When you purchase a formulary medication |
||||||
Retail Cost |
You Pay |
Medicare Plan Pays |
Pharma Mfgr Pays |
Gov. pays |
Amount toward your TrOOP |
|
Initial Deductible |
$100 |
$100 |
$0 |
$0 |
$0 |
$100 |
Initial Coverage Phase * |
$100 |
$25 |
$75 |
$0 |
$0 |
$25 |
Coverage Gap - brand-name ** |
$100 |
$45 |
$5 |
$50 |
$0 |
$95 |
Coverage Gap - generic *** |
$100 |
$65 |
$35 |
$0 |
$0 |
$65 |
Catastrophic Coverage **** |
$100 |
$5 |
$0 |
$0 |
$95 |
$5 |