PAROXETINE HCL 10MG/5ML SUSPENSION ORAL (NDC: 60505037401)
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
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 |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,683.00 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,346.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
HealthPartners Freedom Plan II Standard Rx
![Email Prescription and/or Health Benefit details for HealthPartners Freedom Plan II Standard Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$7.10 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.30 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Avera Advantage Value Plus (PFFS)
![Email Prescription and/or Health Benefit details for Avera Advantage Value Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,976.84 |
Browse Plan Formulary |
Avera Advantage Value Plus (PFFS)
![Email Prescription and/or Health Benefit details for Avera Advantage Value Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,976.84 |
Browse Plan Formulary |
Avera Advantage Value Plus (PFFS)
![Email Prescription and/or Health Benefit details for Avera Advantage Value Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,976.84 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,975.34 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,975.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,975.34 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 51 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
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 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 51 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$11.00 |
$0 |
to be determined |
2 |
Tier 2 |
$42.00 | $116.00 | None | $3,842.29 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
1 |
Tier 1 |
25% | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-002 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-002 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.40 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 |
HealthPartners Freedom Plan III StandardRx
![Email Prescription and/or Health Benefit details for HealthPartners Freedom Plan III StandardRx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.60 |
$100* |
to be determined |
1* |
Tier 1 |
$9.00 | $18.00 | None | $3,687.40 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.60 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.60 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.60 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.60 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.60 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,955.84 |
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 |
Avera Advantage Premier Plus (PFFS)
![Email Prescription and/or Health Benefit details for Avera Advantage Premier Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.40 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,976.84 |
Browse Plan Formulary |
Avera Advantage Premier Plus (PFFS)
![Email Prescription and/or Health Benefit details for Avera Advantage Premier Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.40 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,976.84 |
Browse Plan Formulary |
Avera Advantage Premier Plus (PFFS)
![Email Prescription and/or Health Benefit details for Avera Advantage Premier Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.40 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,976.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
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)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $12.00 | Q:1200 /30Days | $4,342.84 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
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 H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
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 H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
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 H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
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 H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
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 H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
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 H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
Browse Plan Formulary |
Humana Gold Choice H2944-072 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-072 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.80 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $4,810.73 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
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 H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
Humana Gold Choice H2944-003 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-003 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.80 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $4,827.23 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
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 |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
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 |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
HealthPartners Classic Plan (HMO)
![Email Prescription and/or Health Benefit details for HealthPartners Classic Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.60 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,700.15 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
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 |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
Medica Advantage Solution Choice (PFFS)
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Choice (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$29.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $3,683.00 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
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 |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $16.00 | None | $4,399.09 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
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 |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
CareBlue (HMO)
![Email Prescription and/or Health Benefit details for CareBlue (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,686.67 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
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 |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
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 |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
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 |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
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 |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
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 |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
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 |
Medica AccessAbility (HMO)
![Email Prescription and/or Health Benefit details for Medica AccessAbility (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.50 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,680.75 |
Browse Plan Formulary |
AbilityCare (HMO)
![Email Prescription and/or Health Benefit details for AbilityCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,639.42 |
Browse Plan Formulary |
