•Other Part Bdrugs:  20% of the cost 
PRESCRIPTION DRUGS 
If you don't receive Extra Help for your drugs, you'll pay the following:  
Deductible This plan does not have adeductible.   
Initial coverage 
You pay the following until your total yearly drug costs reach  $4,430 .Total yearly drug costs are the total 
drug costs paid by both you and our plan. Once you reach this amount, you will enter the Coverage Gap.