Clear Spring Health Value Rx (PDP) -
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Clear Spring Health
Value Rx -
Monthly Premium
Contract Number:
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Pharmacy option
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Tier 1: Preferred Generic |
Tier 2: Generic |
Tier 3: Preferred Brand |
Tier 4: Non-Preferred Drug |
Tier 5: Specialty |
Covered Drug
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*Enrollee must continue to pay the Medicare Part B premium.
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Limitations, copayments, and restrictions may apply. See above or contact the plan for more details.
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** Most plans have mail order savings with $0 copay for Tier 1 drugs for a 90-day supply which, if used, may result in lower costs than displayed.
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You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call: 1-800-MEDICARE (1 (800) 633-4227). TTY users should call 1 (877) 486-2048. 24 hours a day, 7 days a week.
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Clear Spring Healthâs pharmacy network includes limited lower-cost, preferred pharmacies. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call or consult the online Pharmacy Locator.
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Call 1 (877) 317-6082 TTY:711 and a trained sales representative will answer any questions and enroll you right over the phone.