• April 12, 2021

UHC Prescription Copay

Medical Plan Choice UHC Choice Plus/Options Plan UHC Health Savings Plan
Prescriptions Retail
30 day supply
Mail Order
90 day supply
Retail
30 day supply
Mail Order
90 day supply
Tier 1 $10 $20 80%* 80%*
Tier 2 $30 $60 80%* 80%*
Tier 3 $60 $120 80%* 80%*
Tier 4 $90 $180 80%* 80%*

* = After deductible

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