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Fairfax, VA

Anthem Cigna Extra Rx Wellcare Value

MediBlue Rx (PDP) Script (PDP)
Plus (PDP) $67.10 $11.70
$68.50 Monthly premium Monthly premium
Monthly premium

Overview
Star rating

Total $68.50 $67.10 $11.70

Yearly drug $0.00 $100.00 $480.00

deductible

Drug coverage & costs

Drugs covered/Not 1 of 2 2 of 2 2 of 2
covered Prescription drugs Prescription drugs Prescription drugs
covered covered covered
 Anthem Cigna Extra Rx Wellcare Value
MediBlue Rx (PDP) Script (PDP)
Plus (PDP) $67.10 $11.70
$68.50 Monthly premium Monthly premium
Monthly premium
Estimated total drug CVS PHARMACY CVS PHARMACY CVS PHARMACY
+ premium cost #01387 #01387 #01387
Preferred in- Standard in- Preferred in-
network network network
$4,451.14 $2,470.15 $2,653.99

GIANT PHARMACY GIANT PHARMACY GIANT PHARMACY

Standard in- Preferred in- Preferred in-
network network network
$4,452.24 $2,711.05 $2,653.99

WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY

10-5227 10-5227 10-5227
Preferred in- Preferred in- Standard in-
network network network
$4,451.14 $3,058.98 $2,697.05

WALGREENS #12800 WALGREENS #12800 WALGREENS #12800

Standard in- Preferred in- Preferred in-
network network network
$4,452.24 $3,056.70 $2,653.99

Mail order pharmacy Mail order pharmacy Mail order pharmacy

Standard in- Preferred in- Preferred in-
network network network
$4,447.58 $3,173.78 $2,534.55