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The plan rules require Mr. Mason to use a lower-cost ACE inhibitor first. For most people, the lower-cost drug works as well as the higher-cost drug. Step 2 —If Mr. Mason takes the lower-cost drug but has side effects or limited improvement, Dr. Smith can prescribe the higher-cost ACE inhibitor.

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DISCOUNT ONLY - NOT INSURANCE. Discounts are available exclusively through participating pharmacies. The range of the discounts will vary depending on the type of prescription and the pharmacy chosen. This program does not make payments directly to pharmacies. Members are required to pay for all prescription purchases.

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Drug plan coverage rules | Medicare

The plan rules require Mr. Mason to use a lower-cost ACE inhibitor first. For most people, the lower-cost drug works as well as the higher-cost drug. Step 2 —If Mr. Mason takes the lower-cost drug but has side effects or limited improvement, Dr. Smith can prescribe the higher-cost ACE inhibitor.

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