Common use of Copayments and annual out-of-pocket maximums Clause in Contracts

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copayment: Eighteen dollar ($18) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copaymentcopayment: Eighteen dollar ($18) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copayment: Eighteen Fourteen dollar ($1814) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copaymentcopayment: Eighteen Twelve dollar ($1812) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copaymentcopayment: Eighteen Fourteen dollar ($1814) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply. Tier 2 copayment: Twenty-five dollar ($25) copayment per prescription or refill for a Tier 2 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copaymentcopayment: Eighteen Ten dollar ($1810) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. 28 For the first and second year of the contract: 2 Tier 1 Copaymentcopayment: Eighteen Ten dollar ($1810) copayment per prescription or refill for a Tier 3 1 drug dispensed in a thirty (30) day supply.. 5 Tier 2 copayment: Sixteen dollar ($16) copayment per prescription or refill for a 6 Tier 2 drug dispensed in a thirty (30) day supply. 8 Tier 3 copayment: Thirty-six dollar ($36) copayment per prescription or refill for

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copaymentcopayment: Eighteen dollar dollars ($18) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copaymentcopayment: Eighteen Ten dollar ($1810) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.thirty

Copayments and annual out-of-pocket maximums. For the first and second year of the contract: Tier 1 Copayment: Eighteen Eighteen-dollar ($18) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply.

Copayments and annual out-of-pocket maximums. 4 For each the first and second year of the contract: 6 Tier 1 Copaymentcopayment: Eighteen Ten dollar ($1810) copayment per prescription or refill for a Tier 7 1 drug dispensed in a thirty (30) day supply.. 9 Tier 2 copayment: Sixteen dollar ($16) copayment per prescription or refill for a 10 Tier 2 drug dispensed in a thirty (30) day supply. 12 Tier 3 copayment: Thirty-six dollar ($36) copayment per prescription or refill for

Copayments and annual out-of-pocket maximums. 12 For the first and second year of the contract: 13 14 Tier 1 Copaymentcopayment: Eighteen Fourteen dollar ($1814) copayment per prescription or refill for a Tier 1 15 drug dispensed in a thirty (30) day supply.