Page 14 - 2015 Advia CU Open Enrollment PPT
P. 14
CB PPO 1500 PLAN
$7 Copay (Generic)
$35 Copay (Brand Formulary)
Approved brand name drugs
$70 Copay (Brand Non-Formulary)
Higher priced brand drugs when lower cost
equivalent exists
$7 Copay (Generic)
$35 Copay (Brand Formulary)
Approved brand name drugs
$70 Copay (Brand Non-Formulary)
Higher priced brand drugs when lower cost
equivalent exists
