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| Prescription Drug Chronic Care Benefit for Plan A and Plan B | ||
|---|---|---|
| Prescription Drugs for: | Prescription Drug Product | Member Responsibility Per 30-Day Supply |
| Diabetes | Generic drug | 10% to a maximum of $10 |
| Preferred brand name drug | 20% to a maximum of $20 | |
| Asthma | Generic drug | 10% to a maximum of $10 |
| Preferred brand name drug | 20% to a maximum of $20 | |