Electric Boat Retiree Top Brand Name Drugs - Value Rx Plan
Electric Boat Retiree Top Brand Name Drugs - Value Rx Plan2020 DrugTier31 Day RetailCopay atPreferredPharmacies31 Day RetailCopay atStandardPharmacies90 Day HomeDelivery CopayPrior Authorizations,Step Therapy or Quantity LimitsAdvair DiskusTier 3 40 50 110QL- 60 per 30 daysAlphagan PTier 3 40 50 110.15 Drops Tier 4AlrexTier 440%45%40%AmitizaTier 440%45%40%STAndrogelTier 440%45%40%PA ;Ql based on dosageAnoro ElliptaTier 3 40 50 110QL- 60 per 30 daysAprisoTier 440%45%40%AsmanexTier 3 40 50 110AzoptTier 440%45%40%BesivanceTier 3 40 50 110Boostrix TDAPTier 3 40 50 110Breo ElliptaTier 3 40 50 110BrilintaTier 3 40 50 110BrovanaTier 440%45%40%PAButransTier 440%45%40%PA, QL-4 per 28 daysBystolicTier 3 40 50 110CarafateTier 440%45%40%CialisTier 440%45%40%PA, QL-30 per 30 daysColchicineTier 440%45%40%STColcrysTier 3 40 50 110STCombiganTier 3 40 50 110Combivent RespimatTier 3 40 50 110QL- 8 per 30 daysCopaxone*Tier 530%33%30%PA, QL 30 per 30 daysCoumadinTier 440%45%40%CrestorTier 440%45%40%Drug NameQL- 13 per 30 days50QL- 60 per 30 daysST, QL- 30 per 30 days
Electric Boat Retiree Top Brand Name Drugs - Value Rx Plan2020 DrugTier31 Day RetailCopay atPreferredPharmacies31 Day RetailCopay atStandardPharmacies90 Day HomeDelivery CopayPrior Authorizations,Step Therapy or Quantity LimitsDexilantTier 440%45%40%QL(30mg) 30 per 30 daysDurezolTier 440%45%40%DymistaTier 3 40 50 110EliquisTier 3 40 50 110Enbrel*Tier 530%33%30%PA, QL- 8 per 28 daysEntrestoTier 3 40 50 110QL- 60 per 30 daysEpinephrineTier 440%45%40%QL- 2 per 30 daysEstraceTier 440%45%40%PAFlovent HfaTier 3 40 50 110QL- based on dosageForteo*Tier 530%33%30%PA, QL- 2.4 per 28 daysGamunex-C*Tier 530%33%30%PAHumalogTier 3 40 50 110Humalog Kwikpen U-100Tier 3 40 50 110Humalog Mix 75-25Tier 3 40 50 110Humalog Mix 75-25 KwikpenTier 3 40 50 110Humulin NTier 3 40 50 110Ibrance*Tier 530%33%30%PA, QL- 21 per 28 daysImbruvica*Tier 530%33%30%PA, QL-based on dosageInsulin SyringeTier 3 40 50 110InvokanaTier 3 40 50 110QL- based on dosageJanumetTier 3 40 50 110QL- based on dosageJanumet XrTier 3 40 50 110QL- based on dosageJanuviaTier 3 40 50 110QL- 30 per 30 daysJardianceTier 3 40 50 110QL- 30 per 30 daysDrug NameQL- 23 per 30 days51
Electric Boat Retiree Top Brand Name Drugs - Value Rx Plan2020 DrugTier31 Day RetailCopay atPreferredPharmacies31 Day RetailCopay atStandardPharmacies90 Day HomeDelivery CopayLantusTier 3 40 50 110Lantus SolostarTier 3 40 50 110Levemir FlextouchTier 440%45%40%LialdaTier 440%45%40%LinzessTier 440%45%40%LotemaxTier 3 40 50 110LumiganTier 3 40 50 110LyricaTier 440%45%40%MitigareTier 3 40 50 110MoviprepTier 440%45%40%MyrbetriqTier 3 40 50 110Namenda XRTier 440%45%40%PANamzaricTier 3 40 50 110PANexiumTier 440%45%40%OnglyzaTier 3 40 50 110QL- 30 per 30 daysOxycontinTier 3 40 50 110PA, QL- 90 per 30 daysPatadayTier 440%45%40%PazeoTier 3 40 50 110Pen NeedleTier 3 40 50 110PradaxaTier 440%45%40%Premarin (Oral)Tier 3 40 50 110Vaginal - Tier 3PremproTier 440%45%40%PAProair HfaTier 3 40 50 110QL- 17 per 30 daysProlensaTier 3 40 50 110Drug NamePrior Authorizations,Step Therapy or Quantity LimitsSTPA, QL- based on dosage52
Electric Boat Retiree Top Brand Name Drugs - Value Rx Plan2020 DrugTier31 Day RetailCopay atPreferredPharmacies31 Day RetailCopay atStandardPharmacies90 Day HomeDelivery CopayPrior Authorizations,Step Therapy or Quantity LimitsProventil HfaTier 440%45%40%ST, QL- 13.4 per 30 daysPulmicort FlexhalerTier 440%45%40%QL- based on dosageQvarTier 3 40 50 110QL- 17.4 per 30 daysRanexaTier 440%45%40%RapafloTier 440%45%40%Relistor*Tier 530%33%30%Renvela*Tier 530%33%30%RestasisTier 3 40 50 110QL- 60 per 30 daysRestasis MultidoseTier 3 40 50 110QL- 5.5 per 30 daysRytaryTier 440%45%40%Serevent DiskusTier 3 40 50 110ShingrixTier 3 40 50 110SpirivaTier 3 40 50 110QL- based on dosageSpiriva RespimatTier 3 40 50 110QL- based on dosageStiolto RespimatTier 3 40 50 110QL- 4 per 30 daysSuprepTier 3 40 50 110SymbicortTier 3 40 50 110SynthroidTier 440%45%40%Toprol XLTier 440%45%40%Toujeo SolostarTier 3 40 50 110ToviazTier 3 40 50 110TradjentaTier 440%45%40%Travatan ZTier 3 40 50 110Telelgy ElliptaTier 440%45%40%Drug NameST53QL- 60 per 30 daysQL- 10.2 per 30 daysST, QL- 30 per 30 daysPA, QL- 60 per 30 days
