|Formulary Tiers Covered||Formulary Tiers 1-5||Formulary Tiers 1-5|
|Annual Deductible||$405 (Tiers 3-5)||$0|
|Initial Coverage Stage||$4,130||$4,130|
|Nationwide pharmacy network|
|$0 select immunizations and vaccinations|
|At-home delivery service|
Part D Formulary
A formulary is the list of drugs, from brand-name to generic, that are covered by a Medicare Prescription Drug Plan. Covered drugs and costs vary from plan to plan.
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