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MEDICATION LIST:

For Further Information: Call 1-866-893-MEDS (6337)

Medications Available

Note: Prescription Medications names appearing with (G) are available in a generic version from your local or U.S. mail order pharmacy. For a greater savings to your healthcare plan, ask your Physician about taking a Generic equivalent of your medication.

DPHRx

vs.

Current local purchase plan

Annual Cost
No co-pays
 

Mail Order
Co-Pays

X Refills = Annual Savings
$0 vs. $200 (Tier 2) X 4 = $800 / Script
vs. $300 (Tier 3) X 4 = $1,200 / Script


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