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for generic prescriptions, $30 for prescriptions, $45 for \u201cnon-formulary\u201d prescriptions It is recommended that when a staff member fills a prescription, they check to see what the out of pocket expense is for that particular drug.", "Pacific Source Option 1 \u2013 PPO Plan \u2022 <strong>Retail pharmacy</strong> co-pays: $7/$35/$60 prescriptions.", "Contraceptive Drugs and devices $0 Tier 1 Drugs $10/prescription Tier 2 Drugs $25/prescription Tier 3 Drugs $40/prescription Tier 4 Drugs 30% up to $250/prescription <strong>Retail pharmacy</strong> prescription Drugs Per prescription, up to a 90-day supply from a 90-day <strong>retail pharmacy</strong>.", "When using a Participating Pharmacy2 Calendar Year Pharmacy Deductible Per Member $0 Blue Shield of California is an independent member of the Blue Shield Association Prescription Drug Benefits3,4 Your payment When using a Participating Pharmacy2 CYPD1 applies <strong>Retail pharmacy</strong> prescription Drugs Per prescription, up to a 30-day supply.", "G &amp; S: <strong>Retail pharmacy</strong> services including providing select specialty pharmaceuticals.", "Medical Benefits - Blue Cross of Idaho Option 1 \u2013 PPO Plan \u2022 <strong>Retail pharmacy</strong> co-pays: $10 for generic prescriptions, $250 deductible (per person) then $30 for name brand prescriptions and $50 for specialty prescriptions.", "Medical Benefits - Blue Cross of Idaho <strong>Retail pharmacy</strong> co-pays: $10 for generic prescriptions, $250 deductible (per person) then $30 for name brand prescriptions and $50 for \u201cnon-formulary\u201d prescriptions (This change is effective 01/01/2020) It is recommended that when a staff member fills a prescription, they check to see what the out of pocket expense is for that particular drug.", "<strong>Retail pharmacy</strong> encounters incurred from April to June 2021, along with information provided by ODM, served as the baseline experience for modeling the impact of projected utilization changes.", "<strong>Retail pharmacy</strong> benefits are provided through a <strong>retail pharmacy</strong> network.", "Actives and future retirees (retiring 3/17/08 or later with seniority dates preceding 2/1/05) Co-payment <strong>Retail pharmacy</strong> covered drugs for up to a 30-day supply Generic drugs Brand name drugs *Targeted brand $8 $25 $45 Anthem Rx Direct covered drugs for up to a 90-day supply Generic drugs $16 Brand name drugs *Targeted brands $50 $90 *Targeted brands are; Aciphex, Allegra, Allegra-D, Clarinex, Clarinex-D, Nexium, Prevacid, Prilosec, Protonix Zyrtec, Zyrtec-D, Xyzal and Zegerid."], "related": [["pharmacy", "Pharmacy", "Pharmacy"], ["specialty-pharmacy", "Specialty pharmacy", "Specialty pharmacy"], ["retail-marijuana-store", "Retail marijuana store", "Retail marijuana store"], ["network-pharmacy", "Network pharmacy", "Network pharmacy"], ["retailer", "Retailer", "Retailer"]], "related_snippets": [], "updated": 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