AbilityCare (HMO)
![Email Prescription and/or Health Benefit details for AbilityCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,639.42 |
Browse Plan Formulary |
HumanaChoice H6609-007 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H6609-007 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$0 |
to be determined |
1 |
Tier 1 |
$6.00 | $0.00 | None | $5,130.23 |
Browse Plan Formulary |
HumanaChoice H6609-007 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H6609-007 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$0 |
to be determined |
1 |
Tier 1 |
$6.00 | $0.00 | None | $5,130.23 |
Browse Plan Formulary |
HumanaChoice H6609-007 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H6609-007 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$0 |
to be determined |
1 |
Tier 1 |
$6.00 | $0.00 | None | $5,130.23 |
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 |
HumanaChoice H6609-007 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H6609-007 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$0 |
to be determined |
1 |
Tier 1 |
$6.00 | $0.00 | None | $5,130.23 |
Browse Plan Formulary |
HumanaChoice H6609-007 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H6609-007 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$0 |
to be determined |
1 |
Tier 1 |
$6.00 | $0.00 | None | $5,130.23 |
Browse Plan Formulary |
HumanaChoice H6609-007 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H6609-007 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$0 |
to be determined |
1 |
Tier 1 |
$6.00 | $0.00 | None | $5,130.23 |
Browse Plan Formulary |
Prime Health Complete (HMO)
![Email Prescription and/or Health Benefit details for Prime Health Complete (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,639.42 |
Browse Plan Formulary |
PrimeWest Senior Health Complete (HMO)
![Email Prescription and/or Health Benefit details for PrimeWest Senior Health Complete (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,639.42 |
Browse Plan Formulary |
SeniorCare Complete (HMO)
![Email Prescription and/or Health Benefit details for SeniorCare Complete (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,639.42 |
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 |
SeniorCare Complete (HMO)
![Email Prescription and/or Health Benefit details for SeniorCare Complete (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.60 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | None | $3,639.42 |
Browse Plan Formulary |
Medica Prime Solution Value (Cost)
![Email Prescription and/or Health Benefit details for Medica Prime Solution Value (Cost)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.00 |
$55 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,692.00 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,997.09 |
Browse Plan Formulary |
Medica Prime Solution Basic w/Std Rx - MN
![Email Prescription and/or Health Benefit details for Medica Prime Solution Basic w/Std Rx - MN](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,687.50 |
Browse Plan Formulary |
Medica Prime Solution Enhanced w/Std. Rx -
![Email Prescription and/or Health Benefit details for Medica Prime Solution Enhanced w/Std. Rx -](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,687.50 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,983.59 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,316.79 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $4,317.54 |
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 |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$47.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,975.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$47.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,975.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$47.50 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,975.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,981.34 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
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 |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
HealthPartners Freedom III Std Plus Rx (Co
![Email Prescription and/or Health Benefit details for HealthPartners Freedom III Std Plus Rx (Co](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$52.40 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
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
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | n/a | Q:900 /30Days | $3,947.59 |
Browse Plan Formulary |
Medica Prime Solution Basic w/Enhanced Rx
![Email Prescription and/or Health Benefit details for Medica Prime Solution Basic w/Enhanced Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$67.90 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,687.50 |
Browse Plan Formulary |
Medica Prime Solution Enhanced w/Enhanced
![Email Prescription and/or Health Benefit details for Medica Prime Solution Enhanced w/Enhanced](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$67.90 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $3,687.50 |
Browse Plan Formulary |
MHP North Star Advantage Basic (HMO-POS)
![Email Prescription and/or Health Benefit details for MHP North Star Advantage Basic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$87.90 |
$0 |
to be determined |
1 |
Tier 1 |
$12.00 | $36.00 | None | $4,156.52 |
Browse Plan Formulary |
MHP North Star Advantage Basic (HMO-POS)
![Email Prescription and/or Health Benefit details for MHP North Star Advantage Basic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$87.90 |
$0 |
to be determined |
1 |
Tier 1 |
$12.00 | $36.00 | None | $4,156.52 |
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 |
MHP North Star Advantage Basic (HMO-POS)
![Email Prescription and/or Health Benefit details for MHP North Star Advantage Basic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$87.90 |
$0 |
to be determined |
1 |
Tier 1 |
$12.00 | $36.00 | None | $4,156.52 |
Browse Plan Formulary |
MHP North Star Advantage Basic (HMO-POS)
![Email Prescription and/or Health Benefit details for MHP North Star Advantage Basic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$87.90 |
$0 |
to be determined |
1 |
Tier 1 |
$12.00 | $36.00 | None | $4,156.52 |
Browse Plan Formulary |
MHP North Star Advantage Basic (HMO-POS)
![Email Prescription and/or Health Benefit details for MHP North Star Advantage Basic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$87.90 |
$0 |
to be determined |
1 |
Tier 1 |
$12.00 | $36.00 | None | $4,156.52 |
Browse Plan Formulary |
MHP North Star Advantage Basic (HMO-POS)
![Email Prescription and/or Health Benefit details for MHP North Star Advantage Basic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$87.90 |
$0 |
to be determined |
1 |
Tier 1 |
$12.00 | $36.00 | None | $4,156.52 |
Browse Plan Formulary |
MHP North Star Advantage Basic (HMO-POS)
![Email Prescription and/or Health Benefit details for MHP North Star Advantage Basic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$87.90 |
$0 |
to be determined |
1 |
Tier 1 |
$12.00 | $36.00 | None | $4,156.52 |
Browse Plan Formulary |
HealthPartners Freedom Plan III EnhancedRx
![Email Prescription and/or Health Benefit details for HealthPartners Freedom Plan III EnhancedRx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$167.50 |
$125* |
to be determined |
1* |
Tier 1 |
$10.00 | $20.00 | None | $3,687.40 |
Browse Plan Formulary |