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2022 Express Scripts Prescription Drug Coverage Guide
www.ohsers.org6 | SERS Express Scripts Prescription Drug Coverage Guide 2022 MEDICARE CO-PAYS Retai Network (34-day supply) Home Delivery (90-day supply) Generic $7.50 co-pay max. $15 co-pay max. Preferred brand name 25% of cost (min. $25, max. $100) 25% of cost