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County - City Pharmacy Co-pay
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DRUG
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30-Day Supply*
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90-Day Supply**
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Diabetic Supplies (90-day Maximum)
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First Tier:
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$5.00
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$12.50
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$0.00
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Second Tier:
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$25.00
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$50.00
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$0.00
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Third Tier:
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$45.00
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$90.00
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$0.00
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* Lesser of 30-day supply or 200 units
** Lesser of 90-day supply or 600 units
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Fourth Tier (Restricted to IV Solutions)
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30-Day Supply
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90-Day Supply
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$60.00
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$150.00
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Network Pharmacy
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DRUG
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Non-Maintenance Fill*
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Maintenance First Fill
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Maintenance Second Fill
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Maintenance Third & Subsequent Fills
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Diabetic Supplies
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First Tier:
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$15.00
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$15.00
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$30.00
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100% of Retail Cost
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Same as Retail Network Co-pay
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Second Tier:
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$40.00
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$40.00
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$80.00
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100% of Retail Cost
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Same as Retail Network Co-pay
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Third Tier:
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$65.00
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$65.00
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$130.00
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100% of Retail Cost
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Same as Retail Network Co-pay
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