Common use of Prescription Co-Pay Clause in Contracts

Prescription Co-Pay. The co-pay for generic equivalent prescription drugs will be ten dollars ($10) per prescription; the co-pay for non-generic, formulary prescription drugs will be twenty-five dollars ($25) per prescription and the co-pay for non-generic, non-formulary prescription drugs shall be forty dollars ($40). Employees will have the option of utilizing mail order prescription service for maintenance medications prescribed for more than thirty (30) days. Employees utilizing the mail order prescription drug program will receive a ninety (90) day supply at a cost of two (2) prescription co-pays.

Prescription Co-Pay. The co-pay for generic equivalent prescription drugs will be ten seven dollars ($107) per prescription; the co-pay for non-generic, formulary prescription drugs will be twenty-five dollars ($25) per prescription and the co-pay for non-generic, non-formulary prescription drugs shall be forty fifty dollars ($4050). Employees will have the option of utilizing mail order prescription service for maintenance medications prescribed for more than thirty (30) days. Employees utilizing the mail order prescription drug program will receive a ninety (90) day supply at a cost of two (2) prescription co-pays.

Prescription Co-Pay. The co-pay for generic equivalent prescription drugs will be ten dollars ($10) per prescription; the co-pay for non-generic, formulary prescription drugs will be twenty-five dollars ($25) per prescription and the co-pay for non-generic, non-formulary prescription drugs shall be forty dollars ($40). Employees will have the option of utilizing mail order prescription service for maintenance medications prescribed for more than thirty (30) days. Employees Em- ployees utilizing the mail order prescription drug program will receive a ninety (90) day supply at a cost of two (2) prescription co-pays.

Prescription Co-Pay. The co-pay for generic equivalent prescription drugs will be ten dollars ($10) maximum per prescription; the co-pay for non-generic, formulary preferred brand/non preferred brand prescription drugs will be twenty-five dollars ($25) per prescription and the co-pay for non-generic, non-formulary prescription drugs shall be forty dollars ($40)) maximum per prescription or twenty percent (20%) coinsurance. Employees will have the option of utilizing mail order prescription service for maintenance medications prescribed for more than thirty (30) days. Employees utilizing the mail order prescription drug program will receive a ninety (90) day supply at a cost of two (2) prescription co-pays.