Prescriptions
|
You pay
|
Retail Rx
|
Paid in full after deductible
|
Home delivery Rx
|
Paid in full after deductible
|
Cost Share amounts listed in the chart are for service performed at in-network providers.
1 Off Pennie available if under age 30. On Pennie available if under age 30 or if you qualify for a hardship exemption through Pennie.
