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Fairfax, VA

Mutual of Wellcare Value AARP


Omaha Rx Script (PDP) MedicareRx
Premier (PDP) $11.70 Walgreens
$35.00 Monthly premium (PDP)
Monthly premium $28.90
Monthly premium

Overview
Star rating

Total $35.00 $11.70 $28.90

Yearly drug $480.00 $480.00 $310.00


deductible

Drug coverage & costs


Drugs covered/Not 6 of 6 6 of 6 6 of 6
covered Prescription drugs Prescription drugs Prescription drugs
covered covered covered
Mutual of Wellcare Value AARP
Omaha Rx Script (PDP) MedicareRx
Premier (PDP) $11.70 Walgreens
$35.00 Monthly premium
(PDP)
Monthly premium $28.90
Monthly premium
Estimated total drug CVS PHARMACY CVS PHARMACY CVS PHARMACY
+ premium cost #01383 #01383 #01383
Preferred in- Preferred in- Standard in-
network network network
$3,248.52 $2,032.44 $2,497.72

WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY


10-2194 10-2194 10-2194
Preferred in- Standard in- Out-of-network
network network $13,900.38
$3,253.59 $2,352.19
SAFEWAY PHARMACY
SAFEWAY PHARMACY SAFEWAY PHARMACY #1588
#1588 #1588 Standard in-
Standard in- Preferred in- network
network network $2,497.72
$3,469.38 $2,032.44
WALGREENS #17465
WALGREENS #17465 WALGREENS #17465 Preferred in-
Standard in- Preferred in- network
network network $2,169.72
$3,477.78 $2,032.44
Mail order pharmacy
Mail order pharmacy Mail order pharmacy Preferred in-
Preferred in- Preferred in- network
network network $2,155.50
$3,239.07 $2,075.25

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