Florida EnvisionRxPlus Silver |
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2014 | 2015 | |||||||
Monthly Premium | $66.30 | $75.00 | ||||||
Initial Deductible | $310 | $320 | ||||||
Gap Coverage | No Gap Coverage | No Gap Coverage | ||||||
Tier | Cost-Sharing | Drugs on Tier |
Tier | Cost-Sharing | Drugs on Tier |
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1 | Preferred Generics | $10 | 526 | 1 | Preferred Generics | $2 | 1093 | |
2 | Non-Preferred Generics | 25% | 1,306 | -- | -- | -- | -- | |
3 | Preferred Brand | $45 | 269 | 2 | Preferred Brand | 15% | 294 | |
4 | Non-Preferred Brand | 45% | 376 | 3 | Non-Preferred Brand | 38% | 1,201 | |
5 | Specialty Tier | 33% | 254 | 4 | Specialty Tier | 25% | 141 | |
6 | Select Care Drugs | $10 | 70 | -- | -- | -- | -- | |
Total Rx | Browse 2014 Formulary | 2,801 | Browse 2015 Formulary | 2,729 |