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Prescription Drugs
Prescription Coverage

Prescription drug coverage includes coverage for generic, brand name drugs on a formulary, and also non-formulary brand name drugs.  Some restrictions apply for non-formulary brand drugs.  Coverage for prescriptions on the various health plans is as follows:

 Generic  $7.00 10%
 Formulary Brand



 Non-formulary Brand



* Prescription drugs are treated as any other non-preventive, medical expense and are subject to the deductible and apply to the out-of-pocket.

For long-term maintenance medications, mail-order pharmacy is available by paying two times the co-pay for 90 days supply.  Administered by Express Scripts.

Loudoun On
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