Type of Drug Prescriptions. for 1-45 Days (1 copay) Prescriptions for 46-90 Days (2 copays) Generic drug $10 $20 Preferred brand name drug $25 $50 Non-preferred brand name drug $40 $80 Effective July 1, 2011, for each plan year the Prescription Drug annual out-of-pocket copay maximum shall be $1,000 for individual coverage and $1,500 for employee and spouse, employee and child, or employee and family coverage.
Appears in 8 contracts
Samples: Mou for Bargaining Unit E Preamble, Mou for Bargaining Unit E Preamble, Mou for Bargaining
Type of Drug Prescriptions. for 1-45 Days (1 copay) Prescriptions for 46-90 Days (2 copays) Generic drug $10 $20 Preferred brand name drug $25 $50 Non-preferred brand name drug $40 $80 Effective July 1, 2011, for For each plan year the Prescription Drug annual out-of-pocket copay maximum shall be $1,000 for individual coverage and $1,500 for employee and spouse, employee and child, or employee and family coverage.
Appears in 7 contracts
Samples: Mou for Bargaining, Mou for Bargaining, Mou for Bargaining Unit E Preamble
Type of Drug Prescriptions. for 1-1- 45 Days (1 copay) Prescriptions for 46-46- 90 Days (2 copays) Generic drug $10 $20 Preferred brand name drug $25 $50 Non-preferred brand name drug $40 $80 Effective July 1, 2011, for For each plan year the Prescription Drug annual out-of-pocket copay maximum shall be $1,000 for individual coverage and $1,500 for employee and spouse, employee and child, or employee and family coverage.
Appears in 1 contract
Samples: Mou for Bargaining
