Silverscript SmartRx – S5601-205

Premium: $6.30

Deductible: $445 (Tiers 2-5)

Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

Silverscript Choice – S5601-060

Premium: $31.30

Deductible: $260 (Tiers 2-5)

Summary of Benefits

Evidence of Coverage

Comprehensive Formulary

SilverScript Plus – S5601-061

Premium: $75.00

Deductible: $0

Summary of Benefits

Evidence of Coverage

Comprehensive Formulary


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Central Financial Services