Explore a Plan:

Broadway Services Inc. Plan — 2021-2022

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In-Network Retail Pharmacy (30-day supply)In-Network Retail Pharmacy (90-day supply)Mail Order (90-day supply)
Oral Contraceptives
GenericNot CoveredNot CoveredNot Covered
Preferred BrandNot CoveredNot CoveredNot Covered
Non-Preferred BrandNot CoveredNot CoveredNot Covered
Prescription Drugs
Generic$10$30$20
Preferred Brand$20$60$40
Non-Preferred Brand$30$90$60
Revised
September 9, 2022
Group Number
E00008, E00009
Available 24/7

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