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Prudent rx specialty drug list 2022

This information is intended for use by health professionals. 1. Name of the medicinal product. Naproxen Tablets BP 500mg. 2. Qualitative and quantitative composition. Each tablet contains 500mg Naproxen BP. Excipient with known effect: Lactose. For full list of excipients, see section 6.1.
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Beginning January 1, 2022, the CVS Caremark prescription plan includes the PrudentRx program for specialty medications. This program is designed to lower out-of-pocket costs by assisting with enrollment in drug manufacturers’ discount copay cards and assistance programs. When enrolled in PrudentRx, out-of-pocket cost will be $0 for.
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Yes. You may change doctors for any reason, as long as the new doctor you select is a CommunityCare Senior Health Plan provider. Simply call Customer Service at (918) 594-5323 and we will help you select another doctor. (TTY/TDD users should call 1-800-722-0353 ).
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PrudentRx, a specialty program introduced to clients in 2020 and a dopted by many for the 2021 plan year, prevents manuf acturer copay assista nce programs from circumventing a payor's plan design, saving money for our clients. The ... The Drug Trend Report Revised May 2, 2022.
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CVS Health to hold second quarter 2022 earnings conference call. Press Release - July 13, 2022. Consumers want a more connected, personal health care experience, new CVS Health study reveals. Press Release - July 11, 2022. CVS Health names Tilak Mandadi Executive Vice President and Chief Data, Digital and Technology Officer.
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You’ll need a minimum deposit of $1,000, but you have the flexibility of either having your interest paid out annually into a Motive Savings Account or having the.
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Prescribing steroids is essential to successful clinical practice and good patient outcomes. When a patient with a compromised cornea presents, doctors must use caution to determine if corticosteroids could cause harm. Clinicians must look for key signs—everything from infectious keratitis to epithelial defects and even active systemic.
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Members are not required to use a CVS Pharmacy, may continue to use current pharmacy including Walgreens Specialty Medications-A prescription drug that is self administered, required special handling, monitoring and is usually high cost. Prudent Rx (Replaces SaveOn) A program that reduces out of pocket costs to $0 on select specialty medications on our plans designated.
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2022. 3. 22. · The PrudentRx program, in coordination with our company, is making it possible to get your specialty medications at no out of pocket cost to our employees on any covered specialty medication on our plan's designated specialty drug list when you fill your prescription at CVS Specialty Pharmacy. WhatActionDoI Needto Taketo Complete.
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The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. Listing of a code in this policy does not imply that the service described by the code is a covered or non -covered health service. Important Notice from Government Employees Health Association, Inc. About . Our Prescription Drug Coverage and Medicare. OPM has determined that the Government Employees Health Association, Inc. prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage..

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a medical device (other than an active implantable medical device) that is intended by the manufacturer: to be, by surgical intervention, wholly introduced into the body of a human being, and to remain in place after the procedure; or. to replace, by surgical intervention, an epithelial surface, or the surface of an eye, of a human being, and. o General wage increases of 2.5% effective July 1, 2021 (retro-active payment); July 1, 2022; and June 30, 2023. o Employees shall receive annual increments (steps) in each of the first three years of the contract ... Prudent Rx is a completely voluntary program that allows our insurance plan to work directly with drug manufacturers in order to. The claim made by many PBMs that their practices result in lower prescription drug costs may seem reasonable at first blush, but begins to fade as you consider that: (1) the 2022 Segal Health Plan.

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Prescription Drug Coverage This plan uses an Essential formulary List. Drugs not on the list are not covered. Preventive Drugs Preventive Rx Plus: Deductible is waived for certain drugs for diabetes, asthma, heart health, high blood pressure, high cholesterol, stroke, and osteoporosis. Tier1a - Typically Lower Cost Generic Not covered Not covered. Bloomberg Industry Group provides guidance, grows your business, and remains compliant with trusted resources that deliver results for legal, tax, compliance, government affairs, and government contracting professionals.. DHS bulletins are official communication to inform county and tribal staff, as well as other DHS business partners, about program changes and required actions by workers and partner agencies. According to DHS policy, bulletins that are more than 2 years old that are not reissued are considered obsolete. Therefore, bulletins more than 2 years.

