ANAGRELIDE HCL 1MG CAPSULE (100 BOT) (NDC: 00378686901)
2010 Medicare Prescription Drug Plan (MAPD) Information
Click here for the Chart Legend |
Plan Name |
Monthly Prem. |
De- duct- ible | Does Plan Offer Gap Coverage | Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Plan’s Avg. Retail Drug Price 30-Day |
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Mail Order |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
|
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $10.00 | None | $104.86 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $10.00 | None | $104.86 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $10.00 | None | $104.86 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Evercare Plan MH-POS (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $10.00 | None | $104.86 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $10.00 | None | $104.86 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.60 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $106.45 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Advantage 1 powered by CCR
|
$0.00 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $106.45 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
|
$0.10 |
$0 | to be determined | 2 |
Tier 2 |
$25.00 | $50.00 | None | $1,064.78 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
|
$5.70 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $12.00 | None | $99.91 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.30 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$6.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$6.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
|
$9.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.41 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
|
$9.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $105.51 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Advantage 1 powered by CCR
|
$9.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $105.51 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
|
$9.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $105.51 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
|
$9.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $105.51 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$9.90 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $97.19 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$9.90 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $97.19 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$9.90 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $97.19 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.30 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$10.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
|
$11.00 |
$0 | to be determined | 1 |
Tier 1 |
$6.00 | $12.00 | None | $105.10 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.60 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.70 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $98.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
|
$13.70 |
$310 | to be determined | 1 |
Tier 1 |
25% | n/a | None | $98.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $101.26 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$16.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.20 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$18.60 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.52 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
|
$18.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | $0.00 | None | $104.93 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Plus Point (HMO
|
$19.80 |
$0 | to be determined | 2 |
Tier 2 |
$12.00 | $24.00 | None | $1,055.75 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-097 (PFFS)
|
$20.70 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-098 (PFFS)
|
$21.00 |
$0 | to be determined | 1 |
Tier 1 |
$9.00 | $0.00 | None | $78.07 |
Browse Plan Formulary |
Humana Gold Choice H2944-079 (PFFS)
|
$22.20 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $78.07 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$22.40 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$22.40 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$22.40 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$22.40 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$22.40 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.32 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
|
$22.50 |
$0 | to be determined | 1 |
Tier 1 |
$7.00 | $17.50 | P | $72.98 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Humana Gold Choice H2944-078 (PFFS)
|
$23.30 |
$0 | to be determined | 1 |
Tier 1 |
$8.00 | $0.00 | None | $79.08 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$26.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $94.14 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Standard Plan (HMO)
|
$34.00 |
$0 | to be determined | 2 |
Tier 2 |
$31.00 | $62.00 | None | $1,182.54 |
Browse Plan Formulary |
Evercare Plan IH-POS (HMO-POS)
|
$34.20 |
$310 | to be determined | 1 |
Tier 1 |
25% | 25% | None | $105.18 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Southeast Community Care - Enhanced (HMO)
|
$34.20 |
$310 | to be determined | 2 |
Tier 2 |
25% | 25% | None | $1,055.75 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$38.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.77 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
|
$39.90 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$44.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.64 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
|
$44.70 |
$225 | to be determined | 1 |
Tier 1 |
$10.00 | $20.00 | None | $225.12 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$47.50 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $102.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $97.19 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $97.19 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $97.19 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$50.80 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $100.15 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$53.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
|
$53.10 |
$0 | to be determined | 1 |
Tier 1 |
$5.00 | n/a | None | $98.82 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Premier Plan (PPO)
|
$53.50 |
$0 | to be determined | 2 |
Tier 2 |
$30.00 | $60.00 | None | $1,182.54 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible | Gap Coverage | Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Optima Medicare Preferred Plus (PPO)
|
$69.20 |
$0 | to be determined | 1 |
Tier 1 |
$4.00 | $12.00 | None | $79.13 |
Browse Plan Formulary |