PULMOZYME 1MG/ML AMPUL (5 (6X POUCH) CRTN) (NDC: 50242010040)
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,014.29 |
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 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 |
2 |
Tier 2 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
Browse Plan Formulary |
Plan Name |
Monthly 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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $2,119.02 |
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 | P | $1,712.54 |
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 |
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 | P | $1,712.54 |
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 | P | $1,712.54 |
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 | P | $1,712.54 |
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 | P | $1,712.54 |
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 | P | $1,712.54 |
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 | P | $1,712.54 |
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 |
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 | P | $1,712.54 |
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 | P | $1,712.54 |
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 | P | $1,712.54 |
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 | P | $2,108.65 |
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 | P | $2,108.65 |
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 | P | $2,108.65 |
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 |
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 | P | $2,108.65 |
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 | P | $2,108.65 |
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 | P | $2,108.65 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.65 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.65 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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 |
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) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,017.05 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 1 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 1 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,088.19 |
Browse Plan Formulary |
Today's Options Advantage 2 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 2 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$8.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,017.05 |
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) |
$9.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
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) |
$9.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
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) |
$9.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Plan Name |
Monthly 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) |
$9.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,997.47 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,997.47 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,997.47 |
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) |
$10.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
Browse Plan Formulary |
Plan Name |
Monthly 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) |
$10.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
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) |
$10.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
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) |
$10.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | P | $1,976.30 |
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% | P | $1,976.30 |
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% | P | $1,976.30 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,038.55 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,038.55 |
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 |
4 |
Tier 4 |
25% | n/a | P | $2,038.55 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
25% | n/a | P | $2,014.51 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,868.82 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.65 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.65 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.65 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
Browse Plan Formulary |
Plan Name |
Monthly 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) |
$16.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
Browse Plan Formulary |
Plan Name |
Monthly 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) |
$16.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,023.85 |
Browse Plan Formulary |
Advocare Essence Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advocare Essence Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.20 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,995.05 |
Browse Plan Formulary |
Today's Options Advantage 3 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 3 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 3 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 3 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 3 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 3 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Today's Options Advantage 3 powered by CCR
![Email Prescription and/or Health Benefit details for Today's Options Advantage 3 powered by CCR](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
Browse Plan Formulary |
Plan Name |
Monthly 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) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,040.50 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,911.84 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,911.84 |
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 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,911.84 |
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) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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 |
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) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,998.67 |
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% | P | $1,971.45 |
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% | P | $1,971.45 |
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% | P | $1,971.45 |
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% | P | $1,971.45 |
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% | P | $1,971.45 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options 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) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
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) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
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) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
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) |
$22.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $1,995.72 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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% | P | $2,050.34 |
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 |
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% | P | $2,050.34 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,913.35 |
Browse Plan Formulary |
Advocare Vitality Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advocare Vitality Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,995.05 |
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) |
$26.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
Browse Plan Formulary |
Plan Name |
Monthly 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) |
$26.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
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) |
$26.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
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) |
$26.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P | $2,004.24 |
Browse Plan Formulary |
Advocare Spirit Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advocare Spirit Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,995.05 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
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 |
4 |
Tier 4 |
33% | n/a | P Q:150 /30Days | $1,906.99 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P | $1,993.35 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,013.50 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,997.47 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,997.47 |
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 |
4 |
Tier 4 |
33% | n/a | P | $1,997.47 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,038.55 |
Browse Plan Formulary |
Plan Name |
Monthly 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 |
4 |
Tier 4 |
33% | n/a | P | $2,038.55 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,038.55 |
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 |
4 |
Tier 4 |
33% | n/a | P | $2,014.51 |
Browse Plan Formulary |