Base Prescription Coverage. Prescription Drug coverage is provided under the base plan. The co-pays for prescriptions for the base plan will be in accordance with the schedule below: 2022-2023: Rx Co-Pay Effective: Retail: (30 days) Generic $10.00; Formulary $25.00; Non-Formulary $65.00. 2024: RX Co-Pay Effective Retail: (30 days) Generic $20.00; Formulary $40.00; Non-Formulary $110.00; Specialty 25% of Cost up to a maximum of $250.
Appears in 4 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Base Prescription Coverage. Prescription Drug coverage is provided under the base plan. The co-pays for prescriptions for the base plan will be in accordance with the schedule below: 2022-2023: Rx Co-Pay Effective: Retail: (30 days) Generic $10.00; Formulary $25.00; Non-Formulary $65.00. 2024: RX Co-Pay Effective Retail: (30 days) Generic $20.00; Formulary $40.00; Non-Formulary $110.00; Specialty 25% of Cost up to a maximum of $250.
Appears in 1 contract
Samples: Collective Bargaining Agreement