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Severe Interactions. These medications are not usually taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. RIVAROXABAN/P-GP AND STRONG CYP3A4.

  • Rx Tools; Contact; Log in Members Employers Providers Producers. Shop Plans Overview ... Specialty Drug List - updated August 2022. Value Based Design (VBD) Drugs. 2022 NetResults Value Based Design (VBD) Drug List* - Updated January 2022 * This is not included with all benefit plans. Please review your benefit plan materials to determine coverage. Lopressor is used with or without other medications to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Lopressor is also used for the long-term treatment of chest pain (angina), to improve survival after heart attack (myocardial infarction), and to treat irregular. Potential foster parents need to be licensed and approved, and Minnesota requires foster parents to meet requirements prior to placing a child in your home. If you are related to your potential foster child, your county agency can place a child with you if you are unlicensed as long as you quickly complete the licensing process and meet the required state standards.. Any request to change an initial adverse decision must be handled through the appeals process — not through a peer-to-peer discussion. If you disagree with an adverse preapproval decision and wish it to be reconsidered, you must request an appeal by contacting MeridianComplete Member Services at 1-855-580-1689.

  • This list may be amended or changed based on rules of the Affordable Care Act (ACA). For more information about the prescription drug options, see the Prescription section. Members who are experiencing chronic or complex conditions may be eligible for the PrudentRX Copay Program. To learn more, contact Caremark Specialty Pharmacy at 1-800-237-2767.. This plan uses a traditional Drug List . Drugs not on the list are not covered. Tier 1 - Typically Generic Covers up to a 30 day supply (retail pharmacy). Covers up to a 90 day supply (home delivery program). You pay additional copays or coinsurance on all tiers for retail fills that exceed 30 days. Member pays the retail pharmacy copay plus 50%.

The benefits and adverse effects of intensive BP lowering was the main goal of a meta-analysis, which included 4 trials involving 10,857 older hypertensive patients [].Assessment of the efficacy and safety of intensive BP-lowering strategies in hypertensive patients aged more than 65 years, intensive BP lowering was associated with reduction of 29% in major.

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Enter online to win any of the Drawn Hunts in the 2022-2023 season. Choose from more than 9,500 hunts, including some new ones. Each entry will cost anywhere from $0 to $10, and Youth Only category entries are always free. Big Time Texas Hunts Entries are on Sale Now!.

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  • Yes. You may change doctors for any reason, as long as the new doctor you select is a CommunityCare Senior Health Plan provider. Simply call Customer Service at (918) 594-5323 and we will help you select another doctor. (TTY/TDD users should call 1-800-722-0353 ).

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CVS' web site states that their copay card program, PrudentRx , was introduced in 2020 and adopted by a number of clients for 2021. Those that signed on with the program saw 12.5% decrease in their specialty drug spend on average, while those who were not enrolled in the program saw costs increase by 7.4% on average.

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solutions Advanced Control Specialty Formulary (ACSF), Exclusive Specialty, and True Accumulation, it delivers significant member and plan savings for all specialty medications on the client’s exclusive specialty drug list. “After speaking with my PrudentRx representative, I was delighted to find out I will have a $0 out-of-pocket cost.”. Your Plan: Producers' Health Benefits Plan: Custom Anthem PPO HSA-H 2700/2800/5400/20 (with Rx Choice) Your Network: Prudent Buyer PPO Covered Medical Benefits Cost if you use an In- ... Specialist 20% coinsurance after deductible is met ... Prescription Drug Coverage Cost shares for drugs included on the Essential drug list appear below. Drugs. Call us if you’re a pharmacist or patient looking for support. (800) 657-7613. Visit the copay help site if you’re a pharmacist or patient looking for support. Learn more about McKesson solutions for biopharma and life sciences companies. Get in Touch.

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Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subject to change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with CVS Specialty. pounding in your neck or ears, loss of appetite, stomach pain (upper right side), flu-like symptoms, itching, dark urine, and. yellowing of the skin or eyes (jaundice) Get medical help right away, if you have any of the symptoms listed above. The most common side effects of Trandate include:.

