PENTOSTATIN FOR INJECTION 10MG/VIAL (1 VILSD CRTN) (NDC: 55390024401)
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 |
Anthem Medicare Preferred Standard (PPO)
![Email Prescription and/or Health Benefit details for Anthem Medicare Preferred Standard (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Anthem Medicare Preferred Standard (PPO)
![Email Prescription and/or Health Benefit details for Anthem Medicare Preferred Standard (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Anthem Medicare Preferred Standard (PPO)
![Email Prescription and/or Health Benefit details for Anthem Medicare Preferred Standard (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Anthem Medicare Preferred Standard (PPO)
![Email Prescription and/or Health Benefit details for Anthem Medicare Preferred Standard (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
|
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
UnitedHealthcare Personal Care Plus (HMO)
![Email Prescription and/or Health Benefit details for UnitedHealthcare Personal Care Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$310 |
to be determined |
1 |
Tier 1 |
n/a | n/a | P | n/a |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$4.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SmartValue Plus (PFFS)
![Email Prescription and/or Health Benefit details for SmartValue Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$5.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,715.68 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 150
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 150](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.90 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
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 |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-067 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-067 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.30 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-065 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-065 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.90 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-069 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-069 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
HumanaChoice H5216-008 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-008 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.00 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
HumanaChoice H5216-008 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-008 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.00 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Evercare Plan MH-POS (HMO-POS)
![Email Prescription and/or Health Benefit details for Evercare Plan MH-POS (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $2,022.98 |
Browse Plan Formulary |
Humana Gold Choice H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-070 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-070 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.20 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Plan Name |
Monthly 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 H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
Browse Plan Formulary |
Humana Gold Choice H2944-066 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-066 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$33.50 |
$0 |
to be determined |
1 |
Tier 1 |
$8.00 | $0.00 | None | $2,316.50 |
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 | $1,844.65 |
Browse Plan Formulary |
Medica Prime Solution Basic w/Standard Rx
![Email Prescription and/or Health Benefit details for Medica Prime Solution Basic w/Standard 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 | $1,844.65 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Prime Solution Enhanced w/Standard
![Email Prescription and/or Health Benefit details for Medica Prime Solution Enhanced w/Standard](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
1 |
Tier 1 |
$10.00 | $20.00 | None | $1,844.65 |
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 | $1,844.65 |
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 | $1,844.65 |
Browse Plan Formulary |