Common use of Base Prescription Coverage/Mail Order Requirements Clause in Contracts

Base Prescription Coverage/Mail Order Requirements. Employees and their families covered by the City’s Base Health Insurance Plan may use mail order for prescriptions (three months or more). Mail order rates shall be as follows: 2022-2023: (90 Days) Generic $15.00; Formulary $37.50; Non-Formulary $97.50 2024: (90 Days) Generic drugs $40.00 mail order; Brand/Formulary Drugs $80/00 mail order; Non-Formulary Drugs $220.00 mail order; Specialty Drugs 25% to a maximum of $250 mail order.

Appears in 4 contracts

Samples: dam.assets.ohio.gov, dam.assets.ohio.gov, serb.ohio.gov

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Base Prescription Coverage/Mail Order Requirements. Employees and their families covered by the City’s Base Health Insurance Plan may use mail order for prescriptions (three months or more). Mail order rates shall be as follows: Plan 1 2022-2023: (90 Days) Generic $15.00; Formulary $37.50; Non-Formulary $97.50 Plan 2 (90 Days) Generic $20.00 Formulary $50.00 Non-Formulary $130.00 2024: (90 Days) Generic drugs $40.00 mail order; Brand/Formulary Drugs $80/00 mail order; Non-Formulary Drugs $220.00 mail order; Specialty Drugs 25% to a maximum of $250 mail order.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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