The Find and Price a Drug tool is designed to help you estimate your drug costs and is not a guarantee of payment or benefits. Your actual drug costs will vary depending on:

• Your prescriptions and whether they are included in our list of covered drugs (formulary)

• What tier the drug is in

• Which drug benefit phase you are in

• Which pharmacy you use

• Whether you get Extra Help paying your Medicare drug costs

All estimates displayed in the Find and Price a Drug tool apply to the initial coverage stage only and are subject to change. Tier 1 drugs are covered through the coverage gap.

To view more detailed cost estimates for all Drug Coverage Stages and pharmacies, we recommend using Medicare’s plan comparison tool at www.medicare.gov/plan-compare.

For a full explanation of your benefits, please refer to your Evidence of Coverage.