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2015 Medicare Advantage Plan Prescription Drug Cost-Sharing Details

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2015 Medicare Advantage Prescription Drug
Formulary (Drug List) Cost-Sharing Details
PacificSource Medicare Essentials Rx 20 (HMO) (H3864-020-0)
Benefit Details        
This plan is available in BOUNDARY County, ID

Monthly Premium: $50.00
Rx Deductible: $0
Initial Coverage Limit: $2,960


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PacificSource Medicare Essentials Rx 20 (HMO) Formulary
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Cost Sharing Details are not available for this plan. Please return to the Plan Finder to select a different plan.
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