*†$RTp
š›œk#U%
xQh*#'%*
š›œ$,R$Q&Tf&'&+
k#U›œ¡bb— ƒc456789:
¡‚—¢zz
5B:>:tB>
?O<D6<]69
3ZB=
8=7M
|7>
B
gTR$u'R*TRT(
?447<6
¡‚—¢zz
s><48<=8<=>
G ¡bƒ{L9875>D]69
¡b ƒLB5>B=
N_BD59
?4^B=;B5˜9>
sC948D4M5<]69
; £D66D4M
LB5>Z
¤D•D>
tB>
?CC6D
PQ#R
S*TU(RT
VW
9
ZB748
D4
X0/[\
]<:98
B4
^B7=
:9<=5_
5=D>9=D<`aD9Y
bcd$*e
X/d$*e
f((
This is a list of the lowest-
cost Part D stand-lone plans
for the Rx drugs you take.
The list is sorted by the
plans' mail-order costs.
"#%'&$o'R$Q&p
J4OD:DB4qK
;67:k*+U,R$v(*Tp
š›œ
'&+Q$&TUS*TR#$,R$Q&T
š›œ
'&S'R$&
xQr'W
š›œ
ž
x
X0
C6<4:
Y9=g&h$T$Q&Sij(UT
-jkj2
-Plmn\1//[1/2
k#U%#'&,*pk#U%
xQh*#'%*
š›œ
Ÿ
k#U%+
"R*#"h*#'((
PR'#%p
š›œ
f((
¦QU#
k#U%T
Q&
ƒ
B7>
BZ
z
:><=:J4=B66•94>
]9MD4:—
ycb‚ ¨
€Qe*Q#uU('#W
|5>B]9=
bz

!
¡ƒccL=7M
NBC<^F
NBD4:7¥
I
Ģ
k#U%
xQTRTjš›¡by`„c?447<6
L=7M
L9875>D]69 =<459 ¥
¡b
I
¡y¢—
y‚
gTR$u'R*+
f&&U'(p
š›œ)Q&R(W#*u$Uupœš›œ j#Q%#'uTp ¦*T=D5>DB4:
§Q
k#U%
xQTRT*T )©)
j#Q%#'u
L=7M
q9:>#
¦QU#p
¦
"#%'&$o'R$Q&p
JKC=9::
s5=DC>:
H98D5<=9
;=9Z9==98
N=D4M4)'$(
"#+*47
s_<??4
S*R'$(;_<=•<5^
s><>7:
B:>I
47<6
¡b—y„ƒ
#
<6
¡b—b„y