C. |
Enter your estimated annual number of copays below. Remember, if you submit a 90-day prescription with 3 refills through the
Maintenance Choice Program (either at a CVS/pharmacy retail location or through mail service), you pay only
one copay for a 90-day supply, so be sure to take this into account.
For example, you would enter "4" copays (not 12) in the generic drug type row if you take one generic maintenance medication
(4 copays x 90 days = 360 day supply). Or, if you take two brand preferred maintenance medications, you would enter "8" copays
(not 24) in the brand preferred row (2 drugs x 4 copays x 90 days = 360 day supply for each of the two drugs).
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