Explore a Plan:

Broadway Plan — 2022 – 2023

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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
Generic Not Covered Not Covered Not Covered
Preferred Brand Not Covered Not Covered Not Covered
Non-Preferred Brand Not Covered Not Covered Not Covered
Prescription Drugs
Generic $10 $30 $20
Preferred Brand $20 $60 $40
Non-Preferred Brand $30 $90 $60
Revised
December 1, 2022
Group Number
E0000800, E0000900
Plan Codes
112C0000, 603C0000
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