Single-Source Brand definition
Examples of Single-Source Brand in a sentence
Prescription Plan: The Prescription Plan shall consist of the following copays: Generic $10 (ten dollars), Single-Source Brand $20 (twenty dollars), Multi-Source Brand $30 (thirty dollars), and mail-order copays remain the same for a 90-day (ninety-day) supply.
Benefit Period January 1st through December 31st Dependent Age Limit Same as Medical Generic Co-payment $14 30 day Single-Source Brand Name Copayment $28 30 day Multi-Source Brand Name Copayment $28 30 day Generic Co-payment $28 90 day Single-Source Brand Name Copayment $56 90 day Multi-Source Brand Name Copayment $56 90 day Note: Benefits will be determined based on Medical Mutual’s medical and administrative policies and procedures.
Prescription Plan: The Prescription Plan shall consist of the following copays: Generic $10 (ten dollars), Single-Source Brand $20 (twenty dollars), Multi- Source Brand $30 (thirty dollars), and mail-order copays remain the same for a 90-day (ninety-day) supply.
The Prescription Plan shall consist of the following copays: Generic $10 (ten dollars), Single-Source Brand $20 (twenty dollars), Multi-Source Brand $30 (thirty dollars), and mail-order copays remain the same for a 90-day (ninety-day) supply.