953 | Back | 2003 Health Benefit Agreement |
Deductibles and Co-Pay |
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(f) The Individual and Family Out-of-Network Deductibles under the Plan’s MMCP will be increased to $200 and $600, respectively. (g) The Plan’s Prescription Drug Card Program co-payments per prescription are revised as follows: (i) Generic Drug - $5.00; (ii) Brand Name Drug - $10.00. The Plan’s Mail Order Prescription Drug Program co-payment is revised as follows: (i) Generic Drug - $10.00; (ii) Brand Name Drug - $15.00.
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