Five-Tier Copayment Structure. This prescription drug plan formulary has a five-tiered copayment structure. First Tier: generally includes formulary low cost preferred generic Prescription Drugs, which require the lowest copayment. Second Tier: generally includes other certain formulary low cost preferred generic Prescription Drugs, which require a higher copayment than the First Tier.
Appears in 23 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Five-Tier Copayment Structure. This prescription drug plan formulary has a five-tiered copayment structure. First Tier: generally includes formulary low cost preferred generic Prescription Drugsprescription drugs, which require the lowest copayment. Second Tier: generally includes other certain formulary low cost preferred generic Prescription Drugsprescription drugs, which require a higher copayment than the First Tier.
Appears in 1 contract
Samples: Subscriber Agreement
