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2024 Medicare Part D Plan’s Negotiated Retail Drug Price

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2024 Medicare Advantage Prescription Drug Price Information
UHC Nursing Home Plan EX-F004 (PPO I-SNP) (H0710-032-0)
Benefits & Contact Info         
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less.

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UHC Nursing Home Plan EX-F004 (PPO I-SNP) Formulary
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NDC: 16714016101 may no longer be covered by this plan.
This drug may now be using a different NDC.
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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 UHC Nursing Home Plan EX-F004 (PPO I-SNP) has negotiated with each of the retail pharmacies in the plan’s service area (). In other words, when you use the UHC Nursing Home Plan EX-F004 (PPO I-SNP) 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.

Return to the UHC Nursing Home Plan EX-F004 (PPO I-SNP) 2024 Formulary Browser by choosing a letter below:
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Chart Legend:

What does all this mean? Below are a few notes to help you understand the above 2024 Medicare Part D UHC Nursing Home Plan EX-F004 (PPO I-SNP) Plan Formulary.