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Drug Pricing

Estimated pricing is based on your plan design and is not available for all medications. Medication prices, individual retail pricing and individual copayments may vary. Pharmacist's judgment, your doctor's instructions on how to take the medication, and applicable law may impact the actual dispensed quantity and/or days supply you may receive. Medication costs outside of your prescription program, and sales tax, where applicable, are not included.

This information is intended to serve as a general overview of this prescription benefit program. Access to certain medications may be subject to Prior Authorization, Step Therapy Rules, Quantity Limitations, and Age or Gender Restrictions. Please note that the pricing and coverage terms of this prescription benefit are subject to change. Individual retail pricing may vary.