>Non State>Comparison Chart Non State>Prescription Drug Benefits C Non State
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| Prescription Drug Benefits for Plan C - QHDHP | ||
|---|---|---|
| Network | Non Network | |
| Generic | Deductible then $10 Copayment | Deductible then $20 Copayment |
| Preferred | Deductible then $30 Copayment | Deductible then $60 Copayment |
| Non Preferred | Deductible then $55 Copayment | Deductible then $110 Copayment |
Prescription drugs covered by Plan C are subject to an annual Deductible then Copayments. Copay is per each 30 day supply. Plan includes generic incentive program.