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Value Script
Plan: S4802-135
Premium: $11.60
Deductible: $0 (tier 1-2), $480 (tiers 3-5)
Evidence of Coverage
Classic
Plan: S4802-020
Premium: $35.50
Deductible: $480
Evidence of Coverage
Medicare Rx Value Plus
Plan: S4802-233
Premium: $68.90
Deducible: $0
Evidence of Coverage
Value Script
Plan: S4802-135
Premium: $11.10
Deductible: $0 (tier 1-2), $505 (tiers 3-5)
Evidence of Coverage
Classic
Plan: S4802-020
Premium: $35.70
Deductible: $505
Evidence of Coverage
Medicare Rx Value Plus
Plan: S4802-233
Premium: $71.40
Deducible: $0
Evidence of Coverage