Under this plan, you may pay even less for the following: 
Tier 1(Preferred Generic) - All Drugs 
Tier 2(Generic) - All Other Drugs, Select Insulin Drugs 
Tier 3(Preferred Brand) - Select Insulin Drugs 
For more information on cost sharing in the coverage gap, please call us or access your Evidence of 
Coverage online. 
Catastrophic Coverage 
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and