SEROSTIM 4MG VIAL (NDC: 44087000407)
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 |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Preferred Ea
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Preferred Ea](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.10 |
Browse Plan Formulary |
|
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecureHorizons MedicareDirect Rx Plan 55 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 55 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,344.48 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | P | $1,378.28 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,412.45 |
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 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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 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 Q:28 /28Days | $1,412.45 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
Plan Name |
Monthly 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 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
Plan Name |
Monthly 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 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
Plan Name |
Monthly 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 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
Plan Name |
Monthly 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 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
Browse Plan Formulary |
SecureHorizons MedicareDirect Rx Plan 58 (
![Email Prescription and/or Health Benefit details for SecureHorizons MedicareDirect Rx Plan 58 (](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$12.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,353.31 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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) |
$16.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
Browse Plan Formulary |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plus Plan 2 (HMO-POS
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plus Plan 2 (HMO-POS](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
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 Q:28 /28Days | $1,412.45 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,398.27 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,420.88 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
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 |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,362.55 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,337.70 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,555.16 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyLiving Preferred (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Preferred (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
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 Q:28 /28Days | $1,412.45 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$35.90 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Diamond (PPO)
![Email Prescription and/or Health Benefit details for BlueAdvantage Diamond (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Ruby (PPO)
![Email Prescription and/or Health Benefit details for BlueAdvantage Ruby (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$37.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
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 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Platinum (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Platinum (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,458.29 |
Browse Plan Formulary |
BlueAdvantage Gold (PFFS)
![Email Prescription and/or Health Benefit details for BlueAdvantage Gold (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$42.40 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,402.79 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
Plan Name |
Monthly 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 Q:28 /28Days | $1,359.70 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$45.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,341.76 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,412.45 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,365.12 |
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 Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:28 /28Days | $1,373.16 |
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 Q:28 /28Days | $1,373.16 |
Browse Plan Formulary |