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Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you. Call your HealthCare Concierge for more information.

Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.

Formulary Id: 27272

Formulary Effective Date: 01/01/2027

Updated:

10/2026

CMS Approval Date:

10/05/2026

CMS Version:

9

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