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Medicare Part D
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Product Details - Medicare Part D
Product Details for
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Mutual of Omaha
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Premium |
per month for |
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Deductible |
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Initial Coverage Limit |
per year |
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Gap Coverage(also known as the "donut hole") |
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Cost Sharing Tier 1: Preferred Generic |
Preferred:
Standard:
90-day Mail:
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Cost Sharing Tier 2: Generic |
Preferred:
Standard:
90-day Mail:
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Cost Sharing Tier 3: Preferred Brand |
Preferred:
Standard:
90-day Mail:
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Cost Sharing Tier 4: Non-preferred Brand |
Preferred:
Standard:
30-day Mail:
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Cost Sharing Tier 5: Specialty |
Preferred:
Standard:
30-day Mail:
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Important Plan Documents |
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Pharmacy Lookup
CVS is our preferred network, including: CVS, CVS-Target, Walmart as well as local and regional pharmacies.
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