![]() There is a separate out-of-pocket maximum for in-network prescriptions. In general, Tier 1 is generic drugs, Tier 2 is preferred brand drugs, and Tier 3 includes non-preferred drugs. Retail and mail order prescription copays are based on a tiered drug list. These copays do not apply towards the plan’s medical deductible, coinsurance, or out-of-pocket maximum. The $500 Deductible plan has set copays for prescriptions. Download the list of preventive medications or contact CVS Caremark directly at 1-86. For those preventive prescriptions, you only pay the 20% coinsurance.
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