Archives
HPP Mail Order Non-Preferred Brand Name Coinsurance
60% ($240 max/Rx)
HPP Retail Non-Preferred Brand Name Coinsurance
60% ($120 max/Rx)
HRA Mail Order Non-Preferred Brand Name Coinsurance
60% ($240 max/Rx)
HRA Retail Non-Preferred Brand Name Coinsurance
60% ($120 max/Rx)