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pharmacokinetic profile of the drug and potentially result in lower plasma concentrations. In a multiple dose study in 26males with type2 diabetes, the pharmacokinetics of glipizide were linear over the dose range of 5 to 60mg of glipizide extended-release tablets in that the plasma drug concentrations increased proportionately with dose. The due diligence of investment decisions in the highly regulated pharmaceutical and healthcare industry requires a special field of analysis: regulatory due diligence. Transparency with regard to marketability and potential compliance risks throughout a product’s life cycle is the key to finding a prudent purchase price for medicinal. MOORESTOWN, N.J., June 21, 2022 /PRNewswire/ -- Tabula Rasa HealthCare, Inc. ® (NASDAQ: TRHC), a leading healthcare technology company advancing the safe use of medications, announced today that it has entered into a definitive agreement to sell its PrescribeWellness business, a provider of best-in-class patient relationship. PrudentRx will work with you to obtain $0 out-of-pocket coverage for select high-cost specialty limited distribution drugs. PrudentRx will connect you with drug manufacturers who provide copay card assistance as well as guide you through the copay card renewal process when necessary. Drug overdoses can be accidental or intentional, and they can be caused by either recreational or over-the-counter drugs. ... (800-222-1222), it would be prudent for you to take the overdosed person to the nearest hospital's emergency department or medical facility. ... An emergency-medicine specialist in a hospital's emergency department.

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Shown Here: Public Law No: 108-173 (12/08/2003) Medicare Prescription Drug , Improvement, and Modernization Act of 2003 - Title I: Medicare Prescription Drug Benefit (Sec. 101) Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Voluntary Prescription Drug Benefit Program). Establishes a new optional Medicare prescription <b>drug</b> benefit.

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  • The Drug List is effective on January 1st, except for Commercial Fully-Insured policies issued in Illinois, Louisiana, Puerto Rico, and Texas where Drug List changes are effective on a plan's renewal date. These States will continue to use the 2021 version of this Drug List until the plan's renewal date in 2022. You can find that Drug List at.

  • premium (a penalty) if you later decide to join a Medicare drug plan. NOTICE about your 2022 Prescription Drug Coverage and Medicare . Page 2 of 4 Questions and Answers ... program, the cost for specialty drugs on the Prudent Rx specialty drugs list is $0. * Applies to Medical and Pharmacy benefits ** Applies to Medical benefits only . Page 3 of 4.

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  • Not covered All non-preferred brand drugs on this copay level are not on the Preferred Specialty Drug List.* Discuss using alternatives with your physician or pharmacist. Prudent Rx Copay Program (enrollment required) $0 with The PrudentRx Copay Program As part of your prescription plan, The PrudentRx Copay Program allows you to get all of your.

  • In order to provide greater information to health care practitioners and the general public, Canada’s Research Based Pharmaceutical Companies (Rx&D) and the Canadian Generic Pharmaceutical Association (CGPA) began collecting information on behalf of their individual member companies on current and impending drug shortages in the fall of 2011.

Drug Coverage. Refer to Prescription (Rx) Drug. Drug Maximum per Calendar Year. The total annual amount that a health plan will pay for your prescription (Rx) drugs for the year. If the total cost of your prescriptions is more than the drug maximum in the year, you will have to pay the additional cost. Many plans do not have a drug maximum. The Annual Enrollment Notices & Disclosures Booklet contains applicable Legal Notices and Disclosures regarding HIPAA, COBRA, FMLA, Workers Compensation and Health Care Reform applicable to PCSB. 2022 Rate Chart. 2022 Comparison Chart. $75 Per-Pay Board Contribution credit - if you don't enroll in a PCS-sponsored medical plan.

This major final rule addresses: Changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; Medicare Shared Savings.

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The Best Pet Insurance Plans. Embrace – Best For Superior Benefits. Pets Best – Great For Choices Of Deductible. ManyPets – Best For. We also remain focused on keeping member costs low so they can afford their medications. We expect the changes effective January 1, 2021 to save $4.4 billion — $130 per member — for clients aligned to our template formularies. $4.4B client savings. $130 savings per member. 99.6% of members will not experience any changes from formulary.

