Prescription Benefits

Pharmacy Plan

Prescription Drug Coverage$500 Deductible$2,000 DeductibleHigh Deductible Health Plan with HSA
Preventive RXNot ApplicableNot ApplicablePreventive Rx covered at 100%
Generic$10 Copay$10 Copay$10 Copay, after deductible
Brand preferred$35 Copay$35 Copay$35 Copay; after deductible
Brand non-preferred$70 Copay$70 Copay$70 Copay; after deductible

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Call: (866) 633-2446