*Average annual savings calculations are projected from a study concluded in January 2009 of over 9 million lowest online non-Medicare savings opportunities. Your actual savings may not reach the projected average. Savings amounts may vary based on drug prices, prescription programs, including deductibles and out-of-pocket expenses, in effect at the time of the savings calculation, applicable law and pharmacist's judgment. Medication costs outside of your prescription program, and sales tax, where applicable, are not included. In most cases, the alternatives that are shown are preferred by your prescription program. Some or all of the alternatives may not be appropriate for you and all will require your doctor's approval. Not all have been reviewed by Medco's independent Pharmacy and Therapeutics committee. Medco can earn rebates on some drugs which may be shared with plan sponsors. No prescription change is made without a doctor's authorization.