Mutual of Omaha Rx Value (PDP)
Medicare Plan Details
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by Mutual of Omaha Rx
Overall Government Star RatingNo Rating
State: Rhode Island
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Prescription Drug (Part D)
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase1||Catastrophic coverage phase|
|Preferred Generic||$10.00 copay||$10.00 copay|
Brand-name drugs :
|Generic||$15.00 copay||$15.00 copay|
|Preferred Brand||$30.00 copay|
|1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.|
Part B Drugs
Prescription Drug Plan Star Ratings
(government star ratings are out of 5 stars)
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