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What will I receive?

You will receive a detailed plan comparison showing the 3 most economical plans offered based on your medications. This document is in Microsoft Word Format.

As you may or may not know, the plan with the highest (or lowest) premium is not necessarily the "best" plan. Your total plan costs are based on your premium, deductible, co-pay and/or co-insurance and your plan's formulary.

In our example below, the most economical plan happens to be the one with the lowest premium. Two of the medications are not covered on the one plan (and are therefore full price) and on the other plan they are non-preferred brands and therefore have a co-pay that is less than the retail cost of the medication. therefore the plan that uses a 25% coinsurance is less expensive (column 3).




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As an example:


Plan Information -- Mr. Client - Indiana
Plan Information Example PDP
Enhanced

(Contract ID: EX1,
Plan ID: 111)
Example PDP
Value

(Contract ID: EX2,
Plan ID: 222)
Example PDP
Standard

(Contract ID: EX3,
Plan ID: 333)
::click for
explaination
Your Total Annual Drug Plan Cost $2,226.60 $2,199.84 $1,003.35 :: explain
Fixed Cost Details: :: explain
Monthly Prescription Drug Premium $25.30/month $26.40/month $17.70/month :: explain
Deductible $0.00 $0.00 $265.00 :: explain
Your Monthly Drug Costs after you have met your deductible but before your total drug costs reach the Initial Coverage Limit :: explain
Cozaar TAB 50mg $47.54 $48.64 $11.88 :: explain
Tikosyn CAP 500mcg $60.00 $58.28 $15.05 :: explain
WARFARIN SODIUM TAB 5MG $7.00 $10.00 $2.79 :: explain
Vytorin TAB 10-40mg $30.00 $40.00 $19.63 :: explain
Total Monthly Cost $144.54 $156.92 $49.35 :: explain
Your Monthly Drug Costs after your total drug costs reach the initial coverage limit but before your total out of pocket expense equals $3,850.00 :: explain
Cozaar TAB 50mg $47.54 $48.64 $47.54 :: explain
Tikosyn CAP 500mcg $60.21 $58.28 $60.21 :: explain
WARFARIN SODIUM TAB 5MG $11.17 $14.94 $11.17 :: explain
Vytorin TAB 10-40mg $78.52 $80.37 $78.52 :: explain
Total Monthly Cost $197.44 $202.23 $197.44
Pharmacy Network:
Pharmacy Network: 5 network pharmacies in your ZIP code, 5 network pharmacies in your ZIP code, 5 network pharmacies in your ZIP code, :: explain
Mail Order:
Mail Order: Yes Yes Yes :: explain
Drug Information :: explain
Cozaar TAB 50mg TIER 3* NOT ON FORMULARY** TIER 3* :: explain
Tikosyn CAP 500mcg TIER 3 NOT ON FORMULARY** TIER 3 :: explain
WARFARIN SODIUM TAB 5MG TIER 1 TIER 1 TIER 1 :: explain
Vytorin TAB 10-40mg TIER 2* TIER 2* TIER 2* :: explain

** This drug is not on this plan's formulary. If you purchase this drug, you will pay the full price of the drug, and the amount you pay will not be counted towards your deductible or out of pocket cost limits. The plan may grant an exception and provide coverage under special circumstances, contact the plan for more information.
* This drug may be subject to prior authorization, step therapy or quantity limits.



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Last updated on: 11/14/2008





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