Anchor Plus Plan and Anchor Plan. The drug copay for a 31-day supply shall be as follows: Tier 1 Tier 2 Tier 3 Tier 4 $10.00 $35.00 $60.00 $100.00 The drug copay by mail order shall be as follows: Tier 1 Tier 2 Tier 3 $20.00 $70.00 $120.00 Mail order network pharmacies: 3-month supply of a prescription drug for two (2) copayments. Maximum fill is a 3-month supply.
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Anchor Plus Plan and Anchor Plan. The drug copay co-pay for a 31-day supply shall be as follows: Tier 1 Tier 2 Tier 3 Tier 4 $10.00 $35.00 $60.00 $100.00 The drug copay by mail order shall be as follows: Tier 1 Tier 2 Tier 3 $20.00 $70.00 $120.00 Mail order network pharmacies: 3-3 month supply of a prescription drug for two (2) copayments. Maximum fill is a 3-month supply.
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Samples: Agreement
