Program as described below. If you receive "Extra Help", you will still pay no more than $35 for a 
one-month supply for each Part Dcovered insulin. Please see your Prescription Drug Guide to find all Part D 
insulins covered by your plan. 
If you don't receive Extra Help for your drugs, you'll pay the following:  
Deductible  No deductible for Tier 1, Tier 2and Tier 3. This plan has a  $250 deductible for Tier 4, Tier 5