Archives
Non-Participating Retail Pharmacy Tier 1: Generic Drug
$7 copay plus 20% coinsurance per prescription No coverage for mail […]
Mail Service Generic Drugs
$20 copay for 100-day mail order supply
Participating Retail Pharmacy Generic Drug
$10 copay for up to 30-day retail supply
Mail Service Tier 1: Generic Drug
$11 copay for 90-day mail order supply
Participating Retail Pharmacy Tier 1: Generic Drug
$7 copay for 30-day retail supply