Capital Health Plan NetResults Formulary
clinical or cost advantage over non-preferred drugs within the same therapeutic category. Coverage and copayment/co-insurance levels vary depending on the plan. Drugs that require Prior Authorization, Step Therapy, or that have Dispensing Limits or are considered Limited Distribution are noted in the Prescription Drug List. Limitations
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www.myprime.comPrescription drugs are classified as either a Brand drug or a Generic drug. The Brand or Generi c status provided is by a nationally recognized company providing drug product information. The Brand/Generic status for a specific drug/specific marketer can sometimes change over the life of a product in the marketplace and change from
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