CURRENT PRESCRIPTION DRUG PLAN |
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For each prescription filled for you, or a covered dependent, your copayment is: |
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| Drug Type | Retail Pharmacy | Mail Pharmacy |
|---|---|---|
| Generic | 30% of the cost of the medication | 30% of the cost of the medication |
| Brand | 30% of the cost of the medication | 30% of the cost of the medication |
| Note: The co-pay amounts for all prescription medications increases to 50% when the prescription is filled with a brand name drug and a generic equivalent drug is available and substitutable, as determined by the physician. | ||
MEDTRAK SERVICES PREFERRED NETWORK*
Click above link for a list of participating pharmacies.
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