Common use of PharmacyBenefits See Summary of Pharmacy Benefits Clause in Contracts

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration by a licensed health care provider*: Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 0% - After deductible 40% - After deductible Infused drugs 0% - After deductible 40% - After deductible

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration by a licensed health care provider** : Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 010% - After deductible 40Not Covered Infused drugs 10% - After deductible Infused drugs 0% - After deductible 40% - After deductibleNot Covered

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration requiringadministration by a licensed health care provider*: Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 0% - After deductible 4020% - After deductible Infused drugs 0% - After deductible 4020% - After deductible

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration requiringadministration by a licensed health care provider*: Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 0% - After deductible 40% - After deductible Infused drugs 0% - After deductible 40% - After deductible

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration requiringadministration by a licensed health care provider** : Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 010% - After deductible 40Not Covered Infused drugs 10% - After deductible Infused drugs 0% - After deductible 40% - After deductibleNot Covered

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration by a licensed health care provider** : Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 0% - After deductible 40% - After deductible Infused drugs 0% - After deductible 40% - After deductible

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration requiringadministration by a licensed health care provider*: Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 030% - After deductible 4050% - After deductible Infused drugs 030% - After deductible 4050% - After deductible

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration requiringadministration by a licensed health care provider*: Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 020% - After deductible 40% - After deductible Infused drugs 020% - After deductible 40% - After deductible

PharmacyBenefits See Summary of Pharmacy Benefits. Medical prescription drugs requiring administration requiringadministration by a licensed health care provider** : Medical prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 0% - After deductible 40% - After deductible Not Covered Infused drugs 0% - After deductible 40% - After deductibleNot Covered