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PPO Prescription Benefits at a Glance: Groups 51+

AmeriHealth Forms Online — New Jersey

Type Option
Standard $1/$3
Standard $2/$6
Standard $4/$8
Standard $5/$10
Standard $7/50%
Standard $7/50%/$250
Standard 50%/$125
Select $10/$20/$35
Select $10/$20/$50
Select $10/$40/$60
Select $100/$15/$15
Select $100/$15/$25
Select $100/$15/$25/$35
Select $200/$15/$15
Select $200/$15/$25
Select $200/$15/$25/$35
Select $5/$10/$25
Select $5/$10/$35
Select $5/$10/$50
Select $5/$10/50%
Select $5/$10/$25
Select $5/$15/$35
Select $5/$15/$50
Select $5/$15/50%
Select $5/$20/$35
Select $5/$25/$50
Select $7/$35/$50