PDP Products 2009

Pharma Plus

• $10.10 Monthly Plan Premium

• 25% coinsurance on all medication up to a limit of $2,830

Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form

Pharma Premium

• $50.00 Monthly Plan Premium

• $5 copay for Generic Drugs, Unlimited

• $15 copay for Preferred Brand Name Drugs

Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form

Employer Group Health Plans

PharmaGobierno

Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form