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<blockquote data-quote="The Other Side" data-source="post: 1138408" data-attributes="member: 17969"><p>Prescription outline.. TEAMCARE</p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">(friend) Prescription Drug</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">Benefit (continued)</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">(2) Retail pharmacy (TeamCare and non-TeamCare pharmacies): except for non-exempt maintenance medications (described below in [3]) the Plan pays 75% of covered charges (25% co-payment) and, for</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">non-exempt maintenance medications</span></span></span></span><em><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">, </span></span></span></span></em><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">the Plan </span></span></span></span><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">pays 50% of covered charges (50% co-payment)</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">after a two-fill transition period in which the Plan pays 75% of covered charges (25% co-payment), provided that for each filled prescription purchased from a TeamCare RX retail pharmacy (other than a</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">non-exempt maintenance medication purchased after the above-referenced two-fill transition period) the maximum co-payment is $200.</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">(3) A maintenance medication is any prescription drug taken by a Covered Individual over a period exceeding sixty (60) days, other than a drug exempt by the Plan from this classification (exempt drugs</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">include injectable drugs, specialty medications and antidepressants as determined by the Plan).</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p> <span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">(4) If a generic drug equivalent is available to fill a prescription, the Covered Individual must choose the generic drug or pay (in addition to the copayment)</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">the difference in cost between the generic drug and the brand name drug (if the brand name drug is chosen rather than the available generic</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">drug, the above-stated $200 maximum [for each filled prescription purchased through the TeamCare RX program] is inapplicable and does not limit the</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">amount payable by the Covered Individual).</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p></blockquote><p></p>
[QUOTE="The Other Side, post: 1138408, member: 17969"] Prescription outline.. TEAMCARE [FONT=Arial][SIZE=3][FONT=Arial][SIZE=3](friend) Prescription Drug Benefit (continued) (2) Retail pharmacy (TeamCare and non-TeamCare pharmacies): except for non-exempt maintenance medications (described below in [3]) the Plan pays 75% of covered charges (25% co-payment) and, for [/SIZE][/FONT][/SIZE][/FONT][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3]non-exempt maintenance medications[/SIZE][/FONT][/SIZE][/FONT][I][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3], [/SIZE][/FONT][/SIZE][/FONT][/I][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3]the Plan [/SIZE][/FONT][/SIZE][/FONT][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3]pays 50% of covered charges (50% co-payment) after a two-fill transition period in which the Plan pays 75% of covered charges (25% co-payment), provided that for each filled prescription purchased from a TeamCare RX retail pharmacy (other than a non-exempt maintenance medication purchased after the above-referenced two-fill transition period) the maximum co-payment is $200. (3) A maintenance medication is any prescription drug taken by a Covered Individual over a period exceeding sixty (60) days, other than a drug exempt by the Plan from this classification (exempt drugs include injectable drugs, specialty medications and antidepressants as determined by the Plan). (4) If a generic drug equivalent is available to fill a prescription, the Covered Individual must choose the generic drug or pay (in addition to the copayment) the difference in cost between the generic drug and the brand name drug (if the brand name drug is chosen rather than the available generic drug, the above-stated $200 maximum [for each filled prescription purchased through the TeamCare RX program] is inapplicable and does not limit the amount payable by the Covered Individual). [/SIZE][/FONT][/SIZE][/FONT] [/QUOTE]
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