2024 Medicare Advantage Prescription Drug Price Information | ||||||
Personal Choice 65 Prime Rx (PPO) (H3909-014-0) Benefits & Contact Info ![]() ![]() ![]() ![]() Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. | ||||||
Click on a letter below to view the Personal Choice 65 Prime Rx (PPO) Formulary A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 0-9 | ||||||
This Plan Uses Lower Cost-Sharing for Preferred Pharmacies | ||||||
No Records found. NDC: 00338055318 may no longer be covered by this plan. This drug may now be using a different NDC. Error: Please return to the Formulary Browser to select a drug by choosing a letter above. | ||||||
Notes:
*The Medicare drug plan’s average negotiated retail drug price is based on several variables: the medication, the quantity of your prescription, the specific Medicare Part D plan, and the pharmacies in the plan’s service area. In this case, the average of the prices that the Personal Choice 65 Prime Rx (PPO) has negotiated with each of the retail pharmacies in the plan’s service area (). In other words, when you use the Personal Choice 65 Prime Rx (PPO) to purchase , you may pay slightly more or slightly less than the figures shown in the table above depending on the pharmacy where you fill your prescription and the quantity of your prescription. **The mail-order cost-sharing is the plan’s "preferred" mail-order cost-sharing. |
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Return to the Personal Choice 65 Prime Rx (PPO) 2024 Formulary Browser by choosing a letter below: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 0-9 |