Tier 2 Copayment definition

Tier 2 Copayment. Thirty dollar ($30) copayment per prescription or refill for a Tier 2 drug dispensed in a thirty (30) day supply.
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Tier 2 Copayment. Thirty dollar ($30) copayment per prescription or refill for a Tier 2 drug dispensed in a thirty (30) day supply. Tier 3 copayment: Fifty-five dollar ($55) copayment per prescription or refill for a Tier 3 drug dispensed in a thirty (30) day supply. Out of pocket maximum: There is an annual maximum eligible out-of-pocket expense limit for prescription drugs of one thousand and fifty dollars ($1,050) per person or two thousand one hundred dollars ($2,100) per family.
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Examples of Tier 2 Copayment in a sentence

  • For up to a 30-day supply of a Tier 2 drug listed on the Formulary, you pay one Drug Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug on the Formulary, you pay one Drug Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug on the Drug List, you pay one Tier 2 Copayment or Coinsurance.

  • If a generic equivalent exists but a brand name drug is requested, you must pay an ancillary charge equal to the difference between the cost of the generic drug and the brand name drug in addition to the Tier 2 Copayment.

  • What Are Your Covered Benefits?one Drug Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug listed on the Drug Formulary, you pay one Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug on the Formulary, you pay one Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug on the Drug Formulary, you pay one Tier 2 Copayment or Coinsurance.

  • If a member does not satisfy the Tier 0 criteria, the drug shall be subject to a Tier 1 or Tier 2 Copayment, as applicable.

  • The Plan participant must present his/her ID card and pay the dispensing pharmacy (within CDPHN’s designated pharmacy benefit manager’s network) a $10 Tier 1 Copayment; a $35 Tier 2 Copayment; or a $55 Tier 3 Copayment (for a covered Prescription Drug that is neither Tier 1 nor Tier 2).

Related to Tier 2 Copayment

  • Copayment means that you pay a fixed amount each time you fill a prescription.

  • Alternative education program means a school or separate class group designed to best serve students’ educational needs and interests and assist students in achieving the academic standards of the district and the state.