Common use of Prescriptions Clause in Contracts

Prescriptions. Prescription drugs available at the Sindecuse Health Center pharmacy through the PPO plan’s five (5)-tier formulary with co-pay levels of $10/$30/$60/15%-$120/25%-$240, for generic, preferred brands, and non-preferred brands, preferred specialty, and non-preferred specialty, respectively. A ninety (90) day supply of maintenance drugs available for a 2.25x co-pay, except that “first fill” prescriptions will be limited to a 30-day supply at a reduced co-pay.

Prescriptions. Prescription drugs shall be available at the Sindecuse Health Center pharmacy through the PPO plan’s five (5)-tier formulary with co-pay levels of $10/$30/$60/15%-$120/25%-$240, for generic, preferred brands, and non-preferred brands, preferred specialty, and non-preferred specialty, respectively. A ninety (90) day supply of maintenance drugs will be available for a 2.25x co-pay, except that “first fill” prescriptions will be limited to a 30-day supply at a reduced co-pay.

Prescriptions. Prescription drugs shall be available at the Sindecuse Health Center pharmacy through the PPO plan’s five (5)-tier formulary with co-pay levels of $10/$30/$60/15%-$120/25%-$240, at the same rate as non-university pharmacies for generic, preferred brands, and non-preferred brands, preferred specialty, and non-preferred specialty, respectively. A ninety (90) day supply of maintenance drugs will be available for a 2.25x co-pay, except that “first fill” prescriptions will be limited to a 30-day supply at a reduced co-pay.

Prescriptions. Prescription drugs shall be available at the Sindecuse Health Center pharmacy through the PPO plan’s five (5)-tier 5) -tier formulary with co-pay levels of $10/$30/$60/15%-$120/25%-$240, at the same rate as non-university pharmacies for generic, preferred brands, and non-preferred brands, preferred specialty, and non-preferred specialty, respectively. A ninety (90) day supply of maintenance drugs will be available for a 2.25x co-pay, except that “first fill” prescriptions will be limited to a 30-day supply at a reduced co-pay.

Prescriptions. Prescription drugs shall be available at the Sindecuse Health Center pharmacy through the PPO planplan provider’s five (5)-tier three-tier formulary with co-pay levels of $10/$30/$60/15%-$120/25%-$24010/$30/$40, for generic, preferred brands, and non-preferred brands, preferred specialty, and non-preferred specialty, respectively. A ninety (90) day supply of maintenance drugs will be available for a 2.25x one co-paypay during calendar year 2012 and 2013 and for a 1.25 co-pay for calendar year 2014, except that “first fill” prescriptions will be limited to a 30-day supply at a reduced co-pay.