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SilverScript Part D Plan Benefits
Prescription	Members Pay
Generic drugs	25% Coinsurance up to a $30 maximum
Preferred brand name drugs	35% Coinsurance up to a $100 maximum
Non preferred brand name drugs	60% Coinsurance up to a $150 maximum
Special case medications	35% Coinsurance up to a $200 maximum
If out-of-pocket expenses exceed $4,550	Generics: $2.50 or 5% Coinsurance Brands: $6.30 or 5% Coinsurance
Maximum supply	60-day supply
Benefits are the same for retail or mail order purchases.