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Effective January 1, 2008

Prescription Information
For both the Optimum Choice and MAMSI PPO there is a 3-tier plan drug plan with prescription copayments of $10 generic, $20 formulary brand, and $35 non-formulary brand. In addition, for PPO members who access Non-Preferred Pharmacies, there is a 20% copayment.

Reminder about the Specialty Pharmacy Program: Beginning July 1, 2007, Optimum Choice and MAMSI participants were required to obtain specialty medications from select specialty pharmacies to receive in-network benefits. Contact the Specialty Pharmacy Referral Line at 866-429-8177 for more information.