Common use of Prescription Drug Program Clause in Contracts

Prescription Drug Program. A freestanding prescription drug program is offered with all three health insurance options. The benefit is a three-tier formulary program with a $10 co-pay for Tier One drugs, a $20 co-pay for Tier Two drugs, and a $35 co-pay for Tier Three drugs. The benefit is limited to a 30-day supply at retail pharmacies and a 90-day supply with 2 co-pays for Tier Two and Tier Three drugs and one co-pay for Tier One drugs through mail order. There are no lockouts, i.e., excluded drugs.

Appears in 4 contracts

Samples: Faculty Contract, Faculty Contract, Faculty Contract

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