Prescription Drug Plan
Member Co-Payments
Prescription Benefit*
no deductible applies,
no maximum amount
Generic
Preferred Brand
Non-Preferred Brand
Retail Pharmacy (30-day supply)
$20
$40
$70
PCRMC Pharmacy (30-day supply
$10
$20
$35
PCRMC Pharmacy (90-day supply)
$20
$40
$70
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1000 West Tenth Street
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Rolla, Missouri 65401
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573.458.8899
Copyright © 2005 Phelps County Regional Medical Center. All rights reserved.