Common use of Prescription Card Clause in Contracts

Prescription Card. The City will provide a prescription card plan for members and their dependents. The prescription benefits will be the following, with the City paying the higher amount and the employee paying the lesser amount of prescription coinsurance: Name Brand Drugs 50/50% with $25 co- pay for each disbursement 75/25% for name brand drugs with no co-pay The maximum expense a member will pay for coinsurance is $500 for Family coverage and $250 for Single coverage annually for prescription benefits, however, the $25 co-pay for retail, name-brand drugs will not count towards the calculation of the $500 or $250 coinsurance maximum and will always apply even after a member reaches the $500 or $250 coinsurance maximum expenditure.

Prescription Card. The City will provide a prescription card plan for members and their dependents. The prescription retail benefits will be the following, with the City paying the higher amount and the employee paying the lesser amount of prescription coinsurance: Name Brand Drugs • 80/20% for generic drugs • 50/50% name brand drugs with a $25 co- co-pay for each disbursement The mail order benefits will be the following: • 90/10% for generic drugs and • 75/25% for name brand drugs with no $25 co-pay The maximum expense a member an employee will pay for coinsurance is $500 250 annually for Family single coverage and $250 500 for Single coverage family annually for prescription benefits, however, the $25 co-pay for retail, name-retail name brand drugs will not count towards the calculation of the $250 or the $500 or $250 coinsurance maximum and will always apply even after a member an employee reaches the $500 or $250 coinsurance maximum expenditure.

Prescription Card. The City will provide a prescription card plan for members and their dependents. The prescription retail benefits will be the following, with the City paying the higher amount and the employee paying the lesser amount of prescription coinsurance: Name Brand Drugs  80/20% for generic drugs  50/50% name brand drugs with a $25 co- co-pay for each disbursement The mail order benefits will be the following:  90/10% for generic drugs and  75/25% for name brand drugs with no $25 co-pay The maximum expense a member an employee will pay for coinsurance is $500 250 annually for Family single coverage and $250 500 for Single coverage family annually for prescription benefits, however, the $25 co-pay for retail, name-retail name brand drugs will not count towards the calculation of the $250 or the $500 or $250 coinsurance maximum and will always apply even after a member an employee reaches the $500 or $250 coinsurance maximum expenditure.

Prescription Card. The City will provide a prescription card plan for members and their dependents. The prescription retail benefits will be the following, with the City paying the higher amount and the employee paying the lesser amount of prescription coinsurance: Name Brand Drugs • 80/20% for generic drugs • 50/50% name brand drugs with a $25 co- co-pay for each disbursement eachdisbursement The mail order benefits will be the following: • 90/10% for generic drugs and • 75/25% for name brand drugs with no $25 co-pay pay. The maximum expense a member an employee will pay for coinsurance is $500 250 annually for Family single coverage and $250 500 for Single coverage family annually for prescription benefits, however, the $25 co-pay for retail, name-retail name brand drugs will not count towards the calculation of the $250 or the $500 or $250 coinsurance maximum and will always apply even after a member an employee reaches the $500 or $250 coinsurance maximum expenditure.

Prescription Card. The City will provide a prescription card plan for members and their dependents. The prescription retail benefits will be the following, with the City paying the higher amount and the employee paying the lesser amount of prescription coinsurance: Name Brand Drugs • 80/20% for generic drugs • 50/50% name brand drugs with a $25 co- co-pay for each disbursement eachdisbursement The mail order benefits will be the following: • 90/10% for generic drugs and • 75/25% for name brand drugs with no $25 co-pay The maximum expense a member an employee will pay for coinsurance is $500 250 annually for Family single coverage and $250 500 for Single coverage family annually for prescription benefits, however, the $25 co-pay for retail, name-retail name brand drugs will not count towards the calculation of the $250 or the $500 or $250 coinsurance maximum and will always apply even after a member an employee reaches the $500 or $250 coinsurance maximum expenditure.