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2010 Medicare Prescription Drug Plan Benefit Details for the BravoRx (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2010 Medicare Prescription Drug Plan Details
Medicare Plan Name:BravoRx (PDP)
   by Bravo Health Insurance Company
State:North Carolina
Plan ID:S5998 - 017 - 0     Click to see other plans
Member Services:1-877-504-7252 TTY users 1-800-964-2561
— 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 BravoRx (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$35.90
Annual Deductible:$310
$0 Premium if LIS Benefits?No, this plan does NOT qualify for the $0 Premium.
Annual Initial Coverage Limit (ICL):$2,830
Drug Benefit Type ❔Defined Standard (DS)
Gap Coverage?No Gap Coverage
Total Number of Formulary Drugs:2,912 drugsBrowse the BravoRx (PDP) Formulary
This plan has 3 drug tiers. See cost-sharing highlights below.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		25%25%25%  
• Number of Drugs per
  Tier:		1764980168
Plan Offers Mail Order?Yes
Plan Type (Reach):Regional Plan
Number of Members enrolled in this plan in North Carolina:492 members     (CMS Region 08)
Number of Members enrolled in this plan nationally:296,016 members




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