|
Prescription Drug Coverage
Preventive
Non-Preventive Generic
Non-Preventive Preferred Brand
Non-Preventive Non-preferred brand
Non-Preventive Specialty
|
Retail 30 Day Supply
100% Covered
No Coverage
No Coverage
No Coverage
No Coverage
|
Mail Order 90 day Supply
100% Covered
No Coverage
No Coverage
No Coverage
No Coverage
|