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Important Notice from Government Employees Health Association, Inc. About . Our Prescription Drug Coverage and Medicare. OPM has determined that the Government Employees Health Association, Inc. prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage.. However, since it is a CNS-active drug, the manufacturers recommend that therapy with buspirone be administered cautiously in addiction-prone individuals, such as those with a history of alcohol or substance abuse. It may be prudent to refrain from dispensing large quantities of medication to these patients. Representatives are available Monday through Friday from 8 a.m. to 8 p.m. ET ACROMEGALY BYNFEZIA PEN 1 octreotide SANDOSTATIN SANDOSTATIN LAR DEPOT 1 SOMATULINE 1 SOMAVERT 1 ALPHA-1 ANTITRYPSIN DEFICIENCY ARALAST 1 GLASSIA 1 ZEMAIRA 1 AMYLOIDOSIS VYNDAMAX 1 VYNDAQEL 1 ANEMIA SIMPONI ARANESP EPOGEN 1 PROCRIT 1 REBLOZYL 1 RETACRIT ASTHMA. Office Visits (Primary Care/Specialist) Deductible then 0% coinsurance: ... PREV/RX: $20/$90 (deductible waived) LEVEL 1: $20/$90/$160/30% to $400 per script LEVEL 2: $20/$100/$170/40% up to $500 per script: ... Anthem Select Drug List (1) Benefit Disclaimer: We do not guarantee or warrant the correctness or completeness of the benefit.

Wegovy is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. The lowest GoodRx price for the most common version of Wegovy is around $1,318.90, 15% off the average retail price of $1,568.66. Compare GLP-1 agonists. Prescription Settings. brand.

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Our expertise in plan design, specialty pharmacy and manufacturers programs allow us to create customized programs for our clients that optimize savings for both members and plan sponsors. PrudentRx is committed to providing premium service to the members, taking into consideration each member's individual needs. 3820 Northdale Blvd Ste 311-A. Specialty Drugs; You pay . $15; $50; $80; 30% (if you participate in Prudent Rx, your Rx is FREE) You pay: 100% until you meet your deductible. 20% for all drugs after you meet your deductible. You can use your HSA to pay for prescription drug costs. Mail Order (up to a 90-day supply. Generic; Preferred Brand; Non-preferred Brand; Specialty. Health Canada is responsible for protecting human and animal health and the safety of Canada's food supply. Through the Veterinary Drugs Directorate (VDD), Health Canada evaluates and monitors the safety, quality and effectiveness, sets standards and promotes the prudent use of veterinary drugs administered to food-producing and companion animals. Praluent side effects. Get emergency medical help if you have signs of an allergic reaction to Praluent: hives, severe rash and itching; difficult breathing; swelling of your face, lips, tongue, or throat. Common Praluent side effects may include: redness, itching, soreness, or swelling where an injection was given; flu symptoms; or. Shown Here: Public Law No: 108-173 (12/08/2003) Medicare Prescription Drug , Improvement, and Modernization Act of 2003 - Title I: Medicare Prescription Drug Benefit (Sec. 101) Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Voluntary Prescription Drug Benefit Program). Establishes a new optional Medicare prescription <b>drug</b> benefit.

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Your prescription drug coverage will change for 2022 to include a separate Tier structure for Specialty Drugs: Tier 1 $5, Tier 2 $150, Tier 3 $350, Tier 4 $500 You have access to a program "Preferred 90" at retail which provides you with additional discounts and allows you to purchase a 90-day supply of most maintenance drugs at retail through. Click on "More" below - certain brand name medications at $0 Co-pay More. MORE NEWS & ANNOUNCEMENTS; Upcoming Meetings Mass. Municipal Reinsurance Arrangement. Date: Monday, June 6,, 2022 Time: 11:00 A.M. Location: Virtual. Next CCMHG Board Meeting. Wednesday, July 20, 2022 10:00 A.M. Barnstable Town Hall 367 Main St Hyannis MA 02601.

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Important Notice from Government Employees Health Association, Inc. About . Our Prescription Drug Coverage and Medicare. OPM has determined that the Government Employees Health Association, Inc. prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage.. Drug Coverage. Refer to Prescription (Rx) Drug. Drug Maximum per Calendar Year. The total annual amount that a health plan will pay for your prescription (Rx) drugs for the year. If the total cost of your prescriptions is more than the drug maximum in the year, you will have to pay the additional cost. Many plans do not have a drug maximum.

