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Retiree Health Summary Plan Description
As of February 1, 2018
En Español (PDF)
5.3 Network Retail Pharmacy Co-Payments
Network Retail Pharmacy Co-Payments |
|||
|---|---|---|---|
30-Day Supply |
Maintenance Medication (100-Day Supply) |
||
Generic Drugs |
Brand Name Drugs |
Generic Drugs |
Brand Name Drugs |
$0 co-payment |
$10 co-payment |
$0 co-payment |
$20 co-payment |
A listing of the California network pharmacy chains is included in Article 5.9: Partial List of California Network Pharmacy Chains on page 30.