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2007 Medicare Prescription Drug Plan Benefit Details for the AdvantraRx Premier - S5670-082
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2007 Medicare Prescription Drug Plan Details
Medicare Plan Name:AdvantraRx Premier
   by Coventry AdvantraRx
State:Wisconsin
Plan ID:S5670 - 082 - 0     Click to see other plans
Member Services:
— This plan information is for research purposes only. —
Click here to see plans for the current plan year
Medicare Contact Information:Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.
TTY users 1-877-486-2048
or contact your local SHIP for assistance
Email a copy of the AdvantraRx Premier benefit details
— Medicare Plan Features —
Monthly Premium:$34.20
Annual Deductible:$0
$0 Premium if LIS Benefits?No, this plan does NOT qualify for the $0 Premium.
Drug Benefit Type ❔Basic Alternative Standard (BA)
Gap Coverage?None
This plan has drug tiers. See cost-sharing highlights below.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		cost-sharing data not available.




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