PRESCRIPTION BENEFIT
EPO Zero Copay Plan
Plan Features
IN NETWORK
Generic Drugs
Covered 100%
Preferred Brand Drugs
Covered 100%
Non-Preferred Brand Drugs
Covered 100%
Specialty Drugs
Covered 100%
Covers 30 day supply (retail), 31-90 day supply (mail order). Includes contraceptive drugs & devices obtainable from a pharmacy, oral & injectable fertility drugs. No charge for preferred generic FDA-approved women's contraceptives in-network. Review your formulary for prescriptions requiring precertification or step therapy for coverage. If you have any questions please contact customer services for Capital Rx at 855-227-7928
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MEDICAL PLAN I
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