VALCYTE 450MG TABLET (60 TABLETS BOT) (NDC: 00004003822)
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 |
Blue Medicare Access Standard (Regional PP
![Email Prescription and/or Health Benefit details for Blue Medicare Access Standard (Regional PP](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $5,228.07 |
Browse Plan Formulary |
Blue Medicare Access Value (Regional PPO)
![Email Prescription and/or Health Benefit details for Blue Medicare Access Value (Regional PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $5,228.07 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,892.85 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.30 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,960.20 |
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:120 /30Days | $4,960.20 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,960.20 |
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:120 /30Days | $4,960.20 |
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:120 /30Days | $4,944.49 |
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:120 /30Days | $4,971.52 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
|
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (PPO)
![Email Prescription and/or Health Benefit details for Aetna Medicare Standard Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$9.00 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.74 |
Browse Plan Formulary |
Aetna Medicare Standard Plan (PPO)
![Email Prescription and/or Health Benefit details for Aetna Medicare Standard Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$9.00 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.74 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,969.18 |
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:120 /30Days | $4,969.18 |
Browse Plan Formulary |
Plan Name |
Monthly 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:120 /30Days | $4,954.72 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,954.72 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.60 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Value powered by CCRx (PFF
![Email Prescription and/or Health Benefit details for Today's Options Value powered by CCRx (PFF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$13.70 |
$310 |
to be determined |
4 |
Tier 4 |
25% | n/a | P Q:120 /30Days | $4,958.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Value powered by CCRx (PFF
![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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Evercare Plan MH (HMO)
![Email Prescription and/or Health Benefit details for Evercare Plan MH (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$14.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $4,873.72 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$16.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,944.49 |
Browse Plan Formulary |
Plan Name |
Monthly 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:120 /30Days | $4,971.52 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-121 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-121 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$18.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,857.26 |
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:120 /30Days | $4,960.20 |
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:120 /30Days | $4,960.20 |
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:120 /30Days | $4,960.20 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,960.20 |
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% | None | $4,961.93 |
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% | None | $4,961.93 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.10 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,880.01 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (HMO)
![Email Prescription and/or Health Benefit details for Aetna Medicare Premier Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.80 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.74 |
Browse Plan Formulary |
Aetna Medicare Premier Plan (HMO)
![Email Prescription and/or Health Benefit details for Aetna Medicare Premier Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$21.80 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.74 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.40 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,970.82 |
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% | None | $4,961.93 |
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% | None | $4,961.93 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
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% | None | $5,003.95 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,003.95 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,022.60 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
Browse Plan Formulary |
Plan Name |
Monthly 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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
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% | None | $5,091.17 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-129 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-129 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.80 |
$0 |
to be determined |
2 |
Tier 2 |
$41.00 | $102.50 | Q:120 /30Days | $4,857.26 |
Browse Plan Formulary |
Humana Gold Choice H2944-122 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-122 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,849.36 |
Browse Plan Formulary |
Humana Gold Choice H2944-122 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-122 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,849.36 |
Browse Plan Formulary |
Humana Gold Choice H2944-131 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-131 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$24.30 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,849.36 |
Browse Plan Formulary |
Humana Gold Choice H2944-131 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-131 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$24.30 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,849.36 |
Browse Plan Formulary |
Humana Gold Choice H2944-132 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-132 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$24.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,807.94 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H2944-123 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-123 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.50 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,807.94 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Aetna Medicare Open Value Plan w/Rx (PFFS)
![Email Prescription and/or Health Benefit details for Aetna Medicare Open Value Plan w/Rx (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$25.70 |
$0 |
to be determined |
5 |
Tier 5 |
25% | 25% | None | $4,888.53 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,954.72 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,954.72 |
Browse Plan Formulary |
HumanaChoice R5826-007 (Regional PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice R5826-007 (Regional PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.20 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,847.08 |
Browse Plan Formulary |
HumanaChoice H3619-001 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H3619-001 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.40 |
$0 |
to be determined |
2 |
Tier 2 |
$40.00 | $100.00 | Q:120 /30Days | $4,854.23 |
Browse Plan Formulary |
Unison Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Unison Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.50 |
$310 |
to be determined |
2 |
Tier 2 |
15% | 15% | None | $5,071.73 |
Browse Plan Formulary |
Unison Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Unison Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.50 |
$310 |
to be determined |
2 |
Tier 2 |
15% | 15% | None | $5,071.73 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice R5826-080 (Regional PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice R5826-080 (Regional PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.80 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | Q:120 /30Days | $4,847.08 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
Advantage Plan Securex (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Securex (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.70 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.77 |
Browse Plan Formulary |
UPMC for Life HMO Rx Enhanced Ohio (HMO)
![Email Prescription and/or Health Benefit details for UPMC for Life HMO Rx Enhanced Ohio (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $5,101.53 |
Browse Plan Formulary |
UPMC for Life HMO Rx Enhanced Ohio (HMO)
![Email Prescription and/or Health Benefit details for UPMC for Life HMO Rx Enhanced Ohio (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $5,101.53 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option II (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option II (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$39.90 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,955.63 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,149.23 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,151.04 |
Browse Plan Formulary |
Sterling Option IV (PFFS)
![Email Prescription and/or Health Benefit details for Sterling Option IV (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$44.70 |
$225 |
to be determined |
3 |
Tier 3 |
25% | 25% | None | $5,135.85 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$47.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,969.18 |
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:120 /30Days | $4,969.18 |
Browse Plan Formulary |
Plan Name |
Monthly 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:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
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:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$50.80 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.65 |
Browse Plan Formulary |
Today's Options Premier powered by CCRx (P
![Email Prescription and/or Health Benefit details for Today's Options Premier powered by CCRx (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | P Q:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Today's Options Premier powered by CCRx (P
![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:120 /30Days | $4,958.77 |
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:120 /30Days | $4,958.77 |
Browse Plan Formulary |
UPMC for Life PPO Rx Enhanced Ohio (PPO)
![Email Prescription and/or Health Benefit details for UPMC for Life PPO Rx Enhanced Ohio (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$55.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $5,101.53 |
Browse Plan Formulary |
UPMC for Life PPO Rx Enhanced Ohio (PPO)
![Email Prescription and/or Health Benefit details for UPMC for Life PPO Rx Enhanced Ohio (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$55.10 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $5,101.53 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,978.02 |
Browse Plan Formulary |
Advantage Plan Optimumx (HMO-POS)
![Email Prescription and/or Health Benefit details for Advantage Plan Optimumx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$57.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | None | $4,987.21 |
Browse Plan Formulary |