Electric Boat Retiree Top Brand Name Drugs - Value Rx Plan2020 DrugTier31 Day RetailCopay atPreferredPharmacies31 Day RetailCopay atStandardPharmacies90 Day HomeDelivery CopayPrior Authorizations, SStep Therapy or Quantity LimitsTresiba Flextouch U-100Tier 440%45%40%STTresiba Flextouch U-200Tier 440%45%40%STTrintellixTier 3 40 50 110QL- 30 per 30 daysTrulicityTier 3 40 50 110PA, QL - 2 per 28 daysTudorza PressairTier 440%45%40%ST, QL- 1 per 30 daysUloricTier 3 40 50 110STVentolin HfaTier 440%45%40%QL- 36 per 30 daysVesicareTier 440%45%40%Victoza 2-PakTier 3 40 50 110PA, QL- 9 per 30 daysVictoza 3-PakTier 3 40 50 110PA. QL- 9 per 30 daysVigamoxTier 440%45%40%ViibrydTier 3 40 50 110QL- 30 per 30 daysVytorinTier 440%45%40%QL- 30 per 30 daysWelcholTier 440%45%40%XareltoTier 3 40 50 110XiidraTier 440%45%40%QL- 60 per 30 daysXtandi*Tier 530%33%30%PA, QL- 120 per 30 daysZytiga*Tier 530%33%30%PA, QL-based on dosageDrug Name54 200 calendar year deductible applies to tier 3, 4 & 5 only. Copays and cost shares will apply after deductible has been satisfied. Copays and cost shares shown in chart are for the Initial Coverage Stage. All brand name drugs covered at 25% while in theCoverage Gap . A maximum cost share of 5% applies to all brand name drugs while in the Catastrophic Stage of both the Limited and UnlimitedPlans. * Most Specialty Medications can only be dispensed up to a 31 day supply.
Forteo* Tier 5 30%33% PA, QL- 2.4 per 28 days Gamunex-C* Tier 5 30%33% PA Humalog Tier 3 40 50 110 Humalog Kwikpen U-100 Tier 3 40 50 110 Humalog Mix 75-25 Tier 3 40 50 110 Humalog Mix 75-25 Kwikpen Tier 3
When Jenny turns 65, she retires with IU Retiree Status. Both elect IU Retiree coverage: ‒ Jenny—IU Anthem Blue Retiree Plan (for 65 ) ‒ Dan—IU Anthem U65 PPO HDHP (for under 65) When Dan turns 65, he can switch to the IU Blue Retiree plan—the same plan as Jenny. Scenario #1 . Jenny & Dan. Dan - Age 63 (Spouse) Jenny .
If you are selecting 'Retiree & Children,' 'Retiree & Spouse' or 'Retiree & Family' coverage, you must complete the dependent information in Section 4. Group Legal Plan: You must complete the dependent information in Section 4. Please send the white copy of the form to: FBMC Benefits Management, Inc. Retiree Direct Bill PO Box 10789
cc. Port means the left side of a boat. cc. Starboard means the right side of a boat. cc. Bow means the front part of a boat. cc. Stern means the back part of a boat. cc. Hull is the body or shell of the boat. cc. Gunwale is the upper edge of a boat's side. cc. Cleat is a metal or wooden fitting on a boat or a dock to which a rope is tied. cc
cc. Port means the left side of a boat. cc. Starboard means the right side of a boat. cc. Bow means the front part of a boat. cc. Stern means the back part of a boat. cc. Hull is the body or shell of the boat. cc. Gunwale is the upper edge of a boat's side. cc. Cleat is a metal or wooden fitting on a boat or a dock to which a rope is tied. cc
Strategic Brand Management Exeter MBA and MSc –Day 2 Brand Strategy Jack Buckner Aaker’s Brand Identity System BRAND IMAGE How the brand is now perceived BRAND IDENTITY How strategists want the brand to be perceived BRAND POSITION The part of the brand identity and value pro
brand equity, brand image, brand personality and brand extension. 2. Brand Extension. Brand extension is a marketing strategy in which new products are introduced in relation to a successful brand. Various experts have defined brand extensions differently . though, these definitions look quite similar. Kotler and Armstrong (2002) defined brand
Brand values help to remain true to your brand values and will increase employee engagement. Benefit 2 Brand values make your brand more memorable. Benefit 3 Brand values will create deep emotional connections with your audience. Benefit 4 Brand values will maintain brand authenticity. Benefit 5 Brand values will guide everyone on your team .
brand awareness, brand association, perceived quality and brand loyalty to estimate brand equity [11]. Reference on Aaker, we define brand asset with four dimensions: brand awareness, brand association, perceived quality and brand loyalty. Brand awareness is the ability to consumers or potential consumers to realize relationships between a certain
