Archives
Mail Service Generics
Not available $30 for up to 100-day supply
Prescription Drug Coverage Generics
$5 copay for 100-day supply $15 copay for up to 30-day supply
Prescription drugs purchased inside the U.S. Non-Participating Pharmacy — Generics
40% coinsurance per prescription order or refill
Prescription drugs purchased inside the U.S. Participating Retail Pharmacy or Mail Order — Generics
20% coinsurance per prescription order or refill
Prescription drugs purchased outside the U.S. — Generics
Covered at 20%