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PPO Prescription Benefits at a Glance: Groups 2 – 99
AmeriHealth Forms Online — New Jersey
Type
Option
Standard
$7/50%
Standard
50%/$125
Standard
EPO Rx $100/$7/50%/$125
Standard
EPO Rx $100/50%/$125
Standard
EPO Rx $150/$7/50%/$125
Standard
EPO Rx $150/50%/$125
Standard
EPO Rx $7/50%
Standard
EPO Rx 50%
Select
$10/$20/$35
Select
$10/$40/$60
Select
$100/$15/$15
Select
$100/$15/$25
Select
$100/$15/$25/$35
Select
$15/$25/$35
Select
$15/$35/$50
Select
$20/$40/$60
Select
$200/$15/$15
Select
$200/$15/$25
Select
$200/$15/$25/$35
Select
$5/$15/$25
Select
$5/$20/$35
Select
$5/$25/$50
Select
$7/$35/$50
Select
EPO Rx $10/$40/$60
Select
EPO Rx $100/$10/$40/$60
Select
EPO Rx $150/$10/$40/$60
Select
EPO Rx $250/$10/$40/$60
Select
EPO Rx $250/$7/50%/$125
Select
EPO Rx $250/50%/$125
Deductible/Copay
$100/$15/$15
Deductible/Copay
$100/$15/$25
Deductible/Copay
$100/$15/$25/$35
Deductible/Copay
$200/$15/$15
Deductible/Copay
$200/$15/$25
Deductible/Copay
$200/$15/$25/$35