Its a PEBBle
What is the drug deductible?
What is $100
What is the formulary name?
What is 25Deere
What is the formulary number?
What is 25008HP
What is the name of the bonus drug list?
What is List U/ Bonus Drug List U/U
What name do you use to search Rx web formularies to find the bonus drug list?
What is JD
What is the copay for tier 3 2 month supply?
What is 2025 CalPERS custom benefit List
Under 15994, what is the cost share for one month of Simvastatin 40mg in a retail pharmacy?
What is $0.00
Can retirees of this plan use Non Optum Rx mail order?
What is No
What is the name of the custom bonus drug list?
What is 2025 CalPERS custom benefit List
Under 15994, what is the cost share for one month of NOVOLOG FLEXPEN in a retail pharmacy?
What is $10.00
Under plan 12846 group number, what tier does a covered tier 2 insulin fall under?
What is Tier 1
What is the cost share for Sildenafil tab 50mg?
What is 50% cost share