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drugs continually enter the market or listed drugs are removed when additional infor-mation becomes available. To fill this knowl-edge gap, NIOSH will update an internet list periodically, adding new drugs considered to be hazardous and removing those that re-quire reclassification. This hazardous drug list will be posted on the NIOSH Web site. 50% coinsurance for erectile or sexual dysfunction drugs applies to retail and mail order (Refer to EOC for details.) Note: A $1,000 maximum copay for each person each calendar year applies (only includes generic, preferred brand, and specialty medication copays on Optum home delivery or at Preferred 90 pharmacies). 5 Prescription drug benefits. solutions Advanced Control Specialty Formulary (ACSF), Exclusive Specialty, and True Accumulation, it delivers significant member and plan savings for all specialty medications on the client’s exclusive specialty drug list. “After speaking with my PrudentRx representative, I was delighted to find out I will have a $0 out-of-pocket cost.”. VERAPAMIL HCL (Generic for CALAN) Lifestyle Interactions. Verapamil Hydrochloride 80mg, Oral tablet. Alcohol. · Severity: Major. · Notes for Consumers: Do not drink alcohol while taking this medication. Drinking alcohol while taking this medication can cause confusion, dizziness, lightheadedness, increased risk of falling, and increases the. Extra Help - A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, such as premiums, deductibles and coinsurance. Generic Drug - A prescription drug that is approved by the Food and Drug. Administration (FDA) as having the same active ingredient (s) as the brand name drug. Representatives are available Monday through Friday from 8 a.m. to 8 p.m. ET ACROMEGALY octreotide SANDOSTATIN SANDOSTATIN LAR DEPOT 1 SOMATULINE 1 SOMAVERT 1 ALPHA-1 ANTITRYPSIN DEFICIENCY ARALAST 1 GLASSIA 1 ZEMAIRA 1 AMYLOIDOSIS VYNDAMAX 1 VYNDAQEL 1 ANEMIA ARANESP EPOGEN 1 PROCRIT 1 REBLOZYL 1 RETACRIT ASTHMA CINQAIR 1 FASENRA 1 NUCALA.

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Extra Help - A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, such as premiums, deductibles and coinsurance. Generic Drug - A prescription drug that is approved by the Food and Drug. Administration (FDA) as having the same active ingredient (s) as the brand name drug. Beginning January 1, 2022, the CVS Caremark prescription plan includes the PrudentRx program for specialty medications. This program is designed to lower out-of-pocket costs by assisting with enrollment in drug manufacturers’ discount copay cards and assistance programs. When enrolled in PrudentRx, out-of-pocket cost will be $0 for.

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MOORESTOWN, N.J., June 21, 2022 /PRNewswire/ -- Tabula Rasa HealthCare, Inc. ® (NASDAQ: TRHC), a leading healthcare technology company advancing the safe use of medications, announced today that it has entered into a definitive agreement to sell its PrescribeWellness business, a provider of best-in-class patient relationship. Certain drugs may have a Prior-Authorization requirement. Coverage is limited up to a 30-day supply (retail) and up to a 90-day supply (CVS Pharmacy and home delivery). Specialty drugs (Tier 4) Retail and Mail Order Prudent Rx 30%. Non-Prudent Rx Same as Generic and Brand. Not covered Certain drugs may have a Prior-. Glipizide tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Glipizide tablets are contraindicated in patients with: 1. Known hypersensitivity to the drug. 2. Type 1. Specialty Drugs; You pay . $15; $50; $80; 30% (if you participate in Prudent Rx, your Rx is FREE) You pay: 100% until you meet your deductible. 20% for all drugs after you meet your deductible. You can use your HSA to pay for prescription drug costs. Mail Order (up to a 90-day supply. Generic; Preferred Brand; Non-preferred Brand; Specialty.

Wegovy is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. The lowest GoodRx price for the most common version of Wegovy is around $1,318.90, 15% off the average retail price of $1,568.66. Compare GLP-1 agonists. Prescription Settings. brand.

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Plan Year 1/1/2022– 12/31/2022. Welcome to Open Enrollment! ... Prudent Buyer. 4. Classic PPO plan: This is a buy-up PPO; richer benefits. Freedom of Choice. Herring will pay 100% of the ... Prescription Drug Deductible $150 / $450 None 5 or 20 / 40 / 60 / 30% up to.