2022 Lycoming Tioga MA Kit

Get the prescriptions you need and save money $0 preferred generic medications (Tier 1) During the Initial Coverage stage Fill your prescription at a preferred retail pharmacy or by preferredmail-order, and you’ll have a $0 copay. Save money with donut hole coverage for insulin medications During the Coverage Gap stage Your copay is the same in the Initial Coverage and Coverage Gap “donut hole” stages, which may save you hundreds! This applies to covered insulins filled at standard, preferred, or mail-order pharmacies. $35 copay for a 30-day supply filled at retail pharmacies $87.50 copay for a 90-day supply filled at a preferred mail-order pharmacy $96.25 copay for a 90-day supply filled at a preferred retail pharmacy $105 copay for a 90-day supply filled at standard pharmacies upmchealthplan.com/medicare 11 48

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