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Rx coverages

Horizontales
Members will not have a LEP as long as they have had this type of coverage prior to joining one of our Rx plans
This tier of medications has 25% coinsurance under 4 of the 5 BCMN Rx coverage options
Walmart and Target are both this type of pharmacy under Medicare Blue Rx plans
While in the coverage gap, members pay 58% for _____ medications
This is a valid enrollment reason for Rx coverage, but does not apply if a member already has A and is just starting B
Mail order for Platinum Blue with Rx plans is done through this company (2 words)
This type of brand-name medications are classified as Tier 4
Currently $360 for all BCMN drug plans that have one, but doesn't necessarily apply to all medications
Mail order for Medicare Blue Rx plans is done through this company (2 words)
Verticales
This tier was added to Platinum Blue with Rx plans and should be tier 0 not tier 6 based on pricing (2 words)
This level of Platinum Blue with Rx has a copay for Select Care medications
Insulin Syringes and needles fall here in the formularies for all BCMN drug plans (2 words)
This drug coverage option still has copays during the coverage gap (3 words)
During catastrophic coverage, members pay either a low copay or 5% _____, whichever is greater
This nationwide pharmacy, while quite popular, is a Standard cost sharing pharmacy for Medicare Blue Rx.
This stage of coverage occurs after a member's TrOOP reaches $4850 in 2016
Members enter this when the total cost of their medications reaches $3310 for 2016 (2 words)
This stage of coverage happens after any applicable deductible is met, but before the member reaches the "donut hole"