Common use of Mail Order Pharmacy Clause in Contracts

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. • Cost Sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under mail under the mail order pharmacy benefit, . Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center Center, Monday through Friday, from 7 a.m. to 6 p.m. at (000) 000-0000 or 0-000-000-0000, Monday through Friday, from 7 a.m. to 6 p.m. . Hearing impaired users may call TTY 711. • Cost Sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Prescriptions Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- non-Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. • Cost Sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. • Cost Sharing sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- non-Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. 711 • Cost Sharing Copayments at the applicable Tier Copayment. Copayment • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. • Cost Sharing sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Self- Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Prescriptions Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- non-Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call our TTY line at 711. • Cost Sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call our TTY 711. line at 711 • Cost Sharing Copayments at the applicable Tier Copayment. Copayment • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. 711 • Cost Sharing Copayments at the applicable Tier Copayment. Copayment • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call our TTY line at 711. • Cost Sharing sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. • Cost Sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center Center, Monday through Friday, from 7 a.m. to 6 p.m. at (000) 000-0000 or 0-000-000-0000, Monday through Friday, from 7 a.m. to 6 p.m. . Hearing impaired users may call TTY 711. • Cost Cost-Sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.

Mail Order Pharmacy. You have a choice of obtaining certain Prescription Drugs/Medications directly from a Pharmacy or by ordering them through the mail. Under the mail order pharmacy benefit, Preferred and non- Preferred medications can be obtained through the Mail Order Service Pharmacy. You may purchase up to a 90-day supply up to the maximum dosing recommended by the manufacturer. You may obtain more information on the Mail Service Pharmacy by calling our Presbyterian Customer Service Center at (000) 000-0000 or 01-000800-000-0000356- 2219, Monday through Friday, Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. • Cost Cost-Sharing Copayments at the applicable Tier Copayment. • Certain drugs may not be purchased by mail order, such as Self-Administered Specialty Pharmaceuticals.