Common use of Retail Pharmacies Clause in Contracts

Retail Pharmacies. The copay for generic drugs for in-network retail pharmacies will be the DNP with a maximum copay of $9. • The copay for brand name preferred drugs for in-network retail pharmacies will be 20% of the DNP for the original prescription and each refill, with a maximum copay of $25. • The copay for brand name non-preferred drugs for in-network retail pharmacies will be 30% of the DNP for the original prescription and each refill, with a maximum copay of $30.

Retail Pharmacies.  The copay for generic drugs for in-network retail pharmacies will be the DNP with a maximum copay of $910. •  The copay for brand name preferred drugs for in-network retail pharmacies will be 20% of the DNP for the original prescription and each refill, with a maximum copay of $25. •  The copay for brand name non-preferred drugs for in-network retail pharmacies will be 30% of the DNP for the original prescription and each refill, with a maximum copay of $30.

Retail Pharmacies. The copay for generic drugs for in-network retail pharmacies will be the DNP with a maximum copay of $910. • The copay for brand name preferred drugs for in-network retail pharmacies will be 20% of the DNP for the original prescription and each refill, with a maximum copay of $25. • The copay for brand name non-preferred drugs for in-network retail pharmacies will be 30% of the DNP for the original prescription and each refill, with a maximum copay of $30.

Retail Pharmacies.  The copay for generic drugs for in-network retail pharmacies will be the DNP with a maximum copay of $9. •  The copay for brand name preferred drugs for in-network retail pharmacies will be 20% of the DNP for the original prescription and each refill, with a maximum copay of $25. •  The copay for brand name non-preferred drugs for in-network retail pharmacies will be 30% of the DNP for the original prescription and each refill, with a maximum copay of $30.