Anthem MediBlue Rx Standard (PDP)

Anthem MediBlue Rx Standard (PDP) S5596-062 Plan Details

3.5 out of 5 stars

Anthem MediBlue Rx Standard (PDP) is a plan offered by Anthem Inc..
Plan ID: S5596-062.

^$78.40

Monthly Premium

Anthem MediBlue Rx Standard (PDP) is a plan offered by Anthem Inc..
Plan ID: S5596-062.

Anthem MediBlue Rx Standard (PDP) S5596-062 Plan Details

3.5 out of 5 stars

Anthem MediBlue Rx Standard (PDP) is a plan offered by Anthem Inc..
Plan ID: S5596-062.

^$78.40

Monthly Premium

Nevada Counties Served

Churchill Clark Washoe Carson City Douglas Elko Esmeralda Eureka Humboldt Lander Lincoln Lyon Mineral Nye Pershing Storey White Pine

Basic Costs and Coverage

Coverage	Cost
Monthly Deductible	$505
Out of Pocket Max	In-Network: $-1 Out-of-Network: N/A
Initial Coverage Limit	$4660
Catastrophic Coverage Limit	$7,400

Prescription Drug Costs and Coverage

The Anthem MediBlue Rx Standard (PDP) plan offers the following prescription drug coverage, with an annual drug deductible of $505 (excludes Tiers 1 and 2) per year.

Coverage	Cost
Coverage & Cost
Annual Drug Deductible	$505 (excludes Tiers 1 and 2)
Preferred Generic	Preferred cost-share retail $1.00 Standard retail $3.00 Standard mail order $1.00
Generic	Preferred cost-share retail $3.00 Standard retail $5.00 Standard mail order $3.00
Annual Drug Deductible	$505 (excludes Tiers 1 and 2)
Preferred Generic	Preferred cost-share retail $2.00 Standard retail $6.00 Standard mail order $2.00
Generic	Preferred cost-share retail $6.00 Standard retail $10.00 Standard mail order $6.00
Annual Drug Deductible	$505 (excludes Tiers 1 and 2)
Preferred Generic	Preferred cost-share retail $3.00 Standard retail $9.00 Standard mail order $3.00
Generic	Preferred cost-share retail $9.00 Standard retail $15.00 Standard mail order $9.00

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Anthem MediBlue Rx Standard (PDP)

Nevada Counties Served

Basic Costs and Coverage

Prescription Drug Costs and Coverage

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