and  25 percent of the plan's cost for covered generic drugs until your out-of-pocket costs total  $7,400 — 
which is the end of the coverage gap. Not everyone will enter the coverage gap. 
Under this plan,  you may pay even less for the following: 
Tier 1(Preferred Generic) - All Drugs 
Tier 2(Generic) - All 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