Common use of Prescription Plan Clause in Contracts

Prescription Plan. 100 Day Supply): Retail Generic and Non-Formulary co- 37 pays are $5; Retail Brand co-pay is $10 effective 7/1/17. 38 39 b. HMO Plan. 40 Brief description of coverage: Effective March 1, 2013, this plan will be 41 referred as the HMO TALB plan. The ability to move between the HMO and 42 Comprehensive Major Medical is no longer available. Continuation of 43 existing plan without modification of benefits, except as noted. 44 1 HMO. Office visits, $10; no deductible; hospitalization 100% covered.

Prescription Plan. 100 Day Supply): Retail Generic and NonNon- 30 Formulary co-Formulary co- 37 pays are $5; Retail Brand co-pay is $10 effective 7/1/17. 38 39 31 32 b. HMO Plan. 40 33 Brief description of coverage: Effective March 1, 2013, this plan will 34 be 41 referred as the HMO TALB plan. The ability to move between the 35 HMO and 42 Comprehensive Major Medical is no longer available. 36 Continuation of 43 existing plan without modification of benefits, except 37 as noted. 44 1 HMO. Office visits, $10; no deductible; hospitalization 100% covered.