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. 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) 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. Em- ployees 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. 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. Em- ployees Employees utilizing the mail order prescription drug program will receive a ninety (90) day supply at a cost of two (2) prescription co-pays.