which is the end of the coverage gap. Not everyone will enter the coverage gap. 8 Summary of Benefits S5884138000SB23 S5884138000 
Catastrophic Coverage 
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and 
through mail order) reach  $7,4 00 you pay the greater of: 
•5% of the cost, or 
•$4.15 copay for generic (including brand drugs treated as generic) and a  $10.35 copay for all other 
